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First, the unit nature of the medical insurance bureau is the state administrative organ, which is subordinate to the local human resources and social security bureau.
Medical insurance bureau's main responsibilities:
1. Responsible for accepting the daily affairs such as approval, payment and management of basic medical insurance, work injury insurance, maternity insurance and medical expenses pooling fund for retired cadres.
2 to provide corresponding management services for employers, employees and retired cadres who participate in basic medical insurance, industrial injury insurance and maternity insurance.
Two, the medical insurance bureau and the social security bureau are a unit, and now they are all under the local human resources and social security bureau.
The Medical Insurance Bureau is responsible for accepting the daily affairs such as the examination and approval, payment and management of the basic medical insurance, industrial injury insurance, maternity insurance and the medical expenses pooling fund for retired cadres, and providing corresponding management services for employers, employees and retired cadres who participate in the basic medical insurance, industrial injury insurance and maternity insurance.
The Social Security Bureau is an administrative agency under the Human Resources and Social Security Bureau, which is responsible for the collection and management of social insurance funds in the city.
3. What is the scope of medical insurance bureau's functions?
1. Implement national, provincial and municipal laws, regulations and policies on medical insurance, maternity insurance and medical assistance. To formulate policies, plans and standards related to regional medical security;
2, organize the formulation and implementation of medical insurance financing and treatment policies, improve the dynamic adjustment and regional adjustment and balance mechanism, co-ordinate urban and rural medical insurance treatment standards, establish and improve the treatment adjustment mechanism suitable for the financing level, and establish a unified medical insurance system in the whole region. Organize the formulation and implementation of long-term care insurance system reform plan;
3. Organize the formulation and implementation of measures for the supervision and management of medical insurance funds, establish and improve the safety prevention and control mechanism of medical insurance funds, promote the reform of payment methods of medical insurance funds, and undertake relevant work for the supervision and management of district-level medical insurance funds;
4, the implementation of higher medical security departments to develop drugs, medical consumables, medical services and medical service facilities and other medical insurance directory, payment standards and charging standards and other policies, the implementation of dynamic adjustment mechanism. According to the authorized organization, formulate the charging policy for medical services. Establish price information monitoring and information release system;
5. Carry out the bidding policy of drugs and medical consumables of the superior medical security department and organize its implementation;
6. Formulate the agreement and payment management measures of designated medical institutions and organize their implementation, establish and improve the credit evaluation system and information disclosure system of medical insurance, supervise and manage the medical service behavior and medical expenses in medical insurance coverage, and investigate and deal with illegal acts in the field of medical insurance according to law.