National Development and Reform Commission: promote the reform of medical service price and control the unreasonable growth of medical expenses

Source: Notice of the general office of the national development and Reform Commission on the implementation of the opinions on promoting the price reform of medical services (fgbj [2016] No 1864) issued on the website of the development and Reform Commission on August 24, 2016, development and Reform Commission and Price Bureau of all provinces, autonomous regions and municipalities directly under the Central Government: In order to implement the requirements of the notice on printing and distributing the opinions on promoting the reform of medical service prices (fgjg [2016] No 1431, referred to as the "Reform Opinions") issued by the national development and Reform Commission and other four departments, the relevant issues are hereby notified as follows: 1 Attach great importance to the reform of medical service prices Promoting the reform of medical service price is an important part of deepening the reform of price mechanism and medical and health system Several opinions on promoting the reform of price mechanism (ZF [2015] No 28) issued by the CPC Central Committee and the State Council listed the reform of medical service price as the key task of price reform, and defined the reform goal and realization path The recent "Reform Opinions" is an important measure to implement the decision-making and deployment of the CPC Central Committee and the State Council, and also a sister part of promoting the drug price reform, which is conducive to gradually straightening out the price comparison relationship of medical services, further improving the mechanism of drug price formation, establishing a drug price management system in line with China's medical and health characteristics, and promoting the healthy development of the pharmaceutical industry We will promote the establishment of a scientific compensation mechanism for public hospitals and eliminate the use of drugs to supplement medical care The reform opinions clearly put forward the specific requirements of promoting classified management, rationalizing the price comparison relationship, reforming the price item management, promoting the reform of pricing mode and strengthening the supervision, which are the important basis for all regions to promote the reform Local price departments should unify their thinking, strengthen leadership, attach great importance to it, fully understand the spirit of reform, fully understand the importance, urgency and arduousness of reform, practically enhance the sense of responsibility and mission to promote reform, accurately grasp the core content and internal relationship of reform tasks, make overall coordination and comprehensive measures, and actively and steadily promote the price reform of medical services 2、 Hurry up the formulation and promulgation of the reform implementation plan Local price authorities should, on the basis of in-depth research and accurate calculation, take the lead in formulating the implementation plan for the reform of medical service price, which is linked by departments and measures, further refine the reform measures, report to the price department of the National Development and Reform Commission before the end of 2016, and release the implementation to the outside world When making the implementation plan, we should fully demonstrate, listen to the opinions of all parties, and effectively protect the interests of patients The implementation plan should clarify the reform objectives, tasks, division of labor, completion time limit and schedule, put forward specific measures, guide the reform of medical service prices to be carried out in a planned and step-by-step manner, and ensure that the reform tasks are completed as scheduled 3、 To innovate boldly and do a good job in the reform work, the price departments in charge of each region should actively promote the reform in combination with the actual situation of the region In areas where reform has been carried out in the early stage, we should further expand reform ideas, intensify reform efforts, and innovate reform methods On the basis of canceling drug mark up, we should gradually reduce the price of large medical equipment inspection and treatment and inspection, standardize diagnosis and treatment behavior, and reduce the cost of drugs and consumables, so as to make room for further adjustment of medical service prices and speed up the price comparison of medical services Department In areas where the reform has not yet been implemented, we should accelerate the implementation of the policy of canceling drug markup, adjust the price of medical services, and gradually straighten out the relationship between the price of medical services In accordance with the requirements of the reform opinions, all localities should implement policies and make bold innovations, especially in promoting the reform of medical service pricing mode, medical insurance payment mode, controlling medical expenses, strengthening social supervision and playing the role of commercial insurance, so as to accumulate experience for the reform 4、 Based on the experience of medical price reform of county-level public hospitals and the deployment of comprehensive reform of public hospitals, consolidate and deepen the achievements of medical price reform of county-level public hospitals We should carefully summarize the replicable and generalizable experience accumulated in the reform of medical price in county-level public hospitals, find out new situations and problems in time, solve them properly, and constantly push forward the reform of medical price in county-level public hospitals in depth In the process of promoting the medical price reform of urban public hospitals, we should do a good job in the connection with the medical price reform of county-level public hospitals, fully learn from the reform experience of county-level public hospitals, and ensure the smooth and orderly progress of the reform 5、 In order to promote the reform of medical service price, it is necessary to establish a working mechanism of up-down linkage and collaborative promotion The national development and Reform Commission will pay close attention to the progress of reform in various regions, investigate and guide local work, comprehensively consider the characteristics of the eastern, central and western regions, select some cities as the demonstration points of reform links, track and guide the demonstration point cities to accelerate reform, timely evaluate and summarize reform experience, and play a leading role in demonstration The provincial price authorities, together with relevant departments, should increase their support and guidance for the reform of cities and counties, boldly explore and innovate, constantly accumulate experience, and promote the smooth progress of the reform from point to area The local price departments shall report the local reform measures, results, problems and the next work arrangement to the national development and Reform Commission every month 6、 To give full play to the role of informatization, especially big data, the provincial competent price departments should strengthen cooperation with the medical insurance and health administration departments, make full use of informatization means, especially big data technology, and strengthen the monitoring and evaluation of medical institutions' fee control Make full use of the information platform of medical institutions, track and understand the progress of reform in real time, master the real data, random check at any time, dynamically monitor the implementation of medical service price reform policies by medical institutions, use big data analysis, master the reform and operation of medical institutions, the changes in medical price and expenses, timely find out the signs and tendentiousness problems, and improve relevant policies 7、 In order to promote the reform in a coordinated way, all regions should strengthen departmental linkage, fulfill their respective duties and responsibilities, and closely cooperate with each other, establish a regular departmental consultation system, form a joint force of policies, and promote the reform in a coordinated way The competent price department shall, together with the relevant departments, make a comprehensive study and formulate the price reform policy for medical services, establish a pricing mode with multiple forms coexisting, reasonably determine and adjust the pricing range and price of the government for medical services, and strengthen the supervision of price behavior; coordinate with the relevant departments to strengthen the internal management and industry supervision of medical institutions, standardize the medical service behavior, and control the unreasonable growth of medical expenses To promote the disclosure of medical service charge information; to coordinate the relevant departments to do a good job in the connection and coordination of medical insurance policy and price policy; to strengthen the supervision of medical service behavior by medical insurance, and to actively promote the reform of medical insurance payment mode The price departments in charge of different regions should work together to clarify the work responsibilities and key points at the provincial, municipal and county levels within the scope of their duties The reform and supervision should be carried out simultaneously and in coordination 8、 Strengthen the supervision and inspection of local price departments, together with relevant departments, to strengthen the supervision and guidance of local medical service price reform For the implementation of the specific plan of implementing the reform opinions, the cancellation of drug mark up and adjustment of medical service prices in public hospitals, the publicity of specific medical service projects with market adjusted prices, the acceptance and review of the implementation of new medical service project policies and the reform of medical service pricing methods and other key work, timely follow-up guidance, timely notification and promotion are required The reform will be carried out in an all-round way as soon as possible We should make good use of the existing 12358 four level online price supervision platform, give full play to the role of social supervision, and seriously investigate and deal with complaints about the price of medicine 9、 To strengthen publicity and training, all regions should strengthen policy publicity and public opinion guidance, accurately interpret the price reform policy, take the convenience of the masses to seek medical treatment and reduce the burden of patients as the main entry point, vigorously publicize the reform experience and effect, and strive for the support of all sectors of society We should actively explore fresh cases and typical practices at the grassroots level, flexibly carry out various forms of publicity, and create a good atmosphere for reform We should pay more attention to the policy training of relevant departments, medical institutions and medical personnel, so as to promote the relevant personnel to better understand and grasp the policy of medical service price reform At the same time, organize relevant departments and regions to exchange experience vertically and horizontally on a regular basis In areas with similar economic development level and medical and health conditions, we should explore and implement complementary policies and measures to promote coordinated regional reform 10、 Seriously summarize and evaluate the reform of medical service price, which involves a wide range and complicated situation After the introduction of the reform plan, all localities should establish a dynamic evaluation mechanism, summarize, evaluate and promote the good measures, practices and experiences in the reform process in a timely manner, and actively study the response measures for the new situations and problems, so as to properly handle and report them in a timely manner The national development and Reform Commission will timely organize special forces or entrust third-party institutions to summarize and evaluate the reform of medical service prices nationwide, study and put forward suggestions for further improvement of policies, guide all localities to solve the problems encountered in the reform in a targeted manner, ensure the smooth progress of the reform and achieve actual results