In March 2018, the National Medical Security Administration of the People’s Republic of China was officially established in our country. The National Medical Security Administration of the People’s Republic of China is an agency directly under the State Council. The National Medical Security Administration implements the guidelines, policies, decisions and arrangements of the Party Central Committee on medical security work, and upholds and strengthens the Party's centralized and unified leadership of medical security work in the process of performing its duties.

The National Medical Insurance Administration is mainly responsible for formulating draft laws and regulations, policies, plans and standards for medical insurance, maternity insurance, medical assistance and other medical security systems, formulating departmental regulations and organizing their implementation. Organize the formulation and implementation of medical security fund supervision and management measures, establish and improve medical security fund safety prevention and control mechanisms, and promote the reform of medical security fund payment methods, etc.

Extended information:

Article 2 Basic Principles of the "Guiding Opinions on Further Deepening the Reform of Basic Medical Insurance Payment Methods".

1. Basic protection. Adhere to the principle of determining expenditures based on revenue, balance revenue and expenditure, and maintain a slight surplus, continuously improve the efficiency of the use of medical insurance funds, strive to ensure the basic medical needs of insured persons, promote the rational use of medical and health resources, and build a solid bottom line for security.

2. Establish a mechanism. Give full play to the advantages of third parties in medical insurance, and improve the incentive and restraint mechanism of medical insurance on medical behavior and the control mechanism of medical expenses. Establish and improve an open and equal negotiation mechanism between medical insurance agencies and medical institutions, as well as an incentive and risk-sharing mechanism for "retention of surpluses and reasonable sharing of over-expenditures" to increase the enthusiasm of medical institutions for self-management and promote the transformation of medical institutions from scale expansion to connotative development. change.

3. Adjust measures to local conditions. All localities should proceed from reality, fully consider factors such as the payment capacity of medical insurance funds, medical insurance management service capabilities, medical service characteristics, disease spectrum distribution, etc., actively explore and innovate, and implement medical insurance payment methods that are consistent with local realities.

4. Coordinate and promote. Coordinate and promote the reform of medical care, medical insurance, and medicine, pay attention to the systematicness, integrity, and coordination of the reform, leverage the joint efforts of departments, and take multiple measures simultaneously to achieve the superimposed effect of policies.

Baidu Encyclopedia - National Medical Security Administration of the People's Republic of China