Policy Evolution,Implementation Dilemma and Breakthrough on Medical Service Price Items Normative Management and Its Enlightenment / 中国卫生经济

It reviewed the policies related to the standardized management of medical service price items,analyzed the current difficulties in the implementation of medical service price regulations:the technical specifications of national medical service price item are heavy and cannot be dynamically adjusted with technological innovation;provincial level item access control is not strict,and the elements of the same price item are not completely unified,affecting the horizontal comparison.The policy suggestions to speed up the improvement of the medical service price item specifications include:medical services that are allowed to be applied and have clear technical specifications are accepted as the scope of new price item declaration;promote the separation of technology and consumption,except for consumables and reagents,which are priced separately according to service items+special consum-ables;priority should be given to responding to the legitimate demand for medical technology improvement innovations through cur-rent price item compatibility;contrast technical specifications and item guidelines,integrating current price items,improving item standardization and compatibility;complete the innovation and economic evaluation of the newly declared item price,check the quality,and reasonably determine the increment.

Status, problems and development advices on medical service price management / 中华医院管理杂志

The reform of medical service prices in China has been launched, and the reasonable pricing and management of medical technology services are of great significance for improving patient well-being and advancing the reform of our medical system. The author provided a detailed review of the policy evolution, current management status, and main issues of medical service price management in China since 2000. The medical service price management policies in China since 2000 were divided into four evolutionary stages: initial exploration of decentralization, substantial development, continuous advancement, and deep promotion. The author also described the formation mechanism and pricing methods of international medical service prices, and compared the similarities and differences in medical service price management at home and abroad. Some suggestions were put forward for improving the macro reform of medical service price management in China.

Status quo and countermeasures of the new medical service price items management in China / 中华医院管理杂志

New medical service price items (hereinafter referred to as the new item) management is key to deepening medical service price reform.Based on the review of the policy development of the new item management and status quo of provincial-level practices, the authors sorted out the problems in the new item management as follows. Namely the new item connotation was not clearly defined, linkage with the national specifications for medical service price items was not yet well defined, the approval process was imperfect, the pricing fundamentals were weak, and the maturity term system was to be strengthened. According to such analyses, the authors proposed countermeasure recommendations for optimizing the new item management: to introduce and implement unified national specifications for medical service price item and the new item guidance as quickly as possible, to promote the linkage between the new item management and the dynamic adjustment mechanism of medical service prices, and to strengthen institutional construction of the new item management.

Analysis on the current situation of medical service price from the perspective of medical insurance integration in the Yangtze River Delta / 中华医院管理杂志

Objective:To sort out the medical service price management in provinces of the Yangtze River Delta, and identify problems in the process of promoting the integration of medical insurance in the said region.Methods:The service price reform policies and current medical service price items specifications as of December 2020 were collected from the official websites of the reform and developmet committees, health comissions and health insurane bureaus of these provinces. Descriptive analysis using R 4.0.2 software were conducted.Results:Given the reform of medical service prices advanced in these provinces successively, the current medical service price items were not yet unified. In terms of the numbers, Jiangsu topped the rest by 4 457 basic items, while Zhejiang ranked the lowest at 3 914. In terms of decomposed items, Zhejiang topped the rest by 1 988, 17.6 times that of Anhui province. In terms of pricing level, the average price of medical services in Shanghai topped the rest by 1 041.6 yuan, while Jiangsu province was the lowest at 768.6 yuan. The price of some items varied by more than 20 times among these provinces.Conclusions:The provinces in the Yangtze River Delta had significant gaps in medical service price items setup and price levels. It is necessary to promote the regional coordinated specifications of medical service price items, further optimize the price levels, improve the methodological system of medical service price comparison, and promote the integration of medical insurance in the Yangtze River Delta.