Policies related to pharmaceutical price reform 1. The "Opinions of the Central Committee of the Communist Party of China and the State Council on Deepening the Reform of the Medical and Health System" promote the separation of medicines and actively explore a variety of effective ways to gradually reform the mechanism of using medicines to supplement medical care.

Gradually reform or cancel the drug markup policy through various methods such as differential price increases for drug purchases and sales, and the establishment of pharmaceutical service fees. At the same time, measures such as appropriately adjusting medical service prices, increasing government investment, and reforming payment methods will be adopted to improve the public hospital compensation mechanism.

2. The former Ministry of Health, the General Staff Office, the National Development and Reform Commission, the Ministry of Finance, and the Ministry of Human Resources and Social Security issued the "Notice on Issuing the Guiding Opinions on the Pilot Reform of Public Hospitals" to promote the separation of medicines, reform the mechanism of using medicines to supplement medical care, and gradually change the compensation of public hospitals to fee-for-service

The three channels of drug markup revenue and government subsidies were changed to two channels: service charges and government subsidies.

Service charges and government subsidies are reasonably determined by local governments in accordance with relevant national regulations, taking into account factors such as hospital functional positioning, medical security fund affordability, local financial capabilities, urban and rural residents' income levels, and affordability of price adjustments.

(Guo Wei Ti Gai Fa [2014] No. 12 Regulation: County-level public hospitals are responsible for the diagnosis and treatment of common and frequently-occurring diseases for county residents, critical and severe rescue and referral of difficult diseases, training and guidance for personnel of rural primary medical and health institutions, and some public hospitals*

**Health services, emergency response to natural disasters and public health emergencies, etc.).

Gradually cancel the drug markup policy, and take measures such as increasing pharmaceutical service fees and adjusting some technical service charging standards to compensate for the reasonable income reduction of public hospitals through medical security fund payments and increased government investment.

3. "Notice of the General Office of the State Council on Issuing the Arrangements for the Pilot Work of Public Hospital Reform in 2011" reform the mechanism of supplementing medical treatment with drugs.

Explore a variety of specific ways to separate medicine, gradually cancel the drug markup policy, and adopt measures such as increasing pharmaceutical service fees and adjusting some technical service charging standards to reduce the reasonable income of public hospitals through medical security funds and increasing government

Compensation will be provided through investment and other means.

In accordance with the principles of total volume control and structural adjustment, the price of medical services that reflects the value of the technical labor of medical personnel shall be reasonably adjusted; the inspection price of large-scale public hospital equipment purchased by the government shall be based on the cost after deducting depreciation.

Reform the project-based pricing method of medical services, and actively carry out trials of charging by disease type, with the number of disease types being no less than 50.

4. The "Notice of the State Council on Issuing the Plan and Implementation Plan for Deepening the Reform of the Medical and Health System During the Twelfth Five-Year Plan Period" promotes the reform of the compensation mechanism.

The key link is to break the mechanism of "replenishing medical treatment with drugs", promote the separation of medicines, gradually cancel the drug markup policy, and change public hospital compensation from service charges, drug markup income and financial subsidies to two channels: service charges and financial subsidies.

channel.

The reasonable income reduced or the loss caused by the reform will be compensated by adjusting the price of medical technical services and increasing government investment.

Increase the charging standards for diagnosis and treatment fees, surgery fees, and nursing fees to reflect the reasonable cost of medical services and the value of the technical labor of medical personnel.

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 Issuing Four Points of Opinions on the Comprehensive Reform of County-Level Public Hospitals" reforms the mechanism of "complementing medical treatment with medicines" and encourages the exploration of various forms of separation of medicines.

The drug markup policy will be cancelled, and compensation for pilot county-level hospitals will be changed from three channels: service charges, drug markup income and government subsidies to two channels: service charges and government subsidies.

In accordance with the principles of total volume control and structural adjustment, the prices of drugs and high-value medical consumables are reduced, and the inspection and treatment prices of large medical equipment are reduced. The inspection and treatment prices of large medical equipment purchased by the government are based on reasonable costs excluding equipment depreciation. Loans have been

In principle, the government will repurchase large-scale equipment purchased by raising funds, and the price will be reduced within a time limit if repurchase is difficult.

Reasonably increase the prices of traditional Chinese medicine and diagnosis, treatment, nursing, surgery and other items that reflect the value of medical personnel’s technical services, so that medical institutions can obtain reasonable compensation for providing high-quality services.

6. The notice of the National Development and Reform Commission, the Ministry of Health and the Ministry of Human Resources and Social Security on promoting the reform of medicine prices in county-level public hospitals states that the reasonable income reduced after the drug markup policy is canceled will be compensated by increasing government investment and adjusting medical service prices.

Pilot public hospitals should strengthen internal management, improve service quality and operational efficiency, and reduce medical costs.

After canceling the drug markup policy, it is necessary to ensure that drug prices in pilot public hospitals are reduced by about 15%.

Adhere to the principle of "total volume control and structural adjustment", reasonably adjust the price of medical services, and proceed in parallel with the elimination of drug markup policies and increased government investment.

All localities should comprehensively consider factors such as the level of economic development, the affordability of the people, and the affordability of basic medical security to reasonably determine the total medical expense control level in the region. For details, refer to the actual total medical expenses, medical insurance funds, and urban and rural residents in the region in the three years before the reform.

Comprehensive calculation of personal medical expenses and other conditions.

When adjusting the price of medical services, it is necessary to combine the specific conditions of financial compensation and medical insurance payment levels to compensate for the reasonable income reduction after the cancellation of the drug markup policy; on this basis, the price comparison relationship between medical service items should be gradually straightened out.