1. Opinions of the Central Committee of the State Council on Deepening the Reform of the Medical and Health System.

Promote the separation of medicine from medicine, actively explore various effective ways, and gradually reform the mechanism of supplementing medicine with medicine. Gradually reform or cancel the drug addition policy by implementing the differential price increase between drug purchase and sale and setting up pharmaceutical service fees, and at the same time take appropriate measures such as adjusting the price of medical services, increasing government investment and reforming payment methods to improve the compensation mechanism of public hospitals.

2. Notice of the former Ministry of Health, the Office of the Central Organizing Committee, the National Development and Reform Commission, the Ministry of Finance and Ministry of Human Resources and Social Security on Printing and Distributing the Guiding Opinions on the Pilot Reform of Public Hospitals.

Promote the separation of medicine and medicine, reform the mechanism of supplementing medicine with medicine, and gradually change the compensation of public hospitals from three channels of service charges, drug bonus income and government subsidies to two channels of service charges and government subsidies. Service charges and government subsidies are reasonably determined by all localities in accordance with relevant state regulations, taking into account factors such as hospital functional orientation, affordability of medical security funds, local financial capacity, income level of urban and rural residents and affordability of price adjustment. (National Health Reform and Development [20 14] 12 stipulates that county-level public hospitals undertake the diagnosis and treatment of common and frequently-occurring diseases of county residents, emergency rescue and referral of difficult diseases, training and guidance of rural primary medical and health institutions, and emergency treatment of some public health services, natural disasters and public health emergencies. ).

Gradually cancel the drug addition policy, take measures such as adding pharmaceutical service fees and adjusting some technical service fees, and compensate the reasonable income of public hospitals through medical security funds and increasing government investment.

3. Notice of General Office of the State Council on Printing and Distributing the Work Arrangement of Public Hospital Reform in 20 1 1 year.

Reform the mechanism of supplementing medicine with medicine. Explore a variety of specific ways to separate medicines, gradually cancel the drug addition policy, and compensate the reasonable income of public hospitals by adding pharmaceutical service fees and adjusting some technical service fees, paying through medical security funds, and increasing government investment.

According to the principle of total control and structural adjustment, the price of medical services reflecting the value of medical personnel's technical services should be reasonably adjusted; The inspection price of large-scale equipment purchased by the government in public hospitals shall be determined according to the cost after deducting depreciation. Reform the pricing method of medical service items, and actively carry out pilot charging according to diseases, with no less than 50 diseases.

4 the State Council municipality on printing and distributing the plan and implementation plan for deepening the reform of medical and health system during the Twelfth Five-Year Plan period.

Promote the reform of compensation mechanism. The key link is to break the mechanism of "supplementing medicine with medicine", promote the separation of medicine and medicine, gradually cancel the drug addition policy, and change the compensation of public hospitals from three channels of service charges, drug addition income and financial subsidies to two channels of service charges and financial subsidies.

Reasonable gains or losses caused by the reform will be compensated by adjusting the price of medical technical services and increasing government investment. Improve the charging standards of medical treatment fees, operation fees and nursing fees, and reflect the reasonable cost of medical services and the value of medical personnel's technical services. Medical technical service charges are included in the scope of medical insurance payment according to regulations.

5. Notice of the General Office of the State Council on printing and distributing four opinions on comprehensive reform of county-level public hospitals

Reform the mechanism of "supplementing medicine with medicine" and encourage the exploration of various forms of separation of medicine. Cancel the drug bonus policy, and change the hospital compensation in pilot counties from three channels: service charges, drug bonus income and government subsidies to two channels: service charges and government subsidies.

According to the principle of total amount control and structural adjustment, the prices of drugs and high-value medical consumables will be reduced, and the prices of inspection and treatment of large medical equipment will be reduced. The inspection and treatment price of large-scale medical equipment funded by the government shall be set at a reasonable cost excluding equipment depreciation. In principle, large-scale equipment that has been loaned or funded shall be repurchased by the government, and the price shall be reduced within a time limit when it is difficult to repurchase. Reasonably increase the prices of Chinese medicine and items such as diagnosis, treatment, nursing and surgery that reflect the value of medical personnel's technical services, so that medical institutions can get reasonable compensation by providing quality services.

6. Notice of the Ministry of Health, Human Resources and Social Security of the National Development and Reform Commission on Promoting Drug Price Reform in County-level Public Hospitals

The reasonable income reduced after the cancellation of the drug addition policy will be compensated by increasing government investment and adjusting the price of medical services. Pilot public hospitals should strengthen internal management, improve service quality and operational efficiency, and reduce medical costs. After the cancellation of the drug addition policy, it is necessary to ensure that the drug price in the pilot public hospitals will drop by about 15%.

Adhere to the principle of "total amount control and structural adjustment", rationally adjust the price of medical services, and advance simultaneously with canceling the drug addition policy and increasing government investment.

All localities should comprehensively consider factors such as the level of economic development, the affordability of the masses and the affordability of basic medical security, and reasonably determine the control level of the total medical expenses in the region. Specifically, we can comprehensively calculate the total actual medical expenses, medical insurance funds and personal medical expenses of urban and rural residents in the three years before the reform in this area.

To adjust the price of medical services, it is necessary to combine the specific situation of financial compensation and medical insurance payment level to compensate for the reasonable income reduced after canceling the drug addition policy; On this basis, gradually straighten out the price comparison relationship of medical services. It is necessary to effectively raise the prices of medical services such as diagnosis and treatment, surgery, nursing and Chinese medicine services that reflect the value of medical personnel's technical services, and make appropriate adjustments to the bed fees that are really low; At the same time, the price of inspection, treatment and inspection of large medical equipment will be reduced.

During the pilot period of reform, all localities may authorize county (city, district) governments to study and adjust the price of medical services within the prescribed scope of principles.

7. Notice of the National Health and Family Planning Commission, the Ministry of Finance, the Central Organizing Committee, the National Development and Reform Commission and the Ministry of Human Resources and Social Security on Printing and Distributing Opinions on Promoting the Comprehensive Reform of County-level Public Hospitals.

Get rid of medicine to supplement doctors and improve the compensation mechanism. The compensation of county-level public hospitals was changed from three channels of service charges, drug bonus income and government subsidies to two channels of service charges and government subsidies, and the drug bonus policy was cancelled. The reasonable income reduced by hospitals can be borne by adjusting the price of medical technical services, increasing government investment, strengthening accounting and saving operating costs. Give full play to the compensation function of medical insurance, and the medical insurance fund will compensate the basic medical services provided by hospitals in time by purchasing services, so as to narrow the gap between the reimbursement ratio in the medical insurance fund policy and the actual reimbursement ratio. Price adjustment policy and medical insurance payment policy are interrelated.

Main measures to deepen the reform of medical price system

1. Break the mechanism of supplementing medical care with medicine, improve the drug price reform in county-level public hospitals, and promote the pilot reform of urban public hospitals.

2. Straighten out the price comparison relationship of medical services and establish a dynamic price adjustment mechanism based on changes in cost and income structure.

3. Strengthen the convergence of price, medical insurance, medical care and other related policies to ensure the benign operation of medical institutions, affordable medical insurance funds, and no increase in the burden on the masses.

4. Strengthen the research and supervision of drug market price to ensure that the market price is basically stable after the reform.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.