November 10，The National Health and Family Planning Commission held a press conference，Detailed explanation of the promotion of medical reform experience。

 

   2 days ago，China Office、The State Council forwarded the State Council ’s medical reform leadership group“ Several Opinions on Further Promotion and Deepen the Experience of Medical Reform ”(hereinafter referred to as“ Promotion Opinions ”，Inside 24 aspects of 24 medical reform experience。

 

  According to Yao Jianhong, deputy director of the State Health and Family Planning Commission, Introduction，During the drafting process of the file，The leadership group of medical reform organizes experts to refine a large number of mature experience，Explore the effective reform path、Methods and Polaris。

 

   & ldquo; The overall idea of ​​"Promotion Opinions" is，For the major institutional mechanisms existing in the current reform，Highlight target -oriented and problem -oriented，Use typical experience，Enhance the initiative and creativity of deepening medical reform，Promoting the development of medical reforms in depth。& rdquo; Yao Jianhong said。

 

  Compared with past medical reform documents，"Promotion Opinions" is not as comprehensive as before，but point directly to medical insurance、Medical、Medicine & ldquo; Three Medical Links & RDQUO; Questions，and found the Fujian Sanming practice that can integrate the functions of multiple departments，Allows all localities to pilot the establishment of the medical insurance fund management center。

 

  At the press conference，Director of the Office Stake Sports Bettingof Stake Sports Bettingthe Fujian Provincial Medical Security Management Committee Zhan Jifu in detail the problems of the current Chinese medical insurance management system and reform ideas。

 

   & ldquo; Three medical linkage & rdquo;

 

   & ldquo; If the reform is not good，There is no need to integrate power high。The key is that the integrated medical insurance has multiple functions that operate efficiently，It can work at the same time。& rdquo; In the face of the reporter's reform of the reform of Fujian's medical insurance management system & ldquo; monopoly power & rdquo;，Zhan Jifu made the above response。

 

  In an interview with the 21st Century Business Herald，Zhan Jifu once used & ldquo; concentrated strength to do big events & rdquo; summarize the reform of Fujian's medical insurance management system。

 

  From Zhan Jifu's view，The positioning of medical insurance management before the reform is mainly responsible for the safety of fund operation，Function only stops to provide medical expenses for participants with medical expenses。But as the actual payment party of the medical insurance fund，Medical Insurance should also play incentives and restraint medical behaviors，Reasonable configuration of medical resources，Drive the leveraged effect of guiding patients for medical treatment。

 

  This is just one of the current medical insurance management systems。In management，Medical insurance management before reform is prominent。Zhan Jiji invested in more than 5 departments involving medical insurance functions。

 

  Where，What is more known is the manner and social department to manage urban employees and urban residents' medical insurance，Management of the Health and Family Planning Commission Management New Rural He、Disease Emergency Rescue。

 

  In addition，At the provincial level, there is also the provincial health care office responsible for managing the protection of cadres at or above the provincial department level，The Provincial Department of Finance has the management of retired cadres and medical expenses management & ldquo;，Provincial Department of Civil Affairs Management Medical Rescue。

 

   & ldquo;、Disable function、& lsquo; The condition of Jiulong water & rsquo; affects the overall function of medical insurance。& rdquo; Summary of Zhan Jifu。

 

  Zhan Jifu emphasized the two functions，One is the drug procurement function of medical insurance，The second is the connection between medical insurance and medical prices。

 

  Current，Drug procurement functions are mostly in the health administrative stake betting appdepartment，stake betting appand the medical insurance department is only responsible for & ldquo;。

 

  Zhan Jifu thinks，& ldquo; Order & rdquo; and & ldquo; buy bill & rdquo;，This can also solve the hospital、Drug supplier、Questions between the medical insurance department & ldquo; triangular debt & rdquo;，Cutting off the interest chain generated by direct purchase and sales between medical institutions and drug dealers。

 

  and the connection between medical insurance and medical prices can be more efficient and more efficiently geographic medical service price，In the process of medical services and drug price reform in the current & ldquo;，Help medical insurance to adjust the policy in a timely manner to follow up for reimbursement。

 

  Yao Jianhong said，Medical insurance is deepening medical reform、Promoting & lsquo; Three Medical & RSQUO; Links has an important basic role，For standardized medical service behavior、Create a new price formation mechanism、Control medical expenses increase、Guide resources Reasonable allocation、Enhanced the overall performance of the service has irreplaceable leadership and adjustment。

 

   & ldquo; Reform goes to today，It has passed for more than 7 years，Good change is almost changed，Playing in front of us is a difficult problem。Medical、Medical Insurance、Medical formation can push the reform to in -depth，Medical Insurance played an important role in the engine。& rdquo; Yao Jianhong said。

 

   & ldquo; Medical、Medical Insurance、Lien Reform in the field of pharmaceuticals、Forming a joint force is the key difficulty point that must be broken at present and in the future。& rdquo; Summary of Yao Jianhong。

 

  Encourage the Pilot of the Management Center of the Medical Insurance Fund

 

  "Promotion Opinions" to solve & ldquo; three doctors & rdquo; linkage、The method that can be adopted by the reform of the medical insurance management system is clear。

 

  In Article 8，"Promotion Opinions" proposed & ldquo; rationalized management system，Unified basic medical insurance management management，Pilots that can be carried out to establish a medical insurance fund management center，undertaking fund payment and management，Drug procurement and expense settlement，Medical Insurance Payment Standard negotiation，Agreement management and settlement of fixed -point institutions，Give full play to medical insurance for drug production and circulation enterprises、The supervision and restriction of hospitals and doctors，Provide a starting point stake sports betting appfor linkage reform。& rdquo;

 

   stake sports betting app& ldquo; Article 8 is experience from Sanming and Fujian。& rdquo; Yao Jianhong said。

 

  How to understand & ldquo; Face the question from reporters，Yao Jianhong once again emphasized that the medical reform faced major interest adjustment after entering the deep water area，& ldquo; Three Medical Links & RDQUO; It has to be cracked，and the pilot of the Medical Insurance Fund Management Center can provide a starting point for reform。

 

  According to Zhan Jifu,，The reform of the medical insurance management system in Fujian Province is divided into 3 steps。

 

  At the end of 2015，Fujian Province has completed the first two steps of urban residents' medical insurance and new rural cooperative policy integration，and the fund's coordination of districts and cities。This is generally summarized as & ldquo; Erbao and one & rdquo;。

 

  2016，Fujian completes Step 3，Implement urban employees、City residents、New Nonghe & ldquo; Three guarantees。July，The special meeting of the medical reform Stake Sports Bettingof Stake Sports Bettingthe Fujian Provincial Party Committee decided to transplant and promote the sandwich experience，Reform the provincial medical insurance management system。

 

  From the perspective of institutional settings，Fujian Province established a medical security management committee (referred to as & ldquo; Medical Insurance Commission & rdquo;)。The Medical Insurance Commission is by the Provincial Government Office、Composition of 13 units including the Provincial Department of Finance，Director is the deputy governor of the provincial government。

 

  At the end of September，The Provincial Medical Insurance Office was formed under the Medical Insurance Committee，Zhan Jifu is the director of the Medical Insurance Office under the Medical Insurance Committee。The Medical Insurance Office is also regarded as a actual operating agency。

 

  Under this Medical Insurance Office，There are also & ldquo; three three centers & rdquo;，That is the Medical Insurance Fund Management Office、Medical Service Price Office、Three internal administrative institutions including the Pharmaceutical Procurement and Distribution Supervision Office;、Provincial Pharmaceuticals Joint Procurement Center、Provincial Medical Security Electronic Setting Center and three other institutions。

 

  In the province's management system，Cities refer to the integration mode of provincial medical insurance institutions，Established the Municipal Medical Security Administration，Hanging to the Municipal Finance Bureau。The Municipal Medical Security Fund Management Center is established，stake online sports bettingResponsible stake online sports bettingfor the medical insurance office，All counties (cities) Establish a medical security fund management institution vertically managed by the center。

 

   & ldquo; Fujian's fund to realize & lsquo; Sanbao & rsquo;，Give full play to the fund large effect。& rdquo; Zhan Jifu said。

 

  A medical insurance management department with such a concentrated power，How to prevent corruption?

 

  Zhan Jifu said，Drugs and consumables purchased by medical institutions in the future must be purchased through the sun，The direct cost of drug consumables spent by medical institutions must be settled through the electronic settlement platform。With these two & ldquo; Sunshine & rdquo;，People can go directly to the Internet to see how much the medicine he uses is about，How much is the purchase price of the hospital。

 

   & ldquo; If the whole country can follow these two & lsquo; sunlight & rsquo;，Let power operate in the sun，The mechanism is implemented in the sun，Supervision issues are solved。& rdquo; Zhan Jifu said，& ldquo; There is no bacteria if you have sunlight，Without bacteria, there is no corruption。& rdquo;