Medical network on April 17 - April 13, medicare office of fujian province on its website released on the medical insurance of public medical establishment that decide a dot drug (consumables) joint limit sun purchasing related issues notice "([2017] of the fujian health care to do 29). 

 

Notification requirements, since May 1, 2017, the health care of all non public medical establishment that decide a dot, and the original did not perform "zero rate" of the enterprises subordinate to the medical institutions synchronous cancel drugs (except traditional Chinese medicine yinpian), consumables bonus policies, adopt a "zero rate" sales. 

 

Rules at the same time, the medical institution to perform zero rate after sales, can consult to perform in the city divided into districts with level public medical institution of medical service items (including the press disease charging projects) to pay for health care standards. Reference to press disease to charge, as a whole fund and individual allocation proportion to perform with the level of public medical institution press disease to receive payment allocation proportion. 

 

Moreover requirements, the health sector in the annual medical insurance fixed-point service agreement, "zero rate" is adopted to comprehensively consider medical institutions sales and adjust the payment standard. Through consultations and negotiations reasonable pay index, a long-term mechanism of creating health control fee. 

 

Since the new reform, the public hospitals to be cancelled after drug addition, there are private hospitals have also joined the ranks. On August 1, 2016, dongguan tung wah hospital announced this cancel drugs (except for Chinese herbal medicine, to drain fluid) addition, charge fee, the registration fee by reference to public hospitals. The matter was famously at that time. 

 

Most think that it is on the market of civilian battalion hospital, in order to compete with public hospitals and necessity. Even some people think that is "a game of private hospitals' puhuo to". 

 

▍ current situation of the development of private hospitals 

 

New reform to "everyone will have access to basic medical and health services" as the strategic target, the main body of public hospitals as to provide basic medical services, to maintain the dominant position in medical and health services industry. Meanwhile, the government support and guide the social capital into the medical service industry common development, its purpose is threefold: 

 

One is through diversified do medical increase the medical and health resources, alleviate the contradiction between supply and demand, meet the needs of public multi-level, diversified; 

 

The second is to use private medical triage patients, make room for the government resources to enhance the basic medical service; 

 

The third is the play to civilian battalion hospital "catfish effect", activating the market competition to promote public hospitals to improve efficiency and quality 

 

In August 2016, the national health and family planning commission issued the planning and guiding principles of the establishment of medical institutions (2016-2020), cancel the social capital to run medical several restrictions. In recent years, the number of private medical institutions is rapidly increasing. 

 

According to national health development planning commission "2015 statistics bulletin of the health and family planning career development in our country, by the end of 2015, the national total of 983528 medical and health institutions, including 13069 public hospitals, private hospitals, 14518. Number of private hospitals has been more than the public hospital. 

 

But in 4 trillion yuan of the medical service market, public hospitals still accounts for absolute advantage, people go to a doctor in public hospitals is still the first choice, to the number of private hospital is less than 1/7 of the public hospital. 

 

The cause of this predicament, is generally believed that there are the following: 

 

Although say on national and local policies of encouragement, but it is hard to implement, such as tax, land use, such as medical staff promotion policy security, no real power. Private hospitals generally personnel problems. 

 

Such as doctors more practice, cancel the doctor, the realization of free flow, reform is not sufficient. Have hospitalized conceptual problems, most people hold public hospital medical information and strong, the civilian battalion hospital mainly by service "of the traditional view, make the development of non public hospitals is not sufficient. 

 

Fujian province private treatment is relatively developed, there is famous "putian series" throughout the country, is the "base" of private hospitals, private hospitals. 

 

This time, the fujian province to province within the scope of the medical insurance fixed-point private hospitals to cancel drug addition, implement zero rate of sales, is the province medicine joint procurement price sun important supporting measures, is also the important measures to improve the ability of health charged fees. The development of private hospitals and to what effect? 

 

In fact most of the civilian battalion hospital service population for low and middle income earners, cancel the drug addition direct benefit is that part of the crowd, civilian battalion hospital can better serve the ordinary patients, as well as its market share, it must be to win more. 

 

Although, cancel the drug addition, implements the zero rate of sales, improve the medical service price, labor value of medical staff is the trend of The Times. But the government is corresponding compensation mechanism for public hospitals, said to civilian battalion hospital from the national level, not on private hospitals cancelled after drug addition policy in the guidance of the government subsidies. 

 

But have to consider, in fujian province health private medical establishment that decide a dot after implement zero rate of sales, on the city divided into districts where the same level public medical institution of medical service items (including the press disease charging projects) to pay for health care standards. 

 

According to the disease to charge what is a "ghost"? This is the lead to implement the patient in fujian province in the national health care reform is paid by the disease, April 1, formal implementation of the first batch of 100 diseases in fujian province in the provincial public hospital according to the uniform price to pay. 

 

And is a differential medicare payment policy, diseases hospital rank high price is high, the low proportion of the set to pay for health care, Diseases hospital level low price low, setting rate high pay for health care. 

 

In fujian province, the "sanming mode", the first to the medical insurance management system reform of the unity of miho, always brave reform tide, system and mechanism innovation constantly, and perhaps other innovation mechanism? 

 

The attached: 

 

Health care management committee office of fujian province on medical insurance not public medical establishment that decide a dot drug (consumables) joint limit sunlight procurement about the problem 

 

Fujian medical insurance office [2017] no. 29 

 

The city divided into districts health care administration, provincial medical insurance fund management center, about the public medical establishment that decide a dot medical institutions, enterprises and institutions belong to: 

 

According to the deployment deepening medical and health system reform in our province, and the implementation of medical insurance payment settlement price based medicine joint limit sunlight procurement notice (fujian medical insurance office [2017] no. 16) regulation, from May 1, 2017, in the province within the scope of the medical establishment that decide a dot to implement medical insurance payment settlement price based medicine joint procurement price sunshine. To ensure the smooth implementation of the related work, regarding the notify is as follows: 

 

A, since May 1, 2017, the health of all non public medical establishment that decide a dot, and the original did not perform "zero rate" of the enterprises subordinate to the medical institutions synchronous cancel drugs (except traditional Chinese medicine yinpian, similarly hereinafter), consumables bonus policies, adopt a "zero rate" sales. For does not perform drug (consumables) joint limit sunlight procurement and sales of "zero rate", healthcare agencies should be cancel the medical insurance fixed-point service agreement. 

 

Second, the public medical establishment that decide a dot of medical institutions, enterprises and institutions belong to a drug (consumables) price zero rate after sales and procurement sunshine, can consult to perform in the city divided into districts with level public medical institutions of medical service items (including the press disease charging projects) to pay for health care standards. Reference to press disease to charge, as a whole fund and individual allocation proportion to perform with the level of public medical institution press disease to receive payment allocation proportion. 

 

Three, healthcare agencies at all levels in a non public medical establishment that decide a dot the annual medical insurance fixed-point medical institutions, enterprises and institutions belong to the service agreement, the medical institution must be taken into account comprehensively implement the "zero rate" sales and adjust the payment standard, through consultations and negotiations reasonable pay index, control the medical expense unreasonable growth. 

 

Health care management committee office of fujian province 

 

On April 12, 2017