Current location - Trademark Inquiry Complete Network - Tian Tian Fund - The medical insurance agency shall establish a collective with the designated medical institutions to clearly violate the service agreement and its behavior.
The medical insurance agency shall establish a collective with the designated medical institutions to clearly violate the service agreement and its behavior.

People's governments (administrative committees) of counties (autonomous counties, cities, districts), departments and institutions directly under the municipal government: The Measures for the Supervision and Administration of the Use of Medical Security Funds in Bijie City have been agreed at the 17th executive meeting of the Third Municipal People's Government, and are hereby printed and distributed to you. Please conscientiously implement them in light of your actual work. Bijie Municipal People's Government on June 27, 222 (this document was publicly released)

Measures for the Supervision and Administration of the Use of Medical Insurance Funds in Bijie City

Chapter I General Provisions

Article 1 In order to strengthen the supervision and administration of medical insurance funds, ensure the safety of funds, improve the efficiency of fund use and safeguard the legitimate rights and interests of citizens in medical insurance, according to the Social Insurance Law of the People's Republic of China, the Regulations on the Supervision and Administration of the Use of Medical Insurance Funds and other related regulations.

article 2 these measures shall apply to the use, supervision and management of the basic medical insurance (including maternity insurance) fund, medical assistance fund and other medical security funds in Bijie city as a whole.

Article 3 The people's governments (administrative committees) of cities and counties (autonomous counties, cities and districts) shall strengthen their leadership in the supervision and management of the use of medical insurance funds, establish and improve the supervision and management mechanism and law enforcement system of medical insurance funds, and strengthen the supervision and management team and capacity building of medical insurance funds; Establish a joint meeting system for the supervision and management of medical insurance funds, clarify job responsibilities, and coordinate and solve major problems in the supervision and management of the use of medical insurance funds.

article 4 the administrative departments of medical security of cities and counties (autonomous counties, cities and districts) shall be responsible for the supervision and management of the use of medical security funds within their respective administrative areas, standardize the handling business of medical security, supervise the medical services and medical expenses included in the scope of medical insurance payment, and investigate and punish the illegal use of medical security funds according to law.

Article 5 Departments of medical security, health and hygiene, market supervision and management, public security and finance of cities and counties (autonomous counties, cities and districts) shall, within the scope of their respective duties, cooperate and cooperate with each other, establish mechanisms such as communication and coordination, and transfer cases, and do a good job in the supervision and management of the use of medical security funds. Other departments shall do relevant work within their respective responsibilities. The health department is responsible for the supervision and management of medical institutions and medical service industries, and regulates the medical service behavior of medical institutions and their medical personnel. The market supervision and management department is responsible for the price supervision and management of the medical and health industry, and regulates the drug trading behavior. The financial department is responsible for standardizing the budget and final accounts of the medical security fund, accounting for special financial accounts, timely allocating the medical security fund, and strictly prohibiting misappropriation and diversion of the medical security fund. The public security organs are responsible for investigating and dealing with all kinds of illegal and criminal acts such as fraud and insurance fraud.

article 6 the administrative department of medical security of cities and counties (autonomous counties, cities, districts) is responsible for establishing a social supervisor system for medical security funds, employing deputies to the national people's congress, members of the Chinese people's political consultative conference, and employees of the news media as social supervisors, and encouraging and supporting citizens, legal persons and unincorporated organizations to conduct social supervision over the use of medical security funds.