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    Home > Medical News > Latest Medical News > Internet Plus medical services will be included in the health care policy

    Internet Plus medical services will be included in the health care policy

    • Last Update: 2021-01-09
    • Source: Internet
    • Author: User
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    Medicine Network November 18th, "Internet plus" medical payment side of the policy to break the ice, in one move to open up the bottleneck of medical insurance payment, trillion-level market urgently need to make efforts.
    recently, the State Health Insurance Administration issued a message pointing out that it strongly supports the innovation of the "Internet Plus" medical service model to further meet the people's demand for convenient medical services, improve the level of medical insurance management services, and improve the efficiency of the use of medical insurance funds.
    also made it clear that by the end of 2020, all localities will have completed the development of local "Internet plus" medical service payment management methods, and improved the process and protocol model.
    industry said that the policy-driven "Internet plus" medical ecology is expected to form a closed loop.
    with the "Internet plus" medical insurance payments actively promote, "Internet plus" medical care to open the medical, medical, medical insurance under the three medical links under the 3.0 era.
    background, the "Internet Plus" medical treatment, which entered the golden development period, has also ushered in the accelerated layout of the Internet giant.
    on November 2nd, the official website of the State Health Insurance Administration published the guidance on actively promoting the payment of "Internet Plus" medical services (hereinafter referred to as the "Opinion"), noting that it supports the development of "Internet plus" medical services in accordance with the provisions and implements a fair policy of payment for medical services on and offline.
    opinion clearly determines the scope of payment in accordance with local health insurance policies and the service content of designated medical institutions providing "Internet plus" medical services.
    , for example, the scope of medicare payments for "Internet Plus" medical services for common and chronic diseases can be gradually expanded, starting with outpatient chronic diseases.
    , combined with the pilot of direct settlement of outpatient expenses, in accordance with the relevant provisions of the off-site medical settlement process and treatment policy, explore the "Internet plus" medical services off-site medical treatment direct settlement.
    In addition, with regard to the pricing of "Internet Plus" medical follow-up services provided by designated medical institutions in accordance with the provisions, the Opinion states that the fees and payments shall be made in accordance with the prices of general outpatient visits in public hospitals, and that the cost of medicines shall be paid in accordance with the standards and policies for payment under the medical insurance provisions under the line.
    It is worth mentioning that the Opinion indicates that the exploration of the coordination of inter-regional purchase prescription transfer related functional module mutual recognition, the exploration of fixed-point medical institutions out-of-the-box prescription information and fixed-point retail pharmacies interconnection, conditional co-ordination areas can rely on the national unified medical insurance information platform, accelerate the promotion of the transfer of purchased prescriptions related functional module applications, to facilitate the "Internet plus" medical services re-diagnosis of prescription transfer.
    The Opinion points out that to improve the level of medical insurance information, accelerate the construction of a unified national medical insurance information platform, improve the construction of information modules such as certificate matching examination, review of follow-up conditions, electronic prescription certification, prescription transfer platform, and accelerate the promotion and application of medical insurance electronic vouchers and medical insurance information business codes.
    to improve the supervision of medical services to strengthen the responsibility of medical insurance departments to audit expenses, a comprehensive grasp of the information of the insured person's visit and medical institutions to verify the relevant records of the behavior of the re-diagnosis.
    At the same time, medical insurance agencies should make comprehensive use of big data, the Internet and other technical means, the use of medical insurance intelligent audit monitoring system for the "Internet plus" medical service expenses settlement details, drugs, supplies, medical services and outpatient medical records and other information for real-time supervision.
    use audio, video and other forms to check the authenticity of "Internet plus" medical services to receive doctors.
    to fully grasp the information of the insured person's visit and the relevant records of the medical institution's verification of the re-diagnosis.
    shall refuse to pay the non-compliant medical examination fees and drug fees, and shall deal with them in accordance with the agreement.
    strengthen supervision and inspection of designated medical institutions, focusing on the fictitious identity, false diagnosis and treatment, false opening of drugs, forged bills and other fraudulent acts of insurance fraud, and seriously investigate the relevant illegal and breach of contract liability.
    if the insured person has fraudulently insured, the eligibility for medical insurance payment or direct settlement of medical insurance using "Internet Plus" medical services shall be suspended in accordance with the provisions.
    Wu Wei, an analyst at China Merchants Bank International Securities, said the opinion was the government's first detailed guidance on the reimbursement policy for online medical services with a clear timetable.
    the Internet healthcare industry will grow at a rapid pace by overlaying several regulatory documents that have previously been used to encourage the development of online medical services and related reimbursement support.
    "Internet plus" medical industry to start the 3.0 era industry said that if online appointments, out-of-hospital waiting is the 1.0 version of Internet medical, Internet hospitals, online diagnosis and treatment is the development of the 2.0 stage, and "Internet plus" medical, pharmaceutical, medical insurance "three medical linkage" represents the 3.0 era. Lin Xiaowei, an analyst at
    Guangda Securities, said that entering the 3.0 era, with the liberalization of health insurance payment policies, Internet health care will be through data and services to promote the "medical and pharmaceutical and medical insurance" three-doctor linkage mechanism.
    from the point of view of the participants, the Internet medical treatment in the 3.0 era will construct the linkage mechanism of "pharmaceutical business, medical terminals and individual doctors and patients".
    Internet platform enterprises will be medical services in the main body of the combination, derived from a variety of cooperation models, to play its role in pharmaceutical e-commerce, Internet hospitals, diagnosis and treatment platform, chronic disease management system, and so on, to achieve the realization of the ability to continuously strengthen the realization of cash.
    , in addition to the policy dividend, the new crown outbreak black swan to promote the industry to achieve a breakthrough.
    According to monitoring data, from the outbreak in November 2019 to April 2020, the situation gradually improved, medical and health APP and web page of the monthly effective use of time has increased significantly, of which the increase in medical and health APP compared to the same period last year appears to be very rapid.
    According to Avery's estimates, in February 2020, at the peak of the outbreak, the daily growth rate of health apps (including online medical, pharmaceutical e-commerce, chronic disease management, sports health, etc.) was 14.08 percent year-on-year, compared with February 2019.
    , the government has also been increasing the number of health care, payment and other key links of the Internet and medical care.
    's Internet healthcare market will reach 200 billion yuan in 2020, with a market growth rate of 46.7 percent, the fastest pace since 2015, according to the annual report on China's Internet healthcare industry released by Yiguan.
    , the total number of online hospitals has increased from 119 in December 2018 to 497 in April 2020, an increase of 317.6%, according to the Anxin Securities report.
    number of new digital health companies exceeded 11,000 in the first quarter of 2020.
    the same time, the Aerry Group report also pointed out that the social structure of aging and chronic diseases is the soil of the integration of internet and medical care.
    data show that in 2019, China's population aged 65 and over has reached 12.6%, in fact, according to WHO international standards, the proportion of people aged 65 and over more than 7% has marked the aging of society.
    the development of population structure, this trend can not be changed in the short to medium term.
    is accompanied by a greater reliance on health care.
    the number of visits and per capita visits in China are increasing every year, the medical system is facing great pressure.
    to ease this pressure by reducing health care is to use the power of the Internet to enable health care to reach more people without reducing the level of care.
    " in the context of policy promotion and increased demand, the Internet healthcare industry is expected to meet multiple catalysis in 2020, the industry accelerated development inflection point is coming.
    , " said Lin Xiaowei.
    the Internet giant's move to pay for a dividend on data is seen as a key fulcum for tapging the trillion-dollar Internet healthcare market.
    with the outflow of prescription drugs, the huge market for chronic diseases and the improvement of China's medical payment system have brought great development opportunities for "Internet Plus" medical services, but also with more intense industry competition.
    15th, the HKEx website disclosed JD.com Health's prospecties after the hearing, which means that JD.com Health will become another health care platform listed in Hong Kong after Ping An Good Doctor and Ali Health.
    , according to local media reports in Hong Kong, JD.com's health target raised $3 billion and the proceeds will be used for business expansion, research and development, potential investments and acquisitions, and general corporate purposes.
    According to JD.com's post-hearing data set, JD.com's health revenue comes mainly from selling pharmaceutical and health products in its own business, followed by commissions and platform usage fees from third parties and digital marketing service fees from suppliers and third-party merchants.
    specific revenue, JD.com Health's revenue from 2017 to 2019 was 5.6 billion yuan, 8.2 billion yuan and 10.8 billion yuan, respectively, and by the first half of 2020, JD.com's total health revenue had reached 8.8 billion yuan.
    revenue structure, drug sales accounted for 21%, 25% and 27% of total revenue from 2017 to 2019, respectively.
    internet giants have long targeted the online medical circuit, and Ali, Baidu and Tencent have stepped up their exploration of health.
    as early as 2015, Ali Health was listed on the back of a shell, and Ping An Good Doctor was listed in Hong Kong in 2018.
    currently has a market capitalisation of nearly HK$261 billion and Ping An Good Doctors has a market capitalisation of over HK$118.1 billion.
    on the evening of October 26 this year, Ali Health issued a positive earnings forecast, which is expected to record profits of not less than 200 million yuan for the six months ended September 30, 2020, the first time Ali Health has turned a profit.
    Ali Health said that thanks to the rapid popularity of public acceptance of online drug purchases, Tmall Pharmaceutical e-commerce platform as of March 31, 2020 generated annual GMV of more than 83.5 billion yuan, more than 190 million annual active consumers, an increase of 30 million from six months ago.
    same period last year, pharmaceutical self-employed business revenue increased 92.4% year-on-year, with more than 48 million active consumers in online self-employed stores, an increase of 11 million from six months ago.
    Zhu Haihai, an analyst at Anxin Securities, said that with the rise of demand for health care, China's health care industry is undergoing unprecedented supply-side reforms, which are expected to accelerate the digitalization of drug circulation and the provision of medical services by promoting the development of out-of-hospital channels, and that continuous good policies are expected to bring long-term dividends to the "Internet Plus" medical industry.
    ", China's healthcare industry is still in the early stages of digitalization.
    2.4 per cent of medicines in China will be distributed through off-board online retail pharmacies in 2019, according to The People's Bank of China.
    , online consultations accounted for 6.0 per cent of total consultations in terms of outpatient visits in China in 2019, while the digital share of China's large health market accounted for only 3.3 per cent of total health spending in China.
    China's "Internet Plus" medical market has great prospects.
    the digital share of China's large health market is expected to grow rapidly from 3.3 per cent in 2019 to 10.6 per cent and 24.0 per cent of total health spending in China in 2024 and 2030, according to the Frost Sullivan report.
    background, the size of the "Internet Plus" medical market will expand significantly from $218 billion in 2019 to $1129 billion in 2024 and $4223 billion in 2030.
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