The NHS is out! Adjusting the price of medical services affects all hospitals

After the abolition of drug and medical supplies, the reform of medical service prices has become the most important way to compensate public hospitals.
the price of medical services to be adjusted, the hospital will take the price of medicine knife?
20, the China Hospital Congress was held in Beijing. At the meeting, Li Tao, deputy director of the National Health Insurance Administration, said that the National Health Insurance Administration is deploying the National Health Service Price Reform Survey to study and formulate "guidance on establishing and improving the dynamic adjustment mechanism of medical service prices" on the basis of assessing the effectiveness.
the reform of medical service prices, pharmaceutical industry authorities said that while changing hospitals, the production, circulation and use of drugs will have an impact.the drug charge, hospitals are losing a lot of money
according to the policy, all public hospitals across the country have eliminated the drug rate in 2017. In fact, public hospitals have been under some pressure to operate in recent years.
2017, the number of public hospitals in China was 12,297, according to the 2017 Statistical Bulletin on the Development of China's Health and Health Services issued by the National Health and Health Commission. This compares with the 12,708 public hospitals in china at the end of 2016, and we can see that 411 public hospitals "disappeared" in 2017.
there are two main types of public hospitals in China, one is the staff hospitals of enterprises and institutions, and the other is the public hospitals of local governments. One of the main reasons why most of the disappearing public hospitals have been turned into private hospitals, including through mergers and acquisitions, is that many have come under financial pressure since the abolition of drug charges.
the financial pressures come about?
Xiangya Hospital in Hunan Province has previously said that Xiangya Hospital officially launched a zero-plus drug pilot from 0:00 on January 1, 2016, a year after its operation, the hospital lost more than 200 million yuan.
Lan Ping, director of the Sixth Hospital affiliated with Sun Yat-sen University, has also publicly stated that the hospital's annual revenue of 1.5 billion yuan, even after the abolition of the drug increase, even if the cost savings from strengthening hospital management are taken into account, the one-year gap is still about 80 million yuan.
, director of Zhongshan People's Hospital in Guangdong Province, said the reform of public hospitals has had a big impact on hospitals. Hospitals lost more than 200,000 a day after the abolition of the drug supplies increase.
hu Desheng, vice president of Hubei Cancer Hospital, also said that after the abolition of the drug mark-up, the hospital's annual profits are expected to fall by 25 million, equivalent to the annual shutdown of 10 areas, the loss of 500 beds.
, director of the Hospital of Water, also said that after the abolition of the drug increase, the hospital lost 560 million yuan a year. Coupled with government subsidies, there is still a loss of more than 100 million yuan. A medical source said that even these large hospitals were losing money, and that the situation of smaller hospitals was predictable.
, Professor Zhu Hengpeng, deputy director of the Institute of Economics at the Chinese Academy of Social Sciences, believes that while not all public hospitals will lose money, a significant number of public hospitals, represented by county and some municipal public hospitals, will face losses.
hospitals to help themselves, supplies, drugs to reduce prices?
the National Health Insurance Administration revealed that it will establish and improve the dynamic adjustment mechanism of the price of medical services, many people think that by raising the price of medical services to make up for the elimination of drugs and supplies after the hospital financial gap.
, many regions have adopted the 8:1:1 compensation principle in the implementation of the zero-price policy. That is, 80 per cent of the loss of the abolition of the drug allowance is compensated by raising the price of medical services, with a financial subsidy of 10 per cent and the hospital itself at 10 per cent.
, however, in raising the price of medical services to make up for the limited effect of financial subsidies and supporting measures are not effective, many hospitals can work hard in their own commitment, to find a way to help themselves.
some hospitals in order to survive, some pharmaceutical companies are required to pay the cost of pharmacy operations, or to ask pharmaceutical companies? Quality margin? or force pharmaceutical companies to return points. And this phenomenon, I believe we also feel, in all parts of the country is not uncommon.
think that the hospital to help themselves, that drug supplies to reduce prices.
, some industry experts said that the National Health Insurance Administration for the reform of the price of medical services, need to make room for rising medical costs, then the pressure to confirm the price of drugs will increase.
same time, under the health-care payment reform, hospitals will implement a total payment method, if the price of drugs cut, the balance is much higher.
experts said, "The state is not to make up for the elimination of the drug increase after the hospital's financial gap, but to ask for drug price reductions." But the main theme of medical reform for so many years is to reduce drug prices, which is a very important aspect from beginning to end. (Cypress Blue Equipment)