Medical network, June 6, on June 2, national health development planning commission held in shenzhen DRG payment reform pilot can, announced the three cities of public hospitals and three provincial hospitals to carry out the pilot DRG. 

 

After a lot of planning and preparation, the DRG fee reform pilot was officially launched. 

 

▍ DRG, the reform of medicare payment final form? 

 

As an innovative payback mechanism, DRG fees, which have been used in more than 40 countries, are still a novelty for China. 

 

Last year, my, council jointly issued the deep medical health system reform leading group under the state council on further promoting the deepening medical and health system reform experiences of the several opinions, which are put forward, to comprehensively promote the reform of payment, including: gradually reduce the payment according to the project, carry out mainly by macro-reforms, capitation payment, pay by bed, and total prepaid the compound payment method of combining a variety of payment methods to pay according to the disease diagnosis related group (DRGs) way. 

 

Late last year, an academic annual conference held in Beijing, deputy director of the national health development planning commission Wang Peian said again, during the period of "much starker choices-and graver consequences-in" will focus on the reform of DRG charge paid. 

 

DRG is a country is bound to promote the reform, and with the 270 health reform pilot cities by macro-reforms reform should be promoted in this year, compared to DRG is more sophisticated, more scientific means of paying the doctor's examination system is more perfect. 

 

Chinese health economic society vice-chairman concurrently secretary general, health service costs and prices, director of the professional committee members, the national press disease diagnosis related group (DRG) receive payment rules zhen-zhong zhang led the team, said the development direction of future health care receive payment reform, it must be from the current pay by project is given priority to, gradually transition to the bed, head and macro-reforms, eventually transition to hospitalized patients in the DRG multiple complex medical payment. (this is the "health world") 

 

For the time being, the DRG or the foreseeable future will be the final form of health care reform in China. 

 

▍ timetable: 

 

The "3 + 3" pilot was first piloted and expanded to 100 cities by 2020 

 

To promote the reform of DRG collect pay, the national related department already defined path graph: version of national unity, unified collect payment specification, pilot, to point with surface, gradually expand the coverage. 

 

On June 2, the national health development planning commission held in shenzhen DRG payment reform pilot can, announced that three and three hospital first pilot city, including: sanming city, fujian, guangdong, shenzhen, xinjiang karamay, and xiehe hospital affiliated to fujian medical university, fuzhou, xiamen, the first hospital first hospital. The three cities' public hospitals and three provincial and municipal hospitals have been piloted simultaneously to form a "3 + 3" pilot pattern. 

 

Advancing time planning and, on the other hand, are now known to first make an initial evaluation of the pilot cities, by the end of 2018 pilot expanded to 50 cities in 2019, expanded to 100 cities in 2020. 

 

▍ "DRG agents to leather life"! 

 

Traditional pay by project of hospital of our country, it is totally vulgar, stimulating doctors prescribing, multi-purpose consumables, thoroughly examined, thus driving the infinite "boom" of various agents, dealers. 

 

Press macro-reforms, binding is relative, because health care for every disease is fixed, paying to have returns, hospitals, doctors can only rely on saving money. The main way to save money is to reduce the use of drugs and consumables and to reduce inspection. The reform is spreading the payment method, national requirement is 270 reform pilot cities by the end of the year according to the disease of disease to charge for no less than 100, has left YaoXie enterprises feel great pressure. When it comes to all provincial and public hospitals, an estimated number of weapons companies have been knocked out. 

 

DRG fees, which are better for hospitals and doctors, are also stronger for drug companies. 

 

It is reported, this time the DRG pilot reform, will try to make out of DRG by a "hospital" to "patient" overall charge payment scheme, form a closed paid on both ends of the closed loop. Rather than "hospital fees DRG, patients pay cost according to the project still pay", medicine still is in the interests of the hospital center, DRG is reduced to a low level of the game between managers and by managers. 

 

Only both ends to form closed loop to get drug into the cost of medical institutions in real elements, arouse the enthusiasm of hospitals and doctors to effectively reduce the cost, control unreasonable medical expenses growth. 

 

DRG comes with a three-way win for health care, doctors and patients. Doctors earn more, take less drugs, use more energy and do more checks to make money, and the rebates will be greatly reduced. Health care spending can be expected, controlled, and wasted. 

 

The only and biggest "loser" is the drug company! 

 

The national press disease diagnosis related group (DRG) receive payment rules zhen-zhong zhang is the truth, led the team of doctors in our country in 2015 the total number of only 2.8 million people, and dealers have 3 million people in the field of health care, "DRG to leather is the dealer's life." (the "health community"), says cypress, is still up for debate. 

 

The DRG pilot programme has been launched and will be expanded to 100 cities across the country in a few years, and will probably eventually cover all of the country's medical institutions. Reform is incremental rather than stormy, so you may not feel it at this stage. But if you don't pay attention to and plan for a strategic response, you may be out of the game.