Recently，Agree with the State Council，The National Development and Reform Commission and the National Health and Family Planning Commission、Ministry of Human Resources and Social Security、The Ministry of Finance issued the "Notice on Printing and Distributing the Reform of Promoting Medical Service Price Reform"。

 

  "Opinions of Promoting the Price Reform of Medical Services" (hereinafter referred to as "Opinions") stipulate，Classification management of medical service prices，Among them: the basic medical services provided by public medical institutions implement government guidance prices;、Medical services with strong personalized demand implemented market adjustment prices; medical services provided by non -public medical institutions to implement market adjustment policy。

 

  The main goal of reform is: by 2017，Gradually narrow stake betting appthe government pricing scope，Reform medical stake sports betting appservice project management，Improve price management method，Comprehensive reform with public hospitals to adjust the price of medical services simultaneously。By 2020，Gradually establish a price dynamic adjustment mechanism based on cost and income structure change，Basic rational streamlined medical service comparison relationship。Actively explore the establishment of a mechanism for reasonable formed by the guidance price of medical insurance payment standards。

 

  Opinions put forward the task of promoting the price reform of medical services from 5 aspects。1 is to promote medical service price classification management。Basic medical services provided by public medical institutions implement government guidance price，The special -demand medical services and market competition provided by provided are more sufficient、Medical services with strong personalized demand，Implement market adjustment price。Medical services provided by non -public medical institutions，Implementing market regulating price policy。The second is to gradually straighten the relationship between medical service comparison。​​Comprehensive reform of public hospitals，Coordinated consideration to cancel drug bonuses and local government compensation policies，Simultaneous adjustment of medical services price。Based on this，Through standardized diagnosis and treatment behavior，Reduce medicine、Consumption and other expenses free up space，Dynamic adjustment price，Gradually rationalize the relationship between the comparison price。Third, the management of medical service price project management。The National Specifications of the National Formation of Medical Service Projects，Guide medical institutions to regulate service，Determine specific charging items in various places。Timely accepting new medical service projects，Promoting new medical technology into clinical use as soon as possible。Fourth is to promote the reform of the pricing method of medical services。Expansion according to the disease、The charging range of the service unit，Gradually reduce the number of project charges。It can be combined with actualities in various places，According to relevant laws and regulations，Authorized districts, cities, and conditional counties (cities) adjust the price of medical services。Five is to strengthen medical services price supervision。Strengthen medical service Stake Sports Bettingcost stake betting appmonitoring and price monitoring，Public participation during the perfect pricing process、Expert demonstration and other systems。Strengthen medical expenses control and price behavior supervision，Reasonable determination of total medical expenses，Clearly controlled the fees，Delivery and dealt with various random charges in accordance with the law。

 

  Opinions to promote the price reform of medical services

 

  Promoting medical service price reform，It is an important task for the reform of the price mechanism and deepening the reform of the medical and health system，To promote the establishment of a scientific and reasonable compensation mechanism to promote medical institutions，It has an important role in promoting the healthy development of the health and health cause。In recent years，Regulations of various places combined with actual standardized medical service price management，Adjust the price of medical services，Get positive results。But the price of medical services has not been raw，Management method still needs to be improved，Price behavior needs to be further standardized。To further promote the reform of the price of medical services，Agree with the State Council，The following opinions are now proposed。

 

  1. Guiding thoughts, basic principles and main goals

 

  (1) Guidance thought。Comprehensively implemented the 18th National Congress of the Communist Party of China and the Third Middle School of the 18th Session of the Party、Fourth Middle School、The spirit of the Fifth Plenary Session，According to the Party Central Committee、Decision and deployment of the State Council，Firmly establish and implement innovation、Coordination、Green、Open、Share development concept，Tightly focus on the reform of the reform of the medical and health system，Control according to the total amount of & ldquo;、Structural adjustment、There are ascending and downward、Gradually in place & rdquo; Requirements，Actively and steadily promote the reform of the price of medical services，Reasonably adjust the price of medical services，Synchronous strengthening price and medical treatment、Medical Insurance、Medical and other related policies connect links，Gradually establish classification management、Dynamic adjustment、Price formation mechanism participated by multiple parties，Make sure the medical institution runs benign operation、Medical Insurance Fund to withdraw、The burden of the masses will not increase the overall。

 

  (2) Basic principles.

 

  Adhere to the combination of adjustment。According to the requirements of the comprehensive reform of public hospitals，Scientific accounting medical service cost，Control the total medical expenses，Optimized medical cost structure，Gradually rationalized medical service comparison relationship，Reflecting the technical labor value of medical staff。Reasonably determine the scope of pricing of the government's government，Give full play to industry supervision、The role of medical insurance control and market mechanism，Guidance price reasonably formed。

 

  Adhere to collaborative support。Compensation mechanism with public hospitals、Public medical institution salary system、Drug circulation system、Medical Insurance Pay、Hierarchical diagnosis and treatment、Medical Behavior Supervision and other reforms coordinated、Connecting support，Enhance the overallness of reform、Systematic and synergy，Form policy synergy。

 

  Adhere to the overall planning。Implement the government input responsibility，Correctly handle and improve the compensation mechanism of public hospitals、Safety of the operation safety of the medical insurance fund、A relationship that improves the benefits of the masses，Consider the interests of all aspects，Effectively guarantee the basic medical needs of the people in need。

 

  Persist in steady advance。Strengthen the overall plan，Grasp the timing、rhythm and strength，Implementation step by step，Orderly advance，Policy in time，Make sure the reform is implemented steadily，Preventing price abnormal fluctuations、Temporated factors that induce social instability。

 

  (3) Main target。until 2017，Gradually narrow stake betting appthe government pricing scope，Reform medical stake sports betting appservice project management，Improve price management method，Combined with the comprehensive reform of public hospitals to adjust the medical service price simultaneously。By 2020，Gradually establish a price dynamic adjustment mechanism based on cost and income structure change，Basic rational streamlined medical service comparison relationship。Actively explore the establishment of a mechanism for reasonable formed by the guidance price of medical insurance payment standards。

 

  2. Main tasks

 

  (1) Promote the management of medical services price classification.

 

  1. The basic medical services provided by public medical institutions implement government guidance price。The main cost of manpower consumption，Reflecting the technical labor value of medical staff、Medical services with technical difficulty and risk，Pilot regional comprehensive reform pilot areas of public hospitals can explore by the government、Price mechanism for negotiations for stakeholders。

 

  2. Public medical institutions are more needed for special -demand medical services and other market competitions、Medical services with strong personalized demand，Implement market adjustment price。Strictly control the scale of special -demand medical services，The proportion of providing special -in -demand medical services does not exceed 10%of all medical services。Public medical institutions implement a specific medical service project for market -regulating prices，from the provincial price authority to the health family planning、Human Resources and Social Security、Traditional Chinese Medicine Department，According to the development of the medical market in the region、Factors of the level of medical security，and announce it to the society by the end of 2016。

 

  3. Medical services provided by non -public medical institutions，Implementing market regulating price policy。Medical services that implement market adjustment prices paid by basic medical insurance funds，Factors such as the medical service cost and the ability to afford the ability of the society in all aspects of the medical insurance agency，Negotiations with medical institutions reasonably determine medical insurance payment standards，Guidance price reasonably formed。

 

  (2) Gradually rationalize the relationship between medical service comparison。​​Comprehensive reform of public hospitals，Coordinated consideration to cancel drug bonuses and local government compensation policies，Control according to the total amount、Principles of structural adjustment，Simultaneous adjustment of medical services price，Focus on improving 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，Reduce the price of the treatment and inspection of large medical equipment。Based on this，Through standardized diagnosis and treatment behavior，Reduce medicine、Consumption and other expenses free up space，Dynamic adjustment of medical services price。Holocated pricing，According to the level of medical institution、Factors such as physician level and market demand，Formulate different prices for medical services，Open the price gap，Guide patients to seek reasonable medical treatment。Pay with medical insurance、Policies such as medical control fees are connected，To ensure that the burden of basic medical expenses in patients does not increase the overall。

 

   (3) Reform medical service price project management。The state is responsible for formulating technical specifications for national medical service projects，Unified project name and service content，Guide medical institutions to regulate service，and as the basis for determining the charging items of medical institutions。All places in accordance with the technical specifications of national medical service projects，Determine specific items for service charges for medical institutions in the region。2020 before，Forms a unified national medical service project technical specification，Implement dynamic adjustment。Adhere to the principles of encouraging innovation and the use of suitable technology，Timely accepting new medical service projects，Simplified working procedures，Improve work efficiency，Promoting new medical technology into clinical use as soon as possible。

 

  (4) Promoting the reform of medical service pricing methods。Expansion according to the disease、The charging range of the service unit，Gradually reduce the number of project charges。until 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.。It can be combined Stake Sports Bettingwith local actualities，According to the provisions of the price method，Authorized districts, cities, and conditional counties (cities) adjust the price of medical services，and Stake Sports Bettingdo a good job of coordinated guidance, supervision and management。

 

  (5) Strengthen medical service price supervision。(5) Strengthen medical service price supervision，To follow & ldquo; tube fine、Tube、Tube in place & rdquo; requirements，Strengthen medical service Stake Sports Bettingcost stake betting appmonitoring and price monitoring，Public participation during the perfect pricing process、Expert demonstration system，Actively accept social supervision。Medical services that implement market adjustments，Medical institutions must follow fair、Principles of Legal and Honest Credit，Reasonable formulation and adjustment price，Keep relatively stable。Strengthen medical expenses control，Consider the level of economic development in all places、Factors such as basic medical security and ability to withstand the masses，Reasonably determine the total amount of medical expenses in the region，Clearly controlled the fees，Ensure that the unreasonable growth of medical expenses in the region is effectively controlled。Establish a comprehensive、Multi -level price supervision mechanism，Give play to the role of 12358 national price supervision platform，Delivery and dealt with various random charges in accordance with the law。

 

  3, guarantee measures

 

  (1) Determine department division of labor。All relevant departments should in accord，Timely refine the implementation of reform measures。Price authorities coordinate with relevant departments to study and formulate medical service price reform policies，Create a variety of forms of pricing methods，Reasonable determination and adjustment of medical service items and prices，Strengthening price behavior supervision。The administrative department of health and family planning (including Chinese medicine management department), in conjunction with relevant departments, formulate the national medical service project technical specifications，Strengthen industry supervision and internal management of medical institutions，Develop a standardized medical service behavior、Policies and measures to control the unreasonable growth of medical expenses，Establish and improve the total medical expenses of public medical institutions by the end of 2016、Understand (bed day) cost、Inspection and inspection income ratio、Drug ratio、Outpatients and inpatients regularly notification system，Supervise the implementation of medical services price publicity system、Cost List System，Strengthening social supervision and medical institution control consciousness。Human Resources and Social Security、The health and family planning department must do a good job of connecting medical insurance and price policies，Strengthen the supervision of medical insurance behavior in medical insurance，and in conjunction with relevant departments such as finance to actively promote the reform of medical Stake Sports Bettinginsurance payment methods，Strengthening cost control，Policy measures to formulate medical insurance payment standards。

 

  (2) Coordinated reform。Relevant departments shall be in accordance with the requirements of deepening the reform of the medical and health system，Accelerate the drug circulation system、Medical Insurance Payment System、Reforms such as the salary system and hierarchical diagnosis and treatment system of public medical institutions，Promote the establishment of business specifications、Order of the competition、New order and reasonable medication for services with high efficiency drugs、Reasonable diagnosis and treatment medical institution internal incentives and restraint mechanisms，Effectively reduce the burden on the patient's expenses。Price of various places、Health and planning、Human Resources and Social Security and TCM departments should cooperate closely、Collaborative mutual collaboration，Jointly study and formulate a specific plan for medical services price reform，Introducing the 6 strategies for the reform of medical services price reform，Announced measures such as medical insurance payment and medical control fees at the same time。

 

  (3) Encourage exploration and innovation。Encourage places to in accordance with the overall requirements and target tasks of medical service price reforms，Reform of promoting the pricing method of medical services、Reform of medical Stake Sports Bettinginsurance payment methods and control of medical expenses、Strengthen stake sports betting appsocial supervision、Bold exploration of the role of commercial insurance，Courageous Innovation，Accumulate experience，Promoting reform as a whole。Give full play to the third party in regulating medical service projects、Calculating medical service costs and development of policy evaluation，Promoting medical service price management is more objective、Justice、Specification、Transparent。

 

  (4) Do a good job of tracking and evaluation。Supervisors of the price reform of medical services in various places、Assessment and evaluation mechanism，Strengthen the follow -up evaluation of reform progress and effects，Timely summing up experience、Policy，Promotion good approach。Pay close attention to changes in medical expenses after the reform，Prevent other aspects from seeing the actual effect，The price of medical services has risen sharply，Questions that worsen the burden of medical care in the masses。For new problems in the reform，Research and analysis in time，Proposal to solve measures。To establish an emergency disposal work plan，Research and deal with problems reflected in the society as soon as possible。

 

  (5) Strengthen public opinion publicity。Strengthen policy propaganda and public opinion guidance，Timely and accurately interpret medical service price reform policy measures，Reasonable guidance of social expectations，Actively respond to social concerns，Fight for the understanding and support of all sectors of society，​​Guide the majority of medical staff to actively participate，Consensus on the consensus of all parties，Create a good environment for reform，Make sure the reform is progressing smoothly。Medical service price reform involves a wide range of faces、Impact、Complex situation，Each region、Relevant departments must fully understand the importance of reform、Hardness and complexity，Strengthen leadership，Implement responsibility，Carefully organized implementation。The National Development and Reform Commission and relevant departments strengthen supervision and inspection on the implementation of the reform，The major situation occurred in the reform，Report in time in time。