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Is the medical insurance bureau and social security bureau separated
The Medical Insurance Bureau is responsible for accepting the approval, payment, management and other daily affairs of the integrated fund for basic medical insurance, work injury insurance, maternity insurance and medical expenses of retired cadres, and providing corresponding management services for employers, employees and retired cadres participating in basic medical insurance, work injury insurance and maternity insurance.
The Social Security Bureau is an administrative service organization under the Human Resources and Social Security Bureau, responsible for the collection and management of the city's social insurance fund.
II. The National Bureau of Medical Security is an organization directly under the State Council, at the vice-ministerial level. The main responsibilities are:
(a) to formulate draft laws and regulations, policies, planning and standards for medical insurance, maternity insurance, medical assistance and other medical security systems, formulate departmental regulations and organize their implementation.
(2) To organize the formulation and implementation of supervision and management measures for the medical insurance fund, to establish and improve the safety prevention and control mechanism of the medical insurance fund, and to promote the reform of the payment method of the medical insurance fund.
(3) To organize and formulate policies on medical insurance financing and treatment, improve the mechanism of dynamic adjustment and regional transfer and balance, coordinate the standards of urban and rural medical insurance treatment, and establish and improve the adjustment mechanism of treatment in line with the level of financing. It organizes the formulation and implementation of reform plans for the long-term care insurance system.
(4) Organizing the formulation of unified urban and rural medical insurance catalogs and payment standards for medicines, medical consumables, medical service items, medical service facilities, etc., establishing a dynamic adjustment mechanism, formulating rules for negotiating access to medical insurance catalogs, and organizing their implementation.
(5) To organize the formulation of policies on the prices of medicines, medical consumables and charges for medical service items and medical service facilities, to establish a mechanism for reasonably determining and dynamically adjusting the prices of medical services paid for by the medical insurance scheme, to promote the establishment of a market-led mechanism for the formation of the prices of social medical services, and to set up a system for monitoring the monitoring of pricing information and the dissemination of such information.
(F) formulate bidding and procurement policies for drugs and medical consumables and supervise their implementation, and guide the construction of bidding and procurement platforms for drugs and medical consumables.
(VII) formulates and organizes the implementation of agreements and payment management methods for designated medical institutions, establishes and improves the medical insurance credit evaluation system and information disclosure system, supervises and manages the medical service behaviors and medical expenses included in the scope of medical insurance, and investigates and punishes violations of law and regulations in the field of medical insurance in accordance with the law.
(viii) Responsible for medical insurance management, public **** service system and information construction. The organization formulates and improves policies for the management and settlement of expenses for medical treatment in other places. Establishing and improving the system of transferring and continuing medical insurance relations. Carry out international cooperation and exchanges in the field of medical insurance.
(ix) To accomplish other tasks assigned by the Party Central Committee and the State Council.
(j) Functional transformation. The State Medical Security Bureau shall improve the unified basic medical insurance system for urban and rural residents and the major disease insurance system, establish and improve a comprehensive multi-level medical security system covering all people in urban and rural areas, continuously improve the level of medical security, ensure that the medical insurance funds are reasonably utilized in a safe and controllable manner, promote the reform of the "three-medicine linkage" among medical care, medical insurance and pharmaceuticals, and provide better protection for the people's demand for medical care and reduce the burden of medical and pharmaceutical expenses. The people's demand for medical care and reduce the burden of medical costs.
(xi) Division of responsibilities with the National Health Commission. The National Health Commission, the National Health Security Bureau and other departments will strengthen the convergence of systems and policies in the areas of medical care, medical insurance and medicine, establish a mechanism for communication and consultation, and collaborate to promote reforms to improve the efficiency of medical resource utilization and the level of medical security.
Legal basis
The People's Republic of China*** and the State Social Insurance Law
Article 16 Individuals who have participated in basic old-age pension insurance shall receive a basic pension on a monthly basis, if they have accumulated fifteen years of contributions by the time they reach the legal retirement age.
Individuals who have participated in basic old-age insurance and have contributed for less than fifteen years by the time they reach the statutory retirement age may contribute until they reach the full fifteen years and receive a basic pension on a monthly basis; they may also be transferred to the new type of rural social old-age insurance or the urban residents' social old-age insurance, and shall enjoy the corresponding old-age insurance treatment in accordance with the provisions of the State Council.
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