Price Bureau documents material markups

I. Implementation of the policy of two-way control of the markup rate and the maximum markup amount of medicines and medical sanitary materials

Starting from September 1, 2006, the medicines sold by non-profit medical institutions in counties and above and by all for-profit medical institutions (including Chinese herbal medicinal tablets and formulae packaged into bags, boxes and bottles) are sold at a markup rate of 15% on the basis of the minimum retail packaging unit, and Chinese herbal medicinal tablets at a markup rate of 25%, with the markup rate of 15% being the maximum markup. The price of Chinese medicine tablets shall not exceed 25% of the actual purchase price, based on the minimum retail packaging unit. The actual purchase price is higher than 500 yuan, the maximum markup shall not exceed 75 yuan (the sales price of the tail processing in accordance with the principle of rounding up to 5, 10 yuan to retain the following minutes, more than 10 yuan to 100 yuan retained to the corner, more than 100 yuan retained to the yuan). The actual purchase price of drugs refers to the price after deducting various discounts. Government-priced medicines, regardless of salt base, acid base and solvent (liquid) categories such as water for injection, sodium chloride solution, glucose solution, etc., are all based on the generic name of the price announced. Doctors prescriptions must be prescribed in accordance with the generic name of the drug, not only according to the informal name of the drug, former name, alias or trade name prescription, disguised price increases.

According to the provisions of the disposable medical sanitary materials can be charged separately to patients, the rate of increase is still in accordance with the provisions of the Black Price Union word [2004] No. 120 document implementation, from September 1, 2006 onwards, the maximum increase shall not exceed 300 yuan.

Second, improve the drugs, medical services and medical materials price disclosure system

The medical institutions to improve the drugs, medical services, separate charges for disposable medical materials price disclosure system at the same time, at the end of the year before the full implementation of outpatient, inpatient billing list (or dual-prescription) system, free of charge for patients to provide outpatient, inpatient billing list. The medical institutions to provide patients with a list of settlement costs need to indicate the name of drugs and medical services, pricing units, price standards, the number of services and the total cost and other details, the test has been clearly specified test method, test report form also need to indicate the test method.

Third, the establishment of expensive drugs, separate charges for disposable valuable medical materials and non-routine large-scale instrumentation before the use of the informational system

The medical institutions should be based on the actual situation of the hospital, by the end of the year on expensive drugs, medical services in addition to separate charges for disposable valuable medical materials and non-routine large-scale instrumentation to implement the two sides of the doctors and patients to confirm that the patient or family members to confirm that they can only use after Only after the patient or family members to confirm the use.

Fourth, improve the internal price management of medical institutions and the price management system

The medical institutions to improve the price management of medical institutions and the establishment of price management agencies and full-time price management personnel, the legal person of the medical institutions is the first responsible for the management of the unit's price. Medical institutions to establish and improve the internal price management system, and strengthen internal supervision, strict implementation of price policy, consciously correct unreasonable price behavior, the price management work into the section of the comprehensive target assessment. To improve the medical institutions within the medical records and nursing records system, and the implementation of the review of the list of patient costs. There is no case record of the service content, and shall not be charged to the patient.

Fifth, the establishment of strict standardization of medical service behavior system

Medical institutions to establish dynamic monitoring of drug consumption and over routine early warning system, prescription evaluation system, large-scale instrumentation and equipment to check the positive rate of sampling system and other appropriate regulations, and will be reasonable diagnosis and treatment, rational use of medication as an important basis for assessment of doctors. Increase policy publicity and training, guidance and standardization of medical personnel's medical service behavior.

Sixth, the implementation of medical services information dissemination system

Health administrative departments at all levels to regularly publish the number of medical institutions under the jurisdiction of the quality of services, prices, single disease costs and other medical services information, to protect the public's right to know, the right to choose.

VII, to further strengthen the medical insurance on the management of designated medical services

The competent authorities of medical insurance at all levels should be in line with the principle of facilitating access to health care for the insured, and promote competition, will meet the conditions of different sizes and ownership of various types of medical institutions, especially community health service organizations into the scope of the basic medical insurance designated to promote the rational use of health resources for the insured. Medical insurance agreements with designated medical institutions should be strengthened, the text of the agreements with designated medical institutions should be supplemented and improved in a timely manner, incentive and constraint mechanisms should be established, and the entry and exit mechanisms of designated medical institutions should be improved, so as to promote improvements in the quality of services provided by medical institutions and doctors. It is necessary to continuously improve the management of medical insurance settlements, and gradually implement a settlement system in which one settlement method is the primary method, other settlement methods are supplementary, and multiple methods are used in parallel, so as to promote the active control of medical costs by medical institutions and doctors. By lowering the starting standard of the medical insurance fund and the proportion of out-of-pocket payments by individuals, insured persons should be attracted to go to designated community health service organizations for medical treatment. Further improve the insured to designated retail drugstores to purchase drugs policy, to promote the designated medical institutions and designated retail drugstore competition.