Sanhe Municipal Medical Insurance Bureau Tel: 0316-3218666 Sanhe Municipal Medical Insurance Bureau Overview: Implement the guidelines, policies, decisions and arrangements of the Party Central Committee, the Provincial Party Committee, the Langfang Municipal Party Committee and the Municipal Party Committee on medical security work, and uphold and strengthen the party’s centralized and unified leadership over medical security work.
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The main responsibilities are: (1) Implement provincial and municipal medical security policies, systems, plans and standards such as medical insurance, maternity insurance, critical illness insurance, and medical assistance for urban employees and urban and rural residents.
(2) Implement provincial and municipal regulations on the supervision and management of medical security funds, establish and improve the safety prevention and control mechanism of medical security funds, organize the construction of intelligent monitoring platforms, promote the reform of medical security fund payment methods, and organize implementation.
(3) Implement provincial and municipal insurance financing and security benefit policies for urban employees and urban and rural residents, coordinate urban and rural medical security policy standards, establish and improve a benefit adjustment mechanism that is commensurate with the financing level, and organize its implementation.
(4) Implement the unified provincial and municipal medical insurance catalogs for drugs, medical consumables, medical services, and medical service facilities in urban and rural areas, organize and formulate unified medical insurance payment standards for drugs, medical consumables, medical services, and medical service facilities in urban and rural areas of the city and
Organize implementation and establish a dynamic adjustment mechanism.
(5) Implement provincial and municipal policies on drug and medical consumable prices, medical service items, and medical service facility charges.
Implement the reasonable determination and dynamic adjustment mechanism for medical service prices paid by provincial and municipal medical insurance and organize their implementation, and manage the implementation of price policies for drugs, medical consumables, and medical services in accordance with the law.
Establish and improve a price monitoring and information release system for drugs, medical consumables and medical services.
(6) Implement provincial and municipal bidding and procurement policies for drugs and medical consumables, organize their implementation, and do a good job in supervision.
According to the requirements of relevant provincial and municipal documents, we will do a good job in building a bidding and procurement platform for drugs and medical consumables.
(7) Organize and implement provincial and municipal designated medical institution agreements and payment management measures.
Implement the provincial and municipal medical security credit evaluation systems and information disclosure systems and organize their implementation, supervise and manage the medical service activities, medical expenses and pharmaceutical prices of designated medical institutions, and investigate and deal with violations of laws and regulations in the field of medical security in accordance with the law.
(8) Responsible for medical security management, public service system and information construction.
Implement and improve off-site medical treatment management and cost settlement policies and organize their implementation.
Establish and improve the transfer and continuation system of medical security relationships.
(9) Complete other tasks assigned by the municipal party committee and municipal government.