Shandong abolishes the medical supplies increase for public medical institutions

20th morning, the provincial government press office held a press conference to interpret Shandong Province to cancel the public medical institutions medical supplies plus, adjust the price of medical services and related policies. Earlier issued "on the issuance of Shandong Province to cancel the public medical medical supplies plus the guidance to adjust the price of medical services" (hereinafter referred to as "guidance") to determine that from December 10 this year, the province at all levels of all types of public medical institutions medical supplies plus, synchronous adjustment of 524 medical services prices, 88 new medical services price items.Price increase items 467 items, price reduction items 57According to the Guidance, the provincial health insurance bureau issued "on the abolition of medical supplies in the province (Ministry) is a public medical institutions to adjust part of the price of medical services notice", providing for the complete elimination of all types of public medical institutions at all levels of the province medical supplies, all allowed to charge patients separately medical supplies, to the actual purchase price to implement the "zero rate" sales. Medical supplies packaged in the form of cost into the price of medical services shall not be accepted by public medical institutions as price discounts or other forms of discounts from operators in addition to the actual purchase price.By eliminating the medical supplies plus, breaking the mechanism of "consuming medical care", medical institutions will reduce their reasonable income and compensate them by adjusting the prices of medical services that reflect the value of medical personnel's technical services. For example, the side of the brain room puncture, from the original 600 yuan per time to 840 yuan per time, the peripheral nerve damage surgery, from the original 200 yuan per time to 280 yuan per time.For patients, it is beneficial to reduce the burden of medical treatment. According to preliminary statistics, after the reform, the province is expected to spend 390 million yuan on new health insurance funds. Provincial Health Insurance Bureau from the public medical institutions in Ji Province (Ministry) to draw medical cases investigation, 282 cases of analysis, the abolition of medical supplies after the increase, the per capita cost of medical supplies decreased by 1671 yuan, the total cost of medical care per capita decreased by 802 yuan. At present, the cities are in accordance with the unified deployment of the province, the abolition of medical supplies, adjust the price of medical services preparations, from December 10, the province's unified implementation."This abolition of the medical supplies plus, mainly by adjusting the price of medical services to compensate public medical institutions." Guo Yishui, deputy director of the provincial health insurance bureau, said.The prices of 524 medical services have been adjusted. Among them, the price increase project 467 items, including emergency, pain, otolaryngology, maternity, neurology and other advantages of our province's subject projects, treatment, Chinese medicine and other projects that mainly reflect the value of medical personnel's technical services and low prices compared with the province, intervention, general anesthesia, surgery, laparoscopy and other high technical content and separate charge supplies use more concentrated projects. The price reduction items 57 items, including blood routine, liver work, kidney work, etc. mainly by the instrument and equipment analysis to give the conclusion of the test items, and double-source spiral CT and other large-scale equipment inspection items.88 new medical service price itemsprovincial health insurance bureau also issued a paper announced this year's new 88 medical service price items, including 21 new medical service price items, including 21 test category, treatment category 27 items, surgery category 26 items, Chinese medicine rehabilitation category 8 items, other categories 6 items. The new projects are implemented throughout the province, and the medical institutions shall set the trial price for a trial period of 2 years.Reporters note that in this batch of items, there are many "testing items", such as "antiplate plateast activity testing" "brain glioma gene testing" "gastrointestinal 12 gene testing", as well as some new diagnostic and therapeutic techniques, such as "pulmonary nocculosis artificial intelligence assisted diagnosis", the treatment of pulmonary hypertension "nitric oxide inhalation" "kidney cryogenic mechanical perfusion" and so on.For some of the tumor gene testing projects, such as "lung cancer 18 gene testing" "BRAF gene mutation detection" "EML4-ALK fusion gene testing" "ROSE1 fusion gene testing" and so on, a respiratory doctor told reporters that in recent years, targeted drugs are increasingly used in lung cancer treatment, and the use of targeted drugs should usually be used before genetic testing to determine genetic mutations, in order to choose the appropriate target drug. "These genetic testing programs correspond to a number of new targeted drugs that have emerged in recent years, and there is a growing public demand for them."Will the 88 new items be covered by Medicare? Provincial Health Insurance Bureau of pharmaceutical prices and tender procurement department related to the person in charge told reporters that after 2 years of trial, will be based on the pilot situation, through expert review to determine whether to include health insurance. For lying in the scope of medical insurance payment, the medical security department shall set the official price; Medical institutions shall publicize the name, code, connotation, unit and price of new medical service price items in a prominent position in the service place and accept social supervision.Provincial Health Insurance Bureau of pharmaceutical prices and tender procurement department related to the person in charge told reporters that 88 medical service price items are new projects, adaptive diseases have diabetes, cancer and so on. "This is of great significance to promote the development of new medical service technology, new fields and new industries in our province, and to promote the timely entry of new medical technology into clinical application and the development of medical and health industry in our province." The person in charge of the introduction.
Enjoy remote consultation, according to the local reimbursement policy to implementNovember 11, our province issued the "Internet plus" medical service prices and payment policies, announced the Internet re-diagnosis, remote single-discipline consultation, remote pathology consultation and other 7 "Internet plus" medical service items prices, and included in the scope of payment of the health insurance fund.According to this political regulation, some complex and difficult to diagnose cancer patients in the local area, through the Internet to invite remote experts online pathology consultation, at home can enjoy high-quality medical services, broaden the grass-roots people's access to medical treatment.   So, the common people in the local hospital to receive foreign hospitals to provide "Internet plus" medical services can be reimbursed? Local and field reimbursement policies are different, specifically where is the policy reimbursement?   Guo said that ordinary people in local public hospitals to accept foreign public hospitals to provide "Internet plus" medical services, can be reimbursed. The "Internet Plus" medical service provided by the designated hospital is the same as the medical service items currently paid for, and can be included in the scope of medical insurance payment and reimbursed according to the provisions after the corresponding procedures. Patients can be executed in accordance with local reimbursement policies. "Reimbursement for cross-regional services should be implemented in accordance with the policy of the patient's insured area. In summary, the price paid at the location of the service, according to the patient's insured place of health insurance payment policy reimbursement. Guo said. (People's Network)