Organizational structure of the Center for Health Insurance Assessment and Multi-Payment in Vietnam

Organizational structure of the Center for Health Insurance Assessment and Multi-Payment in Vietnam (Internet image) 

Regarding this issue, LawNet would like to answer ưas follows:

The Center for Health Insurance Assessment and Multi-Line Payment is a unit of which Ministry in Vietnam?

The Center for Health Insurance Assessment and Multi-Line Payment (hereinafter referred to as the Center) is a non-business unit under the Vietnam Social Insurance, which has the function of assisting the General Director of Vietnam Social Insurance (hereinafter referred to as the General Director) in managing, operating, and developing the health insurance assessment information system and synthesizing and analyzing data on medical examinations and treatment covered by health insurance.

Thus, the Center for Health Insurance Assessment and Multi-Line Payment is a non-business unit under the Vietnam Social Insurance.

(Clause 1, Article 1 of Decision 1219/QD-BHXH in 2020)

Organizational structure of the Center for Medical Insurance Assessment and Multi-Payment in Vietnam

Specifically, in Clause 1, Article 4 of DDecision 1219/QD-BHXH 2020, the organizational structure of the Center for Health Insurance Assessment and Multi-line Payment includes 05 departments:

(1) Department of Professional Assessment;

(2) Multi-line Payment Department;

(3) Analysis - Forecasting Department;

(4) Department of Management and Operation of Electronic Inspection System;

(5) Office.

Departments and Offices are managed and operated by the Head of the Department and by the Head of the Office.

The Head of the Department, the Chief of Office is responsible to the Director of the Center and to the law for all professional and professional activities of the Department.

Assisting the Head of the Department, the Chief of the Office are the Deputy Heads and Deputy Chiefs of the Office; the number of Deputy Heads and Deputy Chiefs of the Office as prescribed in Decree 47/2019/ND-CP amending and supplementing a number of articles of Decree 10/2016/ND-CP; Head of Department, Chief of Office, Deputy Head of Department, Deputy Chief of Office shall be appointed, relieved of duty, transferred, transferred, rewarded and disciplined by the Director of the Center according to title standards and procedures prescribed by the General Director. determined.

Some tasks and powers of the Center for Medical Insurance Assessment and Multi-Payment in Vietnam

The Center for Health Insurance Assessment and Multi-Line Payment has a number of tasks and powers, as follows:

- Manage and operate the health insurance assessment information system, coordinate with the Information Technology Center, the Health Insurance Policy Implementation Board and related units develop and adjust the functions of the health insurance assessment information system, update and link medical examination and treatment data from medical examination and treatment facilities, professional communication between software in management, payment and settlement of medical examination and treatment costs, health insurance, and other professional software
according to the functions and tasks assigned.

- Assume the prime responsibility for, and coordinate with the Health Insurance Policy Implementation Board and relevant units in, developing a process of health insurance assessment and transferring it to the Health Insurance Policy Implementation Board for appraisal, then submit it to the General Director for promulgation, organize the implementation after being approved.

- Organize the implementation and implementation of medical insurance assessment rules; supervise, analyze, synthesize, direct, and guide the social insurance of provinces and centrally-run cities (hereinafter referred to as the provincial Social Insurance) in implementing the contents that need to be focused on inspection and assessment at the Social Insurance agency and medical examination and treatment facilities covered by health insurance.

- Implement and coordinate with the Health Insurance Policy Implementation Board to guide the Provincial Social Insurance, the Social Insurance of the Ministry of National Defense, and the Social Insurance of the People's Public Security to implement measures to control the cost of medical examination and treatment, medical insurance treatment, protectomg the interests of health insurance participants and prevent and combat abuse and profiteering of the health insurance regime.

- Guide the Social Insurance of the Provinces and Related Units to update, exploit, and use professional assessment software, other related professional software, and medical examination and treatment data covered by medical insurance. economic.

Periodically inform and warn about doubts about the payment of medical examination and treatment expenses covered by health insurance in each locality so that the provincial Social Security can determine the key tasks in managing the medical examination and treatment fund covered by health insurance. economic.

(See more content about the tasks and powers of the Center for Medical Insurance Assessment and Multi-Payment in Article 2 of Decision 1219/QD-BHXH 2020)

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