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Comprehensive reform of medical service price was implemented in our city

The price adjustment plan for public medical institutions is implemented in our city. In this round, 773 medical service items are adjusted, accounting for 17.96% of the current medical service items.


96.77% of the service items subject to price adjustment are medical insurance payment items, and the part of increased price is paid according to the basic medical insurance policy, and the payment undertaken by patients is small.


Therefore, public medical institutions can operate well, medical insurance funds are affordable, and the overall burden of ordinary people will not increase.


In order to promote the reform of high-value medical consumables and deepen the reform of medical health system, according to the requirements of relevant provincial documents, the medical consumables price addition will be cancelled and the adjusted medical service price will be implemented in all public medical institutions in our city from November 30.


This marks the withdrawal of the medical consumables profit seeking mechanism from the historical stage, which is beneficial for promoting the reasonable use of test and medical consumables and providing people with satisfactory health services.


This time, the cancellation of medical consumables price addition in public medical institutions and the adjustment of medical service prices will achieve “one-cancellation, two-adjustment, three-guarantee and four-realizations”. In general, in the principle of “total quantity control, structural adjustment, rise and fall, and phased implementation” and the path of “space saving, structure adjustment, and insurance convergence”, it effectively compensates the decreased reasonable income of public medical institutions due to the cancellation of medical consumables price addition through adjusting the medical service price, reducing the operating costs, and improving the supporting policies for medical insurance payment.


“One-cancellation”: Completely cancel the 3%, 5% and 8% price increase policy of medical consumables in public medical institutions, and implement “zero margin” sales based on the actual purchase price of medical consumables.


“Two-adjustments”: According to the relevance principle, adjust and increase the price of some medical services, mainly increase the price of some comprehensive, surgical, diagnosis and treatment, intervention and nursing services significantly influenced by cancellation of medical consumables price addition and with relatively lower price, which reflect the medical workers’ service value, technical difficulty and risk degree; adjust and reduce the price of some inspection items.


“Three-guarantees”: Guarantee that the public medical institutions operate normally; guarantee that the medical insurance funds are affordable; guarantee that the overall burden of the people does not increase.


“Four-realizations”: Realize the further optimization of hospital income structure, increase of income proportion of medical service items reflecting the service value of medial workers and reduction of income proportion of medical consumables, inspection and examination; realize the further standardization of medical service behavior, promotion of reasonable inspection, reasonable drug use and reasonable treatment, reduction of operation cost, effective control of unreasonable growth of medical expenses, and promotion of graded diagnosis and treatment; realize the further establishment of a scientific price determination and dynamic adjustment mechanism; realize the return of medical consumables and medical services to the value origin, and lay the foundation for rationalizing the price of high-value medical consumables.


The price adjustment plan for public medical institutions is implemented in our city. In this round, 773 medical service items are adjusted, accounting for 17.96% of the current medical service items. 96.77% of the service items subject to price adjustment are medical insurance payment items, and the part of increased price is paid according to the basic medical insurance policy, and the payment undertaken by patients is small. Therefore, public medical institutions can operate well, medical insurance funds are affordable, and the overall burden of ordinary people will not increase.


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