Main functions:
(a) to implement the laws, regulations, policies, plans and standards of the national and provincial medical security system, organize the drafting of local laws and regulations and municipal government regulations on medical insurance, maternity insurance, medical assistance and other medical security systems in our city, formulate relevant policies, plans and standards and organize their implementation.
(two) supervision and management of the city's medical insurance fund, establish and improve the safety prevention and control mechanism of medical insurance fund, and promote the reform of payment mode of medical insurance fund.
(three) to organize the formulation of the city's medical security financing and treatment policies, improve the dynamic adjustment and regional adjustment and balance mechanism, coordinate the city's urban and rural medical security treatment standards, and establish and improve the treatment adjustment mechanism that is compatible with the financing level. Promote the reform of long-term care insurance system.
(four) to organize the formulation of unified medical insurance catalogue and payment standards for drugs, medical consumables, medical service items and medical service facilities. , establish a dynamic adjustment mechanism, formulate the rules for the negotiation of medical insurance catalogue access and organize their implementation.
(5) Organizing the formulation of policies on the prices of medicines and medical consumables, medical service items and charges for medical service facilities, establishing a mechanism for reasonably determining and dynamically adjusting the price of medical services paid by medical insurance, promoting the establishment of a market-led social medical service price formation mechanism, and establishing a price information monitoring and information release system.
(six) to implement the national and provincial centralized bidding and purchasing policies for drugs and medical consumables and supervise the implementation, and organize the implementation of centralized purchasing of drugs and medical consumables.
(VII) To formulate agreements and payment management measures for designated medical institutions and organize their implementation, establish and improve the credit evaluation system and information disclosure system of medical insurance, supervise and manage medical service behaviors and medical expenses incorporated into medical insurance coverage, and investigate and deal with illegal acts in the field of medical insurance according to law.
(eight) responsible for the city's medical security management, public service system and information construction. Organize the formulation and improvement of policies on medical treatment management and expense settlement in different places. Establish and improve the transfer and connection system of medical security relations. Carry out foreign cooperation and exchanges in the field of medical security.