1. The National Health Insurance Bureau implements the principles, policies and decision-making arrangements of the CPC Central Committee on medical security work, and adheres to and strengthens the centralized and unified leadership of the Party on medical security work in the process of performing its duties. The main responsibilities are: to draft laws and regulations, policies, plans and standards for medical insurance, maternity insurance, medical assistance and other medical security systems, formulate departmental rules and organize their implementation. Organize the formulation and implementation of measures for the supervision and management of medical insurance funds, establish and improve the safety prevention and control mechanism of medical insurance funds, and promote the reform of payment methods of medical insurance funds. Organize the formulation of medical security financing and treatment policies, improve the dynamic adjustment and regional adjustment and balance mechanism, coordinate urban and rural medical security treatment standards, and establish and improve the treatment adjustment mechanism that is suitable for the financing level. Organize the formulation and implementation of long-term care insurance system reform plan.
2. Organize the formulation of urban and rural unified medical insurance catalogues and payment standards such as medicines, medical consumables, medical service items and medical service facilities, establish a dynamic adjustment mechanism, formulate negotiation rules for medical insurance catalogue access and organize their implementation. Organize the formulation of policies on the prices of drugs and medical consumables, medical service items and charges for medical service facilities, establish a mechanism for reasonably determining and dynamically adjusting the prices of medical services paid by medical insurance, promote the establishment of a market-led social medical service price formation mechanism, and establish a price information monitoring and information release system. Formulate bidding and purchasing policies for drugs and medical consumables and supervise their implementation, and guide the construction of bidding and purchasing platforms for drugs and medical consumables.
3. 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 for medical insurance, supervise and manage medical service behaviors and medical expenses included in medical insurance, and investigate and deal with illegal acts in the field of medical insurance according to law. Responsible for 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 international cooperation and exchanges in the field of medical security. Complete other tasks assigned by the CPC Central Committee and the State Council.
4. functional transformation. The National Medical Insurance Bureau should improve the unified basic medical insurance system and serious illness insurance system for urban and rural residents, establish and improve a multi-level medical security system covering the whole people and coordinating urban and rural areas, continuously improve the level of medical security, ensure the rational use of medical insurance funds, be safe and controllable, and promote the reform of "three medical linkages" in medical care, medical insurance and medicine to better protect people's medical needs and reduce the burden of medical expenses. Division of responsibilities with the National Health and Wellness Commission. The National Health and Wellness Commission, the National Medical Insurance Bureau and other departments have strengthened the convergence of systems and policies in medical care, medical insurance and medicine, established a communication and consultation mechanism, and promoted reforms in coordination to improve the efficiency of medical resources use and the level of medical security.