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On regulating the price of medical services management and related issues notice

Date:2013-09-16

   National Development and Reform Commission, Ministry of Health, State Administration of Traditional

    On regulating the price of medical services management and related issues notice

    Provinces, autonomous regions , municipalities directly under the National Development and Reform Commission, Price Bureau , Health Department ( Bureau ) , Pharmaceutical Administration :

    To implement the CPC Central Committee and State Council "on deepening the views of medical and health system " ( Zhong Fa [ 2009 ] on the 6th ) and the National Development and Reform Commission and other ministries " on the reform of medicine and medical services price formation mechanism opinions" ( Fa Gai Price [ 2009 ] 2844 numbers ) with the spirit of our organization revised the " National Health Service price project specification ( 2012 edition ) " ( hereafter the new version of the project specification ) , is issued to you , and to standardize medical service price management and related issues notice as follows :

    A full understanding of standardized medical service price management work is important. Standardize medical service price management is to deepen the medical and health system to implement the important content is to promote price reform health care , medical institutions regulate price behavior , safeguard the legitimate rights and interests of the important measures of patients , medical institutions on improving compensation mechanism to reduce the burden of medical expenses of patients has a very important significance. Provinces, autonomous regions and municipalities prices , health and the medical management departments should strengthen leadership and close coordination , efforts to standardize medical service price effectively manage the work.

    Second, comprehensively regulate medical service price items. New project specification published price of medical services at all levels of the project is non-profit medical and health institutions to provide medical services fee project basis , in any form throughout decomposition . Need to merge , the combination of project costs , subject to the pricing department in conjunction with the provincial health administrative departments will help reduce the patient in accordance with the principle of strict examination and approval cost burden . Not included in the new version of the project specifications , in principle, should announce cancellation ; Necessary , to be at the end of May 2013 before the National Development and Reform Commission, Ministry of Health, the audit , the audit period may continue. Localities should be completed before the end of the year in 2013 in the region have implemented the price of medical services work project clean-up standards , to the public in the region to allow the implementation of medical services and prices specific implementation advice . Conditions of the region, there is no implementation of a new version of the project specification other items , not to the public.

    Strict control of separate fee variety and quantity of supplies . Charges can be individually defined as medical supplies , while clearly appropriate to the specific medical service price items. After the test norm price shall not distinguish between categories of projects reagents or methods , to fully consider the local medical institutions and social mainstream testing methods affordability and other factors in order to encourage the appropriate use of technology .

    Third, the price of medical services strictly control new projects . Provincial pricing authorities in conjunction with the new health administrative departments responsible for project review and price of medical services in the local trial, a trial period not exceeding 2 years. After the trial period, the need to continue the implementation of , the end of the trial period should be six months ago, the State Development and Reform Commission , Ministry of Health audit ; trial period is over, no provision can continue to perform , to stop charging . Localities should strengthen pre- audit , shall in new equipment, new reagents , new methods in the name of new medical service price items. During the clean-up standards around the new price of medical services may not audit the project .

    Fourth, do a good job related policy convergence. Around the price of medical services in the specification management , to strengthen communication and coordination between regions , earnestly price level convergence of old and new projects . To do with the reform of public hospitals , Medicare payment reform and the comprehensive reform of primary health care institutions convergence . Implementation of primary health care institutions general medical fees policy . Carried out by disease charging methods reform areas should be combined with the implementation of the new project specifications , and further improve disease services , and gradually the effective and reliable, affordable new technologies and new methods applied to the case-based subscription services package, continuously improve service quality . To carry out the pilot reform of public hospitals in areas cancellation policy drug addition , without increasing the burden on the masses under the premise of improving medical fees , surgery , nursing and other medical technical services prices, lower prices of large equipment checks , and make health care reform with the relevant policy convergence.

    Over the course of the implementation of the new situation and new problems , we must promptly report the National Development and Reform Commission ( Price Division ) , Ministry of Health ( Planning and Finance ) , the State Pharmaceutical Administration ( Planning and Finance ) .

    National Development and Reform Commission

    Ministry of Health

    State Administration of Traditional

    May 4, 2012

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