Henan Provincial Medical Security Bureau implements the principles, policies and decision-making arrangements of the CPC Central Committee on medical security management, and adheres to and strengthens the centralized and unified leadership of the Party on medical security management in the process of performing its duties. The main responsibilities are:
(a) to draft local regulations, policies, plans and standards for medical insurance, maternity insurance, medical insurance for retirees, medical insurance for retired military cadres transferred to the government for resettlement, and medical assistance, and organize their implementation.
(two) to organize the formulation and implementation of the province's medical insurance fund supervision and management measures, establish and improve the medical insurance fund safety prevention and control mechanism, and promote the reform of medical insurance fund payment methods.
(three) to organize the formulation of the province's medical security financing and treatment policies, improve the dynamic adjustment and regional adjustment and balance mechanism, coordinate the urban and rural medical security treatment standards, and establish and improve the treatment adjustment mechanism that is suitable for the financing level. Promote the reform of long-term care insurance system.
(four) to organize the formulation of drugs, medical consumables, medical services, medical service facilities and other urban and rural unified medical insurance catalogue and payment standards. , 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 the province's 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 medical service prices 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 formulate and supervise the implementation of the province's bidding and purchasing policies for drugs and medical consumables, and guide the construction of bidding and purchasing platforms for drugs and medical consumables.
(VII) To formulate agreements and payment management measures for designated medical institutions in the province 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 province'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.
(nine) to complete other tasks assigned by the provincial party committee and the provincial government.
(10) Division of responsibilities.
1. Division of responsibilities with Henan Provincial Health and Wellness Committee. Henan Provincial Health and Wellness Committee, Henan Provincial Medical Security Bureau and other departments have strengthened the system and policy convergence of medical care, medical insurance and medicine, established a communication and consultation mechanism, and jointly promoted reforms to improve the efficiency of medical resources use and the level of medical security.
2. Division of responsibilities with Henan Provincial Department of Human Resources and Social Security. The Henan Provincial Department of Human Resources and Social Security and the Henan Provincial Medical Security Bureau have strengthened the convergence of systems and policies in the aspects of the national enrollment registration plan, the construction of social insurance service platform, the issuance, management, application and service of social security cards, established a communication and consultation mechanism, and improved the efficiency of handling services.