"In the process of reform, we must follow the principle that hospital income does not fall, the overall burden of the masses does not increase, and the medical insurance fund can withstand. We will strive to rationally rationalize the relationship between medical services and prices in 2020, and initially establish classified management, dynamic adjustment, and multi-participating medical care. Service price formation mechanism.†Shi Zihai, spokesperson of the National Development and Reform Commission and director of the Price Department, said.
For a long time, under the influence of the traditional “medical supplementation†mechanism, some medication behaviors are not standardized or even “multiple prescribing†phenomenon often occurs. Zhu Dezheng, deputy director of the Department of Medicine of the National Development and Reform Commission, said that the price reform mainly solved two problems: First, the mechanism of “medical supplementation†was broken, and the original three compensation channels were turned into two compensation channels. Let medical institutions no longer maintain their operations through drug revenues; second, rationalize the price structure of medical services through price changes to make their internal structure more reasonable and standardized.
On the one hand, the reform of medical service prices is related to the expenditure of medical expenses for the masses. On the one hand, it is also related to the healthy development of medical institutions. It can be said that it involves a wide range of influences, large impacts and complicated situations.
"Because of this, in the reform, we must strengthen the linkage of prices with medicine, medical insurance, medical care and other policies to ensure the sound operation of medical institutions, affordable medical insurance funds, and the overall burden of the masses." Deputy Secretary of the Finance Department of the National Health and Planning Commission Chang Fan Min said.
It is reported that the "Opinions" explicitly cancel the drug addition of public hospitals, and make up for a reasonable portion of the reduction in the rate of medical services, and adjust the price of medical services to make up part of it, and adopt structural adjustments that have risen and fallen. At the same time, we will focus on reducing the price of inspection and treatment of large medical equipment, and improve the price of medical services that reflect the value of medical staff's technical services such as diagnosis and treatment, surgery, rehabilitation, nursing, and Chinese medicine, and continuously optimize the price structure of medical services.
How to make the price of medical services not to fluctuate greatly after the reform is a new issue facing the regulatory authorities.
It is reported that the "Opinions" propose that the price of medical services will be classified and managed. Strengthen the supervision and price monitoring of medical services, improve the public participation and expert argumentation system in the pricing process, and actively accept social supervision; for medical services that implement market-adjusted prices, medical institutions should rationally formulate and adjust prices and remain relatively stable.
In addition, all localities will also establish a monitoring, assessment and evaluation mechanism for the price reform of medical services, strengthen the follow-up evaluation of the progress and effects of the reform, and pay close attention to the changes in medical expenses after the reform, while summarizing and promoting the experience.
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