Recent，The dean of a private hospital in a city in Hebei City for medical service prices，Continuously run between the price and medical insurance bureau。

 

  1

 

  This is what happened。2014，my country Development and Reform Commission announced: Non -profit medical institutions can independently formulate medical services prices。

 

  That time，The impact of this policy is very great。Public opinion believes that this round of medical service price reform，Is a policy of favorable private non -profit institutions for private non -profit institutions，It is believed that the hospital can pass the low price and high -quality service，Go to compete with public hospitals。

 

  Actually far from being so simple.

 

  May 2014，Hebei Province follows the country's policy，Hebei Price Management [2014] No. 60 proposes: & ldquo; Medical service prices provided by non -public medical institutions for market adjustment price。Non -public medical institutions belonging to the nature of profit，You can set up a medical service item by yourself and formulate specific prices。Non -profit non -public medical institutions，Establish a service item according to the medical service project of public medical institutions，Formulate specific prices。& rdquo; The file is also proposed，Non -public medical institutions incorporated into medical insurance，Payment policy is the same as public hospitals。

 

  Facing the zero difference rate and price of the reform of the public hospital at the time，H hospital that can be priced independently Stake Sports BettingStake Sports Bettingintends to adjust its pricing like this。

 

  Step 1，Consistent prices of public drugs。For example: Before the reform，The purchase price of the drug after centralized procurement of public hospitals is 100 yuan，After 15%increased the price，Sell 115 yuan; Donary negotiation of the purchase price of hospital D，No price increase control，No price increase control，Compared with the price of public hospitals，Sell 115 yuan。After the reform，Public hospitals cancel 15%increase rate (zero -additional reform)，The purchase price after centralized procurement of drugs is 100 yuan，Selling 100 yuan。D Hospital Plan，The price of drugs from 115 yuan in the past，drop to 100 yuan，Holding the public hospital。Although the drug income is less，but still profitable。

 

  Step 2，Improve the price of medical services。For example，Before the reform，A medical service fee of a public hospital 18 yuan，D Hospital is 18 yuan。After the reform，The former is adjusted to 38 yuan，The latter plan to adjust to 38 yuan。

 

  At this time, the problem is here & mdash; & mdash; the price of public and private payment for medical insurance is different。Continue to use the above example，A medical service price of a public hospital rose from 18 yuan to 38 yuan，The price of medical insurance payment has also increased from 16 yuan to 36 yuan。but，D Hospital's medical service price is still 18 yuan in the past，The price of medical insurance payment is still 16 yuan & mdash; & mdash; price and payment standards have not changed any change。

 

  In this context，The hospital cannot reduce the price of drugs to the same level as public hospitals，Otherwise, the income and profits of the hospital will be reduced。

 

  Reasons: The first is that the system has not changed yet，Second, medical insurance is full of prejudice against private hospitals。It is understood，The response from the medical insurance department to the private hospital is: if you want to increase the price of medical services and the price of medical insurance payment，So please proof first，Your drug purchase price，is the same as the public hospital。The third is，Relevant departments will say，Although there are documents in Hebei Province，But the city level has not been implemented。

 

  May。but，Effects will immediately reflect the market。People immediately stake sports betting appstake sports betting appfeel，The medical cost of this hospital is too expensive，Transfer to a public hospital。Another，A good policy for self -priced pricing of private non -profit hospitals，Become an air policy，Glass doors and spring doors everywhere。

 

  D hospital's dilemma and embarrassment，Falling a loud slap to the price reform of the Heat's medical service price。The main problem is: after being placed under the authority，The thresholds in each place are different、Different schemes、Different rationality; incomplete supporting measures，Department linkage is not close; the attitude towards public and private is different，The attitude of the pro -son and dry son is very obvious。

 

  2

 

  The problem of the price of the previous round of medical services has not been settled，New medical services price is another wave of coming。

 

  July 6，China Government Network announced the "Notice on Printing and Distributing the Opinions on Promoting the Protection of Medical Services"，It also interpreted the policy at the same time。

 

  Main task: The first is to promote the price classification management of medical services。Specifically: (1) Basic medical services provided by public medical institutions implement government guidance price。(2) Special -in -demand medical services and other market competition provided by public medical institutions are fully、Medical services with strong personalized demand，Implement market adjustment price。(3) Medical services provided by non -public medical institutions，Implementing market regulating price policy。

 

  The second is to gradually rationalize the relationship between the price of medical services，Focus on raising diagnosis and treatment、Surgery、Rehabilitation、Nursing、Traditional Chinese Medicine and other medical services prices that reflect the value of technical labor services in medical personnel。

 

  The third is the management of the price project of reform medical services.

 

  The fourth is to promote the reform of the pricing method of medical services，By the end of 2016，The pilot area of ​​the comprehensive reform of urban public hospitals implements no less than 100 diseases charged according to the disease.。

 

  Fifth is to strengthen the price supervision of medical services.

 

  In the first task，Implementing the requirements for market adjustment price policy regulation in non -public medical institutions，& ldquo; Medical services stake betting apppaid by the basic medical stake sports betting appinsurance fund to implement market adjustment price，Factors such as medical service costs and the ability to afford the ability of the society for comprehensive consideration of medical insurance agencies，Negotiations with medical institutions to reasonably determine medical insurance payment standards，Guidance price is reasonable formed。& rdquo;

 

  Popular meaning is: you can pricing autonomous，But it depends on medical insurance!

 

  Reality is，On the ability to negotiate with medical insurance，The right to speak of non -public medical institutions is quite humble。The so -called negotiation，It's just when the safety of medical insurance funds is first maintained，Public Hospital and Non -Public Hospitals to split cakes。Medical Insurance Priority guarantees the service price of public hospitals，instead of the medical service price of public hospitals，Can't be called negotiation at all，Instead, I asked others to quickly solve this matter。

 

  Another，Although private hospitals can engage in non -medical insurance projects，But under the coverage of national medical insurance，Private hospitals that serve the mass group，Relying on medical insurance payment。No medical insurance，No patient。

 

  3

 

  Old injury has not healed, adding new injuries.

 

  Medical service price reform，Not only non -public hospitals，There are also public hospitals。D Hospital in the new round of medical services price reform this year，May also encounter new problems & mdash; & mdash; pressure from public hospitals。

 

  Public hospitals can use their own monopoly position，More expanded so -called competitive service items，and can be priced independently。

 

  while private hospitals are providing the basic medical treatment paid by the medical insurance fund，Touching the wall everywhere，Difficulties in the total prepaid negotiations with medical insurance every year，Difficulties in the management of protocol。

 

  & ldquo; Later，The power of medical insurance will become larger and larger。& rdquo; A dean of Harbin told us，& ldquo; One is that medical insurance is studying clinical paths，Pay according to the disease。One is that management is getting stricter and stricter，We have 5%to 10%margin every month。For example，Medical Insurance will give 1 million prepaid per month，Among them, stake online sports betting100,000 are detained at the Medical Insurance My stake betting appBureau per month，After a year, I will press 1.2 million。Does the other party violate the rules，Delieve the money to you again。Another，The management of medical insurance just changed a noun。For example, the current dialysis project，Want to include medical insurance。The Health Bureau is over here，Go to the medical insurance，They said: & lsquo; waiting for，We have no time today。& rsquo; Wait for them to be here，also said: & lsquo; I am just the chief，I also want to report to the Director of our supervisor，Our Director reports the director and sign the director。& rsquo; The process of light，It takes two months。You said，What are the differences between approval and agreement? & Rdquo;

 

  When the price reform of medical services is finally fell to the grassroots，Still a mystery。

 

  According to the plan of the file，By 2020，That is to take about 4 to 5 years，The reform of medical insurance payment standards and medical insurance payment methods can only achieve planning goals。