echemi logo
Product
  • Product
  • Supplier
  • Inquiry
    Home > Medical News > Medical World News > Heavy weight . . . The meeting of the Central Committee for Deep Reform "passed out important information on medical reform, focusing on deep medical reform."

    Heavy weight . . . The meeting of the Central Committee for Deep Reform "passed out important information on medical reform, focusing on deep medical reform."

    • Last Update: 2020-07-24
    • Source: Internet
    • Author: User
    Search more information of high quality chemicals, good prices and reliable suppliers, visit www.echemi.com
    Xi Jinping, General Secretary of the CPC Central Committee, President of the State Council, Chairman of the Central Military Commission and Chairman of the Central Committee for Comprehensive Reform, presided over the 14th meeting of the Central Committee on Comprehensive Reform and delivered an important speech on the afternoon of June 30, Li Keqiang and Wang Huning, members of the Standing Committee of the Political Bureau of the Cpc Central Committee and deputy director of the Central Committee for Comprehensive Reform, attended the meetingthe meeting heard a report on the progress of the reform of the medical and health system since the Third Plenary Session of the 18th Central Committee of the Communist Party of China and pointed out that since the Third Plenary Session of the 18th Central Committee of the, we have made great efforts to enhance the overall effectiveness of the health and health management system, optimize the allocation of medical and health resources, improve the level of medical and health services, promote the establishment of the world's largest basic medical security network, gradually reduce the burden of patients' medical treatment, and continue to improve the fairness and accessibility of people's health and basic medical and health servicesIn response to the outbreak of new crown pneumonia, our medical and health system has stood the test and played an important role in winning the new crown pneumonia epidemic prevention and controlWe should insist on putting people's life safety and health first, strengthen the concept of big health and health, and put prevention in a more prominent positionWe should sort out the key tasks of deepening medical reform, summarizing good experience and practice, speeding up the improvement of the system of graded diagnosis and treatment, perfecting the coordination mechanism of medical prevention, deepening the reform of public hospitals, deepening the reform of medical insurance payment methods, strengthening the supervision of medical insurance funds, strengthening the capacity-building of primary medical and health institutions, improving the drug supply guarantee system, and perfecting the relevant supporting policies and making good efforts to reform the combinationWe should attach great importance to the application of the new generation of information technology in the field of medicine and health, reshape the mode of medical and health management and service, optimize the allocation of resources and improve service efficiencyFor some recent local epidemic prevention and control problems, we should urgently from the institutional mechanism to find ways to fill loopholes, resolutely prevent the outbreak reboundthe way to pay for health insurance, refers to the way in which the health insurance fund (mainly the health insurance co-ordination fund) pays for the medical expenses of the insured patients, in short, the way in which the medical insurance buys medical and medical services and pays for itThe mode of payment of medical insurance runs through the whole process of medical insurance system, which involves the key link of the three-way relationship between doctor-patient and the three-way interests, whether the people can obtain high-quality medical services with comparable cost-effectiveness, whether the relationship medical insurance fund can have higher efficiency of use, realize the same cost-effectiveness, whether the relationship medical insurance can play a role in the basic and regulatory effect of medical reform, and whether the relationship medical insurance system can be more fair and sustainable, etcTherefore, the reform of payment mode is the core of perfecting the payment mechanism of medical insurance, and it is also an important means to strengthen the reform of medical insurance and medical insurancein recent years, health insurance has made a lot of actions in the exploration of deepening the reform of payment methodsIn 2017, the General Office of the State Council issued the Guidance on Further Deepening the Reform of the Payment Method of Basic Medical Insurance, which proposes the implementation of multi-complex medical insurance payment methods, focusing on paying for diseases, carrying out pilot projects related to disease diagnosis and sub-payment, and improving payment methods such as pay-per-head and bed-day paymentsSince then, China's health insurance payment method reform has been carried out in an all-round wayFrom 2018 to 2019, the DRGs pilot of the National Health Insurance Administration has been successfully carried out, and the top-level design work of the DRGs pilot has been basically completed, and the DRG technical standard documents - the National Medical Security DRG Subgroup and Paid Technical Specifications and the National Medical Security DRG Sub-Group Program have been publishedthe "Opinions on Deepening the Reform of the Health Care System" issued by the Central Committee of the Communist Party of China and the State Council earlier this year, called for the continuous promotion of the reform of the payment method of medical insurance Unlike in the past, this document emphasizes "improving the total budget ingestofer of medical insurance funds, improving the mechanism of consultation and negotiation between medical security agencies and medical institutions, promoting collective consultation among medical institutions, and scientifically formulating the total budget, which is linked to the results of the performance appraisal of medical quality and agreement performance." "This means that the future reform of the payment method of health insurance needs to effectively enhance the ability of medical insurance governance and the modernization of medical insurance governance by establishing more open and transparent channels of consultation and communication and feedback, forming a multi-party consultation mechanism, mobilizing the participation of all parties and ensuring the smooth progress of the reform on the basis of the consensus reached by all relevant parties on the reform plan, pricing and payment standards, etc., respectively health insurance since the birth of the day, began to combat fraud and insurance regulatory road Medical security fund is the people's "life-saving money", to prevent fund risks, to play the effectiveness of the fund, is an important responsibility of medical insurance work, strengthening the supervision of medical insurance fund is a need for all health care providers and even the whole society to participate in a long-lasting war since its inception in 2018, the National Health Insurance Administration has made maintaining the security of the fund a top priority, constantly weaving the system cage snaring the health insurance fund supervision, and cracking down on fraud and insurance fraud with zero tolerance September 2018, the State Health Insurance Administration has jointly carried out a nationwide "special action against fraud fraud and insurance" and "look back" work, and achieved remarkable results, while forming a series of working mechanisms, including compaction responsibility, open channels to report complaints, and the discovery of problems from strict, strict, fast-handling and so on In 2019, the National Health Insurance Administration will continue to consolidate its high-pressure posture against fraud and insurance by winning the pursuit, specimen and treatment Over the past year, a total of 815,000 medical institutions have been inspected nationwide, accounting for 99.5% of all fixed-point medical institutions, and 264,000, accounting for 32.4% of the institutions under inspection, have recovered 11.556 billion yuan, 11 times the amount of the special operation of the previous year February 2019, the State Health Insurance Administration issued the Notice on The Supervision of the 2019 Health Care Fund, drew a detailed road map for the supervision of the 2019 Health Insurance Fund, and put forward a series of specific work requirements such as special governance, flight inspection, intelligent monitoring demonstration point construction, and fund supervision business training By the end of 2019, a total of 69 fly-checking teams had been dispatched, covering 30 provinces across the country, and the amount of the initial violations was 2,232 million yuan industry's long-awaited health care regulatory legal system is also good news In April 2019, the State Health Insurance Administration published the Regulations on the Use of Health Care Funds (Draft for Comments) for public comment The Regulations specify the scope of supervision of the health care fund, the distribution of regulatory agencies and responsibilities, the mode of supervision, the obligations of the insured, the penalty measures for non-compliance and the treatment of the recovery fund, and so on, marking a major step forward in the supervision of the health care fund In June, the Notice on the Implementation of the "Two Pilots and One Demonstration" work on the Supervision of The Health Insurance Fund was issued, and the list and work programme of the innovation of the fund supervision mode, the pilot project of fund supervision credit system construction and the pilot of the intelligent monitoring of medical insurance, and the work programme was issued, and the pilot areas were required to make significant progress in the innovation of regional supervision mode innovation, credit system construction and intelligent monitoring in the pilot (demonstration point) to form experience, models and standards that could be used for reference, replication and promotion make it enough for patients to spend less on better medicines, the most well-known effort in recent years for health care In order to achieve this goal, since the establishment of the State Medical Insurance Administration, around the deepening of drugs, medical supplies centralized supply procurement system reform, improve the price formation mechanism of pharmaceutical services and other aspects of a series of work First, , improve the price formation mechanism of pharmaceutical services the Opinions on The Administration of Drug Prices issued by the State Administration of Health Insurance at the end of 2019, which clearly definethe the main directions of drug price reform: bridging and perfecting the current drug price policy, improving the market-led drug price formation mechanism; After the release of this guidance document, the relevant business units also began to promote the construction of the system In April 2020, the State Medical Insurance Administration solicited opinions on the Guidance on the Establishment of Drug Price and Recruitment Credit Evaluation System (Draft for Comments), calling for the establishment of a system of promise signed by pharmaceutical enterprises on price and marketing behavior, and six systems for active declaration of price selling and marketing breach of trust by pharmaceutical enterprises Second, , establish a long-term mechanism for dynamic adjustment of the health insurance catalogue the establishment of the National Health Insurance Administration in 2018, immediately began negotiations on medical insurance drugs, including 17 clinically necessary, effective, and urgently needed oncology drugs into the health insurance directory, and in 2019 launched the adjustment of the medical insurance catalog, with 218 drugs transferred to the 2017 edition, a net increase of 64 drugs From the practice of directory adjustment in recent years, the periodic dynamic adjustment of the law has been achieved, but no provisions at the institutional level have been introduced before, and by the end of April 2020, the Website of the State Administration of Health Insurance has publicly attached to the "Interim Measures for the Administration of Drug Use in Basic Medical Insurance", which contains the determination and adjustment of the scope of basic medical insurance drug use, as well as the payment, management and supervision of basic medical insurance drugs, etc third, in-depth exploration of the drug belt quantity procurement system 2019, based on the successful experience of the "4 plus 7" pilot, two batches (25 in the first batch and 32 in the second) were successfully conducted This month, the national drug centralized procurement will usher in the third batch of expansion, drug centralized procurement will become the norm as of the end of March 2020, the average procurement progress of selected drugs was 52%, accounting for 79% of the same generic drugs, and the second batch of other provinces except Hubei Province had been implemented in April 2020 as originally planned Through the centralized procurement of medicines organized by the state organization, not only achieved a large number of high-quality drug prices significantly decreased, so that the insured people really feel the sense of access to the reform of the health insurance system, but also simultaneously set up a regular mechanism of volume procurement, through the "reduced drug costs, space", to promote the ecological improvement of the pharmaceutical industry, in order to deepen the reform of public hospitals to create conditions in addition to the centralized procurement of drugs, all over the country also actively explore the centralized procurement of high-value consumables, many provinces spontaneously formed a coalition for high-value supplies negotiations and tape procurement Local practice in a significant reduction in the price of consumables, but also for the next test water at the national level of centralized band procurement, or the comprehensive push of provincial alliance band procurement provides a wealth of experience.
    This article is an English version of an article which is originally in the Chinese language on echemi.com and is provided for information purposes only. This website makes no representation or warranty of any kind, either expressed or implied, as to the accuracy, completeness ownership or reliability of the article or any translations thereof. If you have any concerns or complaints relating to the article, please send an email, providing a detailed description of the concern or complaint, to service@echemi.com. A staff member will contact you within 5 working days. Once verified, infringing content will be removed immediately.

    Contact Us

    The source of this page with content of products and services is from Internet, which doesn't represent ECHEMI's opinion. If you have any queries, please write to service@echemi.com. It will be replied within 5 days.

    Moreover, if you find any instances of plagiarism from the page, please send email to service@echemi.com with relevant evidence.