National public hospitals are renovated, medical consumables become key targets

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Author : Joe Wong
Update time : 2020-09-29 14:53:31

National public hospitals are renovated, medical consumables become key targets

Public hospitals have rectified the price of medical services, and the three provinces have begun actions. Disposable sanitary materials and medical consumables have become key targets for treatment.

Anhui issued a document, the price control of medical services

Recently, the Anhui Provincial Market Supervision Administration issued a notice on the Implementation Plan for Key Governance of Medical Service Prices in Anhui Province in 2019 (hereinafter referred to as the “Plan”) to carry out key governance of medical service prices across the province.

According to the "Plan", the Anhui Provincial Market Supervision Bureau organized the implementation of key governance across the province and carried out key governance on provincial public hospitals. This time, the focus is on the implementation of the standardization of medical service price items in public hospitals, the implementation of prices and charges for disposable medical consumables, inspections, and the implementation of clearly marked prices and charges.

It is clear that medical consumables have become one of the key management targets.

Regarding the specific working methods, the "Plan" insists that reports must be checked and clues must be checked, and a "double random, one open" method is adopted to determine the subjects of the spot check, and the proportion of spot checks is not less than 15%. He also pointed out that localities can increase the proportion of random inspections based on actual work.

It is worth noting that the "Plan" proposes that the inspection time limit for key governance objects is the price and charging of medical services since January 1, 2018, and major issues can be traced.

The inspections of non-public medical institutions, disease prevention and control centers, blood stations and other medical and health institutions mainly focus on the problems reflected in complaints and reports.

Anhui’s “Plan” was formed in accordance with the “Notice on Carrying out Key Management of Medical Service Prices” issued by the State Administration for Market Regulation and the “Implementation Plan for Key Management of National Medical Service Prices in 2019”. The key governance content is also based on the documents of the State Administration.

Specifically, the key governance content of Anhui includes the following 5 aspects:

1. Whether the fees are charged according to the prescribed medical service items and standards, whether there are independent items that violate the regulations, self-determined standard charges, decomposed item charges, compulsory services, forced charges, only charge but no service or less service;

2. Whether the use of disposable medical sanitary materials is charged in accordance with the policy, whether there are repeated charges for one-time sanitary materials; whether the disposable sanitary materials that are charged separately, whether they exceed the specified mark-up rate (amount), and whether there is any false Charges in disguised form such as increasing the number of users;

3. Medical institutions sell high-value plant (intermediary) medical consumables, whether they have sold at a price level or markup rate exceeding the prescribed price;

4. The implementation of clearly marked prices and price announcements;

5. Prices and charges of other medical services.

Anhui Province will promote on-site inspections in July and continue until October, and summarize key governance work before November 20.

Heilongjiang has been in action.

In addition to Anhui Province, Heilongjiang Province is also the focus of the price control of medical services, and the latter has started to control on June 20.

According to news from the Heilongjiang Provincial Market Supervision Bureau, a few days ago, the bureau issued the "Notice on Carrying out Key Management of Medical Service Prices in the Province", requiring the whole system to carry out key management of the province's medical service prices around 7 key contents.

In addition to the five key price behaviors of public hospitals that are highly similar or identical to those of Anhui Province, the seven medical service price behaviors include the following two:

Whether the sales of medicines by medical institutions (except for Chinese herbal medicines) strictly enforce the zero markup rate; check whether there is a confusion methodological overcharge; whether there is unfair price behavior for medical service items with market-adjusted prices.

The implementation of the second-class vaccine price and vaccination service fee in primary medical and health institutions.

Heilongjiang’s current key governance will start from June 20th to November 15th, 2019, and will be divided into three stages.

Among them: before July 10 is the key governance preparation phase, before October 31 is the key governance implementation phase, and before November 15 is the key governance summary phase. The governance method is based on the “double random, one open” regulatory mechanism, and the three-level market regulatory departments of province, city (prefecture), county (city, district) are responsible for carrying out this key governance.

Jiangxi: 8 types of medical price issues are strongly reflected

Earlier on June 19, the Jiangxi Provincial Market Supervision Bureau issued the "Notice on Printing and Distributing the Implementation Plan for the Key Management of Medical Service Prices in the Province in 2019", which is also based on the new developments in the reform of medical service prices to carry out medical services. The service price is focused on governance, and the fight against unfair competition such as commercial bribery is included in the work objective.

Jiangxi proposed that the inspection time limit is the price and charging of medical services that occurred since January 1, 2018. Major issues can be traced back to the previous year; random inspections of public medical institutions shall be conducted at a rate of no less than 10%.

Regarding the focus of inspection, Jiangxi specifically mentioned "concentrating on solving problems that the masses and society have strongly complained about", and listed 8 types of behaviors as the focus of inspection:

1. Acts that do not charge according to the prescribed medical service items and standards, self-support items, self-determined standards or over-standard charges, expand the scope, disaggregate item charges, compulsory services, forced charges, only charge but not service, or charge more and less service.

2. The use of disposable medical sanitary materials or high-value implants (intermediation) into medical consumables, etc., does not follow the prescribed charging policy, exceeds the prescribed scope or decomposes items repeatedly to charge for one-time sanitary materials; separate charges are allowed, Exceeding the stipulated price increase policy, and adopting methods such as inflating the usage amount to charge more in disguise; violation of regulations or disguised forcing patients to use medical consumables and charge.

3. The act of charging patients without corresponding medical records such as medical advice, service records, inspection reports, etc.

4. The act of providing patients with obviously unreasonable medical services and charging fees.

5. Failure to fulfill the obligation of notification as required, provide medical services to patients, and charge fees.

6. The act of not clearly marking the price and publicizing the price in accordance with the regulations.

7. Unfair competition such as commercial bribery.

8. Other price violations and unfair competition prohibited by laws, regulations, and rules.

The relevant person in charge of the Jiangxi Market Supervision Bureau also revealed that the inspection also included the behavior of charging patients without corresponding medical orders, service records, inspection reports and other medical records. For hospitals with many complaints and reports, repeated investigations, and records of serious violations of laws and regulations, the market supervision department will put them on the list and implement key supervision in accordance with the law.

National public hospital inspection storm

It should be pointed out that the key governance plans of the three provinces mentioned above are all formed around the "Notice on Carrying out Key Management of Medical Service Prices" and the "Implementation Plan for Key Management of National Medical Service Prices in 2019" issued by the State Administration for Market Regulation. The key governance content is similar. According to local conditions, medical consumables are all listed as key objects, and the medical service prices and charging behaviors that have occurred since January 1, 2018 are checked.

Behind this is the implementation of the zero mark-up policy for medicines and consumables and the price reform of medical services in various provinces across the country. For public hospitals, the zero drug consumption bonus and the reform of medical service prices will directly affect the performance appraisal of public hospitals-the proportion of medicines and the proportion of consumption, and hospitals have to face the problem of revenue, and the pressure will naturally Transmission to the supplier. At the beginning of 2019, several top three hospitals in Guangzhou required consumable suppliers to reduce their prices after adding consumables.

It can be seen that the key treatment of the price of medical services is led by the State Administration for Market Regulation, which will be a new rectification storm for public hospitals across the country. At present, Anhui, Heilongjiang and Jiangxi have started operations, and other provinces are also starting to carry out.