The National Health and Family Planning Commission will vigorously control fees: medical supplies and medical equipment will also cut prices.
After the target of the control fee is determined, the target of the control fee should be decomposed step by step into the cities (counties and cities) and public hospitals in accordance with the principle of top-down and layer-by-layer decomposition. The target of fee control is dynamically managed and adjusted once a year. Strive to reach the end of 2017, the national medical expenses growth rate fell below 10%.
The National Health and Family Planning Commission requested the provinces to report the determined growth rate of regional medical expenses and the breakdown of control targets in 2016 to the Commission before July 1.
Then, how is the control of large hospitals controlled?
As early as October 27, 2015, the National Health and Family Planning Commission and other five departments jointly issued the "Opinions on Controlling the Unreasonable Growth of Medical Expenses in Public Hospitals" (National Guardian Reform [2015] No. 89), the control fee The target filing is precisely the further action under the guidance of this opinion.
The "Opinions" issued in 2015 put forward comprehensive measures for control fees, most of which are related to medical equipment and medical equipment, as follows:
The first is to standardize the medical treatment behavior of medical personnel, including the implementation of prescription reviews, antibiotic use, auxiliary medication, and consumables management. Establish a tracking and monitoring system for auxiliary drugs, drugs used in hospitals, and high-value medical consumables. The personal remuneration of medical personnel shall not be linked to the income of the hospital's drugs, consumables, large medical equipment inspection and treatment.
The second is to strengthen the internal control system of medical institutions. Improve the level of management of public hospital medical records, clinical pathways, drugs, consumables, cost audits, finances and budgets, and control unnecessary expenses. We will strive to reduce the amount of sanitary materials consumed in the 100-yuan medical income (excluding drug income) of the pilot public hospitals in 2017 to less than 20 yuan.
The third is to strictly control the scale of public hospitals. Strictly implement large-scale medical equipment allocation planning, strengthen the use of evaluation and supervision and management.
The fourth is to reduce the high price of pharmaceutical supplies. We will implement high-value medical consumables for sunlight procurement, and encourage the purchase of domestic high-value medical consumables on the premise of ensuring quality. Strictly investigate and deal with commercial bribery in the field of purchase and sale of pharmaceutical consumables.
The fifth is to promote the reform of medical insurance payment methods. The establishment of payment by disease type, according to the type of payment, such as head, according to service units, and gradually reduce the payment by project. Strict economic evaluation and review of high-value drugs and consumables entering the medical insurance catalogue.
With the continuous advancement of bidding for consumables in various places, the price of consumables bidding continues to fall, and the era of high gross profit will never return. In the process, how many companies will fall down? How many powerful companies will continue to rise?
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