Lower prices, run less road, re-co-ordinate - health care reform to solve the Yangtze River Delta people's health "disturbing"

Pharmaceutical network January 14 th, high-value medical supplies alliance with volume procurement, off-site outpatient medical treatment to achieve card settlement, the establishment of health insurance fund supervision long-term mechanism ..Under the "package" policy combination, the Yangtze River Delta people seeking medical treatment medicine have what new changes? Why is the health insurance system carrying out "blade-in-all" reform? How to achieve fair medical treatment, comfortable medical treatment, to meet the basic demands of the masses to seek medical treatment?"This is the lowest price we can offer in the country, there is no way to let it go." The product with the largest decline will be a must-have for the affiliate unit"Jiangsu Group Alliance focused on the procurement of high-value medical supplies heart support site,and expert groups to start a "sawing war." After three rounds of negotiations, four of the 10 final product offers were down by more than 50%, up to a maximum of 66%2019, Jiangsu Province set up by the province's 157 three-level public medical institutions composed of the provincial sunshine procurement alliance, focusing on key varieties to carry out alliance procurement, involving cardiac stents, pacemakers, coronary balloons, artificial crystals, artificial hip joints and other 5 categories of high-value medical supplies 381 varieties, the first in the country to carry out two rounds of alliance band procurement, the largest reduction of a single variety of 81%, the annual savings of nearly 1 billion yuan"Squeezing moisture in the circulation area has led to a significant reduction in the price of high-value medical suppliesWei Zili, a member of the expert committee of the China Medical Education Association, saidseptember 2018, the Yangtze River Delta region opened the first batch of eight pilot co-ordination areas, to promote the Yangtze River Delta off-site medical clinic direct settlementUp to now, all 40 cities in the three provinces of Jiangsu and Zhejiang have realized the "one card" of Shanghai's medical insurance, connecting all the co-ordination areas in Jiangsu and some pilot areas in ZhejiangCao Lin, 60,, worked in Xuzhou, Jiangsu Province, when she was young and retired to live in ShanghaiSee a doctor in Shanghai, medical insurance in Xuzhou"In the past in Shanghai to see a doctor, and then take a stack of expense details, medical records to Xuzhou reimbursementNow in Shanghai to see the clinic directly brush health insurance card, it is too convenientXia Kejia, director of the Shanghai Municipal Medical Security Bureau, said that the direct settlement of off-site outpatient clinics in the Yangtze River Delta is a useful attempt by the health care and health departments in three provinces and one city to promote integration through projectization, and to enhance the public's sense of access through the integration of public servicescompared the financial data of more than 80 rehabilitation-type fixed-point medical institutions and found that in 2018, the city's medical and nursing medical institutions average daily bed costs as high as 643.41 yuan Hangzhou Municipal Medical Security Bureau immediately set up a list of problems, interview punishment, and signed a supplementary agreement, requiring the bed day costs to be controlled below 450 yuan Through this initiative, from August to November 2019, the average daily bed-day cost of a rehabilitation-targeted medical institution in Hangzhou decreased by more than 20% YoY, the cost of hospitalization decreased by 154 million yuan and the fund expenditure decreased by 145 million yuan " a lot of institutions didn't understand at first, but we stuck to it Fang Jianguo, party secretary of the Hangzhou Municipal Medical Security Bureau, said that the process of establishing a system and closing loopholes is sometimes "willing to take risks", but making a difference is bound to make a breakthrough Zhou Ying, director of the Jiangsu Provincial Medical Security Bureau, said that the people's expectations to some extent reflect the development of health care itself and inadequate security, insufficient equity, sustainability and other issues, the urgent need to strengthen the people's sense of access to health care, happiness and security through reform take Jiangsu's comprehensive promotion of municipal-level co-ordination as an example, and make it clear that from January 1, 2020, the implementation of basic policies, treatment standards and other "six unified" basic medical insurance and maternity insurance municipal co-ordination system, focusing on solving the problems of fragmentation of the system, treatment imbalance and so on "This is a readjustment of interests, is a 'blade-in-the-knife' reform, not easy But reform cannot be afraid to gnaw at hard bones Zhou Ying said health care policy is directly related to people's and wallets "Through the reform of health care, the price reduction of drugs, including anti-cancer drugs, has become one of the most accessed livelihood services for the people in 2019." Continuously improving the coverage of medical insurance is an important guarantee to build a well-off society in an all-round way Hu Shanlian, a professor at Fudan University's School of Public Health, said Xia Kefamily said that the reform of health care should not only be on the high-quality development requirements of the standard, small steps, non-stop steps, but also to do their best, to do their best, to protect the basic, bottom line Starting from the position of the masses, we will effectively lower the price of inflated drugs and high-value medical supplies, simplify and optimize the process of medical insurance, and keep the safety bottom line of the medical insurance fund " to clarify the relationship between government, the market and society Basic health insurance is mainly basic, bottom line In accordance with market rules to open up the market, to meet the needs of diversification, differentiation Zhou Ying said that to promote the effective convergence of basic medical and commercial insurance, comprehensively build a comprehensive coverage of the whole population, urban and rural co-ordination, clear rights and responsibilities, moderate and sustainable protection of multi-level medical security system , The Director of the Reform and Development Department of the Zhejiang Medical Security Bureau, Yu Huping, suggested that in the "three-medical linkage" medical insurance can not cover the world, medical insurance reform must be linked to the reform of public health care system, modern management system, supply security system, and so on, to promote the harmonious development and orderly balance between medical insurance and medical and (Participation in writing: Wang Ke)