price adjustment!The latest notice of Hebei

Hebei Provincial Medical Security Bureau and the Hebei Provincial Health and Health Committee jointly issued a notice on the adjustment of medical services for public medical and health institutions below

The notice of the Hebei Provincial Medical Security Bureau Hebei Province Health and Health Committee on the price adjustment of medical services for public medical and health institutions below the county level and below

The Medical Security Bureau of each city (including Dingzhou, Xinji City), the Health and Health Commission (Bureau), and the Public Service Bureau of the Xiong'an New District Management Committee:

Since the medical service price management authority of public medical and health institutions below the county level and below in 2014, the cities have implemented medical service price management requirements, improved medical services price policies and measures, continued to strengthen medical service price management, and have played a high -quality development of public medical institutions. Positive promotion role. However, at the same time, there are problems such as price adjustment lag, some grass -roots medical and health institutions' medical services prices have not been adjusted for a long time, and the price leverage function is inadequate. In order to further implement the decision -making and deployment of the Party Central Committee and the State Council on deepening medical service price reform, further optimize the price structure of medical services, ensure that the people obtain high -quality, efficient, and affordable medical and health services, and according to our province's medical service price management The relevant provisions of the work are notified of the relevant matters related to the price adjustment of medical services in public medical and health institutions below by county -level and below public medical and health institutions.

1. Implement the responsibility for the management of medical services

According to the "Notice of Hebei Provincial Price Bureau Hebei Provincial Health and Family Planning Commission on decentralization, let go of some medical service price management authority and related policy issues" (Ji Price Management [2014] No. 73), county -level public medical institutions and cities The price of medical services in grass -roots medical and health institutions is managed by the medical security and health department of Dingzhou, Dingzhou, and Xinji City; the price of medical services in primary medical and health institutions in the county is managed by the county (city) medical security and health and health department. In the management of medical services at all levels, the medical services and health departments must implement the basic concepts of public welfare in public medical institutions, adhere to the steady and orderly work tone, and ensure the timing, rhythm, scale, scale, scale, and scale of medical services price adjustment It is compatible with the fundamental situation of the overall economic and social situation, policy orientation, and medical insurance funds. The medical security and health and health departments of each city shall effectively implement management responsibilities, strengthen the supervision and guidance of county -level levels, and improve the initiative, scientificity and standardization of medical service price management.

Second, comprehensively sort out the implementation of the price of medical services

The medical security and health departments of each municipality shall comprehensively sort out the price policy formulation of medical service projects in the region and the implementation of medical services at all levels, and focus on the collection, implementation and management of medical service price policies for medical institutions at the county level and below The prominent problems, such as adjusting the long -term unsettled, county -level public hospitals and urban public hospital medical service price reform policies that are not connected to the county and municipal public hospitals, the price level of medical service items in different levels of public hospitals is not in the price level. Reasonable, prices and costs are seriously deviated. The price of some medical service projects with outstanding contradictions is rationally adjusted, and the price level of medical service projects of different levels of public hospitals is maintained. It is less than 10%of the medical service price of municipal public medical institutions at a range of 10%; the price of medical services in grassroots medical and health institutions is in principle set and adjusts within 20%of the medical service price below the county -level public medical institution.

Third, orderly guidance of medical services prices highly contradictions

The medical security and health departments of each municipality shall complete the adjustment of medical services for medical services by public medical and health institutions at the end of the year in accordance with the price management rights. After dynamic adjustment and evaluation, if the start -up conditions are met, the price of medical services is dynamically adjusted in an orderly and orderly manner; if it does not meet the start -up conditions, the price of medical services will be carried out for the price contradictions of the medical services that are sorted out. It is necessary to scientifically calculate and reasonably determine the total price adjustment and the scope of the project according to factors such as the income and cost of public medical institutions, and reasonably adjust the price of some medical services for the public medical and health institutions below the county level to ensure that the masses should be affordable, the medical insurance fund can withstand, the public The healthy development of medical institutions is sustainable. Based on the investigation and cost calculation, we must support weak subject projects with low historical prices and insufficient medical supply. Pay attention to the functional positioning, service capabilities and operating characteristics of different types of medical institutions, and take into account the special income structure. Specialized medical institutions and grass -roots medical and health institutions; fully consider the characteristics of traditional Chinese medicine medical services, and actively support the inheritance and innovation development of traditional Chinese medicine. The medical security and health departments of each city will form a written report on the price sorting and adjustment of medical service projects in public medical and health institutions in the region and below. Before December 31, 2022, the Provincial Medical Security Bureau and the Provincial Health and Health Commission are submitted.

Fourth, do a good job of medical services for daily management

Medical security and health departments at all levels should improve the normalized daily regulatory mechanism, and urge medical institutions to strictly implement the relevant policies and regulations of medical service price management. Comprehensively use data monitoring, research guidance, supervision and inspection and other forms to closely track the implementation of medical service price policies at all levels of medical institutions at all levels, and regularly evaluate the impact of total price adjustment on the total medical expenses, the income structure of public medical institutions, the expenditure of medical insurance funds, and the burden of patients. Discover and properly respond to new situations and problems in the implementation process. 5. Work requirements

(1) Strengthen organizational leadership. The adjustment of the price of medical services is related to the vital interests of the masses, with strong policy and high social attention. The medical security and health and health departments at all levels must attach great importance to improving ideological understanding. Efforts will be made to resolve the main contradictions and outstanding contradictions, and to do a good job of formulating and implementing the price adjustment plan in a timely manner.

(2) Strengthen up and down linkage. All cities should implement the reporting system of major issues, organize and urge and guide the county -level medical service price adjustment work in the county -level medical and health institutions in the county level, implement the medical service price linkage adjustment of the medical services of grass -roots medical and health institutions and county -level public medical institutions, and gradually rationalize the city's city Medical institution medical service price system.

(3) Strengthen publicity and guidance. All localities should adhere to the correct public opinion orientation, moderate policy interpretation and publicity, and guide all parties to form reasonable expectations. For the unstable factors that may occur, make a good response plan. Pay close attention to the dynamics of public opinion, respond in a timely manner, and properly respond to the concerns of all parties.

Contact: Meng Yuhong 0311-66906583

[email protected]

Shen Pengfei 0311-66165812

[email protected]

Hebei Provincial Medical Security Bureau Hebei Province Health and Health Commission

September 15, 2022

■ Edit: Chen Jiaming

■ Responsible editor: Wang Shujun

■ Supervision: Li Jianhui

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