First, Gangu Medical Insurance Bureau's attitude towards medical insurance issues
All designated medical institutions should strictly abide by the provisions of the medical insurance service agreement, resolutely prohibit the occurrence of illegal acts such as hanging bed hospitalization, lowering admission standards, and repeating examination and treatment, and completely prohibit the occurrence of illegal acts such as drug dressing change, credit card cashing, false reporting, concealment, forgery, and tampering with drug information to defraud funds, operate in good faith, and strive to provide high-quality and low-cost medical and drug purchase services; We must firmly establish the awareness of the rule of law and integrity, consciously build a strong ideological defense line, strictly abide by laws and regulations, policy provisions and agreements, adhere to the legal bottom line and policy red line, and stay away from high-voltage lines that violate laws and regulations. The medical security department should further strengthen the supervision of the implementation of the medical insurance service agreement of designated medical institutions, standardize the medical insurance service behavior, and ensure the safe operation of the medical insurance fund in combination with the special action to crack down on fraud and defraud the medical insurance fund, the medical chaos rectification action and the medical insurance health poverty alleviation. It is necessary to strengthen the joint law enforcement supervision of departments, implement "zero tolerance" for medical insurance violations, strike hard, and ensure the safety of medical insurance funds through various means such as breach of contract punishment, administrative punishment, and judicial crackdown.
Second, the work content of Gangu Medical Insurance Bureau
1. Implement the unified medical insurance catalogue and payment standard of medicines, medical consumables, medical service items and medical service facilities in urban and rural areas of the province, establish a dynamic adjustment mechanism, formulate the negotiation rules for medical insurance catalogue access and organize its implementation.
2. Implement, supervise and manage the county-wide policies on the prices of medicines, medical consumables and medical service facilities, establish a reasonable determination and dynamic adjustment mechanism for the medical service price paid by medical insurance, promote the establishment of a market-led social medical service price formation mechanism, and establish a price information monitoring and information release system.
Medical insurance bureau's phone.
Gangu medical insurance bureau contact 0938-5624702. Gangu Medical Insurance Bureau implements national, provincial and municipal laws, regulations, policies, plans and standards related to medical insurance, maternity insurance and medical assistance. Formulate local policies, rules and procedures for medical insurance, maternity insurance and medical assistance in this county, and organize their implementation, publicity, supervision and inspection. Organize the implementation of the county-wide medical insurance financing and treatment related policies, cooperate with the tax authorities to complete the county-wide medical and maternity insurance financing work in time, improve the supplementary medical insurance system, establish and improve the treatment adjustment mechanism suitable for the financing level, and organize the implementation of the county-wide long-term care insurance system reform.
First, Gangu Medical Insurance Bureau's attitude towards medical insurance issues
All designated medical institutions should strictly abide by the provisions of the medical insurance service agreement, resolutely prohibit the occurrence of illegal acts such as hanging bed hospitalization, lowering admission standards, and repeating examination and treatment, and completely prohibit the occurrence of illegal acts such as drug dressing change, credit card cashing, false reporting, concealment, forgery, and tampering with drug information to defraud funds, operate in good faith, and strive to provide high-quality and low-cost medical and drug purchase services; We must firmly establish the awareness of the rule of law and integrity, consciously build a strong ideological defense line, strictly abide by laws and regulations, policy provisions and agreements, adhere to the legal bottom line and policy red line, and stay away from high-voltage lines that violate laws and regulations. The medical security department should further strengthen the supervision of the implementation of the medical insurance service agreement of designated medical institutions, standardize the medical insurance service behavior, and ensure the safe operation of the medical insurance fund in combination with the special action to crack down on fraud and defraud the medical insurance fund, the medical chaos rectification action and the medical insurance health poverty alleviation. It is necessary to strengthen the joint law enforcement supervision of departments, implement "zero tolerance" for medical insurance violations, strike hard, and ensure the safety of medical insurance funds through various means such as breach of contract punishment, administrative punishment, and judicial crackdown.
Second, the work content of Gangu Medical Insurance Bureau
1. Implement the unified medical insurance catalogue and payment standard of medicines, medical consumables, medical service items and medical service facilities in urban and rural areas of the province, establish a dynamic adjustment mechanism, formulate the negotiation rules for medical insurance catalogue access and organize its implementation.
2. Implement, supervise and manage the county-wide policies on the prices of medicines, medical consumables and medical service facilities, establish a reasonable determination and dynamic adjustment mechanism for the medical service price paid by medical insurance, promote the establishment of a market-led social medical service price formation mechanism, and establish a price information monitoring and information release system.