1, the medical insurance department is divided into organ type, independent operation type and intermediate type;

2. The medical insurance center is divided into maternity insurance department, business management department, audit department, big insurance office, medical service department, chronic disease management department, medical management department, fund collection department, information management department, planning and finance department and comprehensive department.

Second, the nature of institutions is different.

1. Generally speaking, the medical insurance sector is a social welfare undertaking, not a commercial economic activity. Therefore, as a medical insurance institution that specifically undertakes this business, it is a non-profit organization, which is different from the general for-profit commercial insurance company and is also called a public institution in China.

2. The unit nature of the medical insurance center is the state administrative organ, which belongs to the local human resources and social security bureau.

Third, their respective functions.

1, Functions of Medical Insurance Department

Because medical insurance is a highly professional activity, the government needs the participation of medical insurance institutions when formulating relevant policies, regulations and plans. According to the first-hand information, medical insurance institutions actively provide reasonable basis and suggestions for the government to formulate medical insurance policies, regulations and plans, which is also the premise to ensure the effective development of medical insurance business.

2. Functions of medical insurance center

(1) Coordinate the administrative affairs of the unit to ensure the orderly operation of the work.

(2) Responsible for drafting comprehensive manuscripts such as relevant documents, summaries, reports and leaders' speeches.

(3) Responsible for filing, keeping and reading official documents.

(4) Responsible for signing, planning, conveying, supervising and supervising the implementation of communication.

(5) Responsible for information collection, collation, submission and feedback.

(six) responsible for the handling of the recommendations of the National People's Congress and the CPPCC and the implementation of the matters supervised by the provincial government.

(7) Responsible for meeting organization, daily reception and liaison and coordination of related activities.

Extended data:

Classification of institutions

According to the degree of independent operation of medical insurance institutions, they can be roughly divided into three categories:

1, type of government agency

The operation of this kind of medical insurance institutions is basically in accordance with the provisions of the government plan, the main goal is to ensure the implementation of the government plan, and there is not much room for independent operation, which can be regarded as a government institution.

Its members are similar to national civil servants, and their business activities are almost risk-free, and the management effect mainly depends on the administrative level. This kind of medical insurance institution is rare among medical insurance institutions in various countries, only in Canada and other countries.

2. Independent operation type

This kind of medical insurance institutions are basically independent in operation, including organization and personnel, financial arrangements, business decisions and so on. However, they generally act in accordance with the government's laws and regulations on medical insurance and accept the supervision of relevant state departments.

Such medical insurance institutions are responsible for their own profits and losses in financial management, and may develop or close down. Medical insurance handled by commercial insurance companies mostly falls into this category. This kind of medical insurance institution is not common and can be found in the United States, the Netherlands and other countries.

3. Intermediate type

The medical insurance institutions in most countries in the world belong to this type. On the one hand, such institutions accept the unified planning arrangements of the government, on the other hand, they have relatively independent management rights, such as certain autonomy in determining the scope of insurance, insurance rates and operating methods.

Therefore, this type of medical insurance system can not only ensure the social welfare in the process of medical insurance implementation, but also maintain good efficiency and benefit through competition among insurance institutions, which is a more reasonable system form.

Reference source: Baidu Encyclopedia-Medical Insurance Institution