Ji'nan 7 hospital test water to cancel the "medicine to support medicine" drug price 15%
Ji'nan times
no longer a medicine, hospital depends on medical service charges and government subsidies to reduce medical costs, January 2013 1 At 0:00 hours, 7 public hospitals in Zhangqiu and Pingyin in Ji'nan were formally launched. The pilot hospitals will all cancel 15% of the drug addition, and the drugs are sold according to the price. At the same time, 7 hospitals will improve the price of diagnosis, nursing, bed, operation and so on, and the improvement of the part is not all undertaken by the patients. Most of them are included in the medical insurance and NCMS reimbursement.
7 county hospitals in Pingyin, Zhangqiu, first test water
the reporter learned that, according to the Ji'nan pilot program, the pilot counties will not increase the overall burden of the patients, the medical reasonable income is not reduced, the government and the medical insurance can bear the principle, so as to break the key link of the medical remedy mechanism, promote the hospital compensation mechanism, the personnel distribution system, the modern hospital management system and so on. With the reform, we will improve the operation efficiency of county hospitals and strive to raise the rate of visiting doctors in the county area to about 90%, and basically achieve serious illness.
according to the deployment, there are 7 public hospitals at the county level launched in Ji'nan. Among them, Pingyin County People's Hospital peace Yin County traditional Chinese medicine hospital started in the early morning of December 31st last year. Zhangqiu people's Hospital, Zhangqiu Hospital of traditional Chinese medicine, Zhangqiu City Maternal and child health care hospital, Zhangqiu oral hospital and Ji'nan Ming Shui ophthalmology hospital were started at 11 in December 31st last year, and the patients in these 7 hospitals will be treated in January 1, 2013. It can feel the benefits brought by the hospital reform obviously.
after the start of the
reform, 7 hospitals will abolish all drug addition of 15% of the drugs. The price of drug sales will be issued to the public to ensure that the drug prices of the pilot public hospitals are reduced by about 15%.
in addition to the abolition of drug addition, the drugs used in the 7 pilot hospitals (except as otherwise stipulated by the state) will be changed from the original county's own purchase to the centralized procurement platform of the provincial medicine, reducing the circulation of drugs and the resulting circulation costs, so as to reduce the price of drugs.
at the same time, the proportion of public hospitals to be equipped with basic drugs is also clearly required. In principle, the proportion of basic drug sales in principle is not less than 35% of the total drug sales. The basic drugs used in the pilot hospitals will be centralized procurement at the provincial level in accordance with the requirements of the combination of recruitment and production, volume and price, single source commitment and double envelope system.
medicine price drop medical technology service fee is appropriately increased
hospital income will be reduced by cancelling drug addition, it will be compensated by adjusting the price of medical technology service and increasing government investment. The 7 hospitals will reasonably improve the price of diagnosis, nursing, bed and operation, which embody the value of medical personnel's technical and labor services, so that medical institutions can obtain reasonable compensation by providing high quality services.
in principle, the total price of medical technology service adjustment is not more than 80% of the total amount of rational drug price difference in 2011. The rational drug price difference is based on the drug purchase price of the pilot public hospital for 2011, and CIS plus 15%. The county government authorizes the county government to adjust the price of medical service in the scope of the prescribed principles and rationally determine the amount and extent of the adjustment, so the range of medical technology service charges in Pingyin and Zhangqiu is different.
adjusted medical technical service charge is included in the payment range of NCMS and town medical insurance according to the regulations, and all of them are paid by medical insurance to ensure that the overall burden of medical expenses after the reform is reduced.
government finance will increase hospital subsidies
the compensation channels for public hospitals will be changed from 3 channels of previous drug income, service income and government subsidies to two channels of service income and government subsidies.
whether the government input compensation can be in place is the key to the success or failure of the pilot hospital reform. At present, Ji'nan will put the required government investment into the budget, timely allocate in place, and prohibit the construction of debt financing in pilot hospitals. The investment policies of public hospitals, such as basic construction of public hospitals, purchase of large equipment, development of key disciplines, training of talents, the cost of retirees, policy loss subsidies, public health tasks and emergency treatment, supporting and supporting agriculture, are in accordance with the state regulations.
at present, the government of the municipal level has invested 6 million yuan in two pilot counties. The county government will mainly fulfill the responsibility for the contribution of the pilot hospital. The compensation policy of the pilot hospital is being worked out, and the relevant departments will also supervise the financial compensation to ensure the compensation in place.