According to China-Singapore News, on December 27, the "Implementation Plan for the Comprehensive Reform of Medical Consumption in Beijing" was formally announced. It is reported that on the basis of the comprehensive reform of medicine separation last year, which abolished the addition of drugs and standardized some medical services, Beijing will further abolish the addition of medical consumables, regulate more medical services, and improve the value of medical personnel's technical and labor services through downward and upward price adjustments. In order to better protect the health of the people. It is reported that the plan will be implemented in mid-June next year, involving more than 3,000 medical institutions at various levels of public medical institutions in Beijing, government purchase of services, and urban and rural basic medical insurance.
Comprehensive Measures to Deepen Health Reform
Beijing has been generally stable, in line with expectations and with a good response since the comprehensive reform of medicine separation was implemented in April 2017, the person in charge of the Beijing Municipal Health and Hygiene Commission said today. In order to consolidate the results of the comprehensive reform of medicine and medicine, and continue to deepen medical reform, in July last year, relevant departments carried out research and formulation of the comprehensive reform plan for medical consumption, and formed the Implementation Plan for the Comprehensive Reform of Medical Consumption in Beijing.
This round of reform and the comprehensive reform of medicine are in line with each other. The main content of the plan can be summarized as "five ones", namely, one reduction, one promotion, one cancellation, one procurement, and one improvement:
"A reduction" refers to reducing the price of large instrument equipment inspection items and controlling inspection costs;
"One promotion" refers to raising the price of medical services such as Chinese medicine and surgery, reflecting the value of medical labor;
"One cancellation" refers to the elimination of medical consumables and the reduction of the price of consumables;
"One procurement" refers to the implementation of the joint procurement of medical consumables and the procurement of drug belts, further freeing up the cost space;
"One improvement" refers to further improving medical services and enhancing people's sense of access.
The person in charge pointed out that this round of reform is the continuation and deepening of the comprehensive reform of medicine separation. After the abolition of drug addition, the addition of consumable materials is eliminated, and the mechanism of profit seeking by medical institutions is eliminated; On the basis of reducing the inspection cost of large equipment, the price of large equipment inspection project will continue to be reduced; After regulating the price of medical services, we will continue to expand the scope, optimize the structure, and support weak professional development.
In addition, the plan also proposes to reform and improve synchronization, reform and supervision synchronization, reform and guarantee synchronization, "through the combination of boxing, overall promotion, comprehensive measures to enhance the people's sense of acquisition. "
To Restructure the Price System of Medical Services
Overall, the city is still following the 1999 price of health care, with 75 per cent of the services below cost.
Last year, the first 435 changes in health care prices in Beijing were launched, breaking a nearly 20-year impasse in reforming health care prices.
The person in charge said that in accordance with the overall requirements of the country to basically straighten out the relationship between the price of medical services and the addition of consumable materials by 2020, six categories of Chinese medicine, pathology, rehabilitation, spirituality, surgery and inspection will be included in the scope of reform this year. In advance, more than 1,600 mature prices were introduced for regulatory adjustment. Adhere to lifting and synchronizing, adjust the relationship between service items and prices, and change "selling drugs and using consumables" to "improving services and standardizing services."
Higher number of projects and smaller number of people involved
The Beijing Development and Reform Commission said that although the number of projects involved in this round is large, the number of people involved is smaller than last year. With the exception of the testing program, only some patients will be involved in other programs and have no effect on most people. In the case of the largest number of surgical projects, the number of patients involved in surgery accounted for only about 3 % of the total number of visits.
"Of the six categories of items, five items have risen. Will there be increased medical fees? In this regard, the person in charge explained that the price level insists on being consistent with the price level of the same type of city in China, as well as with the level of medical services and technology in Beijing, so that the increase reflects changes in costs.
The person in charge pointed out that the "three ones" of the "five ones" plan are moving space, including reducing the price of medical equipment inspection projects, adding materials for consumption, and promoting the centralized procurement of pharmaceutical supplies.
Among them, there are not only explicit changes in the bill of fees, but also hidden changes brought about by the elimination of the addition mechanism and the reduction of unreasonable burdens such as "selling drugs, consumables, major inspections, and multiple tests." What will be brought about is a shift in medical services from resource-consuming to resource-saving and service improvement. Static calculation shows that the personal burden of outpatient patients is basically the same, and the personal cost burden of inpatient patients has slightly increased. Make sure the overall impact is manageable by "freeing space, adjusting structure and ensuring cohesion", the person in charge said.
Overall no increase in cost burden
The reporter learned from Beijing medical security Bureau, this adjustment of medical service items, except for the state clearly stipulated not to reimburse the items, are included in the scope of medical insurance reimbursement in Beijing, mental items are all reimbursed according to category A.
The relevant person in charge of the Beijing Municipal Medical Security Bureau stated that on the basis of the current 300,000 hospital reimbursement line and 200,000 urban and rural residents 'hospital reimbursement line, it will further improve the compensation line for employees and urban and rural residents' hospitalization according to the situation. Reduce the burden of medical expenses for patients with major diseases.
At the same time, the standard of medical aid has been further raised, and assistance has been increased to needy groups such as social aid recipients. For patients with mental illness who have been hospitalized for a long time, medical expenses are covered by medical insurance, and medical insurance payment standards for medical institutions have been appropriately raised to arouse the enthusiasm of medical institutions.
The person in charge emphasized that for the diseases that may be caused by higher cost increases due to price adjustments, the single-disease payment policy will be improved, supported by medical insurance policies and comprehensive aid policies, ensuring that the burden on individuals and special hardship groups is controlled at a reasonable level.