National Medical Insurance Bureau: Steady and orderly do a good job of medical service price work

Author:Xinhuanet Time:2022.07.20

Xinhua News Agency, Beijing, July 20 (Reporter Peng Yunjia) Medical service price management is an important economic and livelihood. The State Medical Insurance Bureau recently issued the "Notice on Further Doing a Better Management of Medical Services", which clearly continues to do a good job in medical service price work at this stage, strengthen the attributes of basic medical services, promote the innovation and development of medical services, and ensure that the masses get high high. Medical and health services that are efficient, efficient and affordable.

In recent years, the price management of medical services has been continuously improved in various places, the structure is more optimized, the price relationship has continued to improve, and the cooperative development with relevant reform has significantly strengthened, and has played a positive role in promoting the high -quality development of public hospitals. However, there are also problems such as relatively weak macro management, inadequate price leverage functions, and lack of project management guidance.

The notice clearly strengthens the macro management and dynamic adjustment of medical services. It is necessary to unify the specific rules of the dynamic adjustment mechanism at the provincial level, clarify the start -up conditions and constraints, and improve the price adjustment program, rules, and index systems. And evaluate the adjustment cycle and trigger mechanism in accordance with the setting. If the conditions are eligible, the price of medical services will be adjusted and reduced within the total range to ensure that the overall burden of the medical expenses of the masses will not increase.

The price of medical services should highlight the support for technical labor value. Priority selection of prices from the treatment, surgery, and traditional Chinese medicine has not been adjusted for a long time, and the price of technical labor is mainly (more than 60%of the technical labor service part of the price composition). In principle, the number and amount of projects with labor value account for more than 60%of the total.

At the same time, new price projects have focused on supporting clinical value -based medical technology innovation. It is necessary to accelerate the progress of the acceptance of new medical service price projects, and effectively strengthen the quality of innovation. And optimize major innovative projects that optimize the diagnosis and treatment of major diseases or fill the gap in diagnosis and treatment, and open up green channels.

In addition, the notice pointed out that the relationship between medical service prices and centralized procurement of medical services should be properly handled. Clarify the price positioning of the price of medical services and the centralized procurement of pharmaceutical consumables. The price adjustment and trigger mechanism and the centralized procurement of drug consumables are not directly linked, and the total amount of adjustment will not be directly transferred.

[Editor in charge: Qiu Lifang]

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