In fact, the Internet hospital itself is difficult to become an industry on its own. However, because of its connectivity value, it can connect enterprises in multiple segments such as drugs, devices, insurance, consumer healthcare, consumer health, etc., and promote the digitization of enterprises in the field of medicine and health, so an industrial ecosystem can still be formed around the Internet hospital.
For how to construct a new ecosystem of Internet medical industry? Wu Hao, president of the Dolphin Digital Medical Industrial Park, pointed out that through the industrial carrier, combined with regional medical resources, to attract the head of the country's various types of enterprises stationed in the industrial park, and ultimately the formation of clusters; in addition, the expansion of such as the access to health insurance payments, commercial insurance payments and other innovative practices are also critical.
The improvement of health insurance payment can support the development of Internet healthcare in many aspects, such as improving the operational efficiency of hospitals and opening up the closed loop of enterprise business.
Wen Jian, president of the Internet Hospital Branch of the China Research Hospital Society, pointed out that in recent years, Internet hospitals have developed rapidly, which has improved the health protection system; in addition, Internet hospitals, as a means to deepen healthcare reform, not only optimize the allocation of healthcare resources, but also better serve users.
But Wenjian also pointed out that Internet hospitals also have corresponding problems in the rapid development process. For example, medical quality issues, security issues, medical data security issues. In addition, the Internet hospital health insurance underwriting involves entity hospitals, how to deal with health insurance pricing in different provinces is also a problem.
Wenjian said, Internet health care should also follow the principle of evidence-based medicine, through the practice of exploring and demonstrating the Internet health care disease management, specialty-specific diagnosis and treatment of **** knowledge guidelines. At the same time, the Internet health care should also follow the national medical health data security regulations on data compliance collection, management and use.
How can Internet healthcare provide services for patients with chronic diseases? Huang Hui, co-founder and COO of Yun Kai Yamei, pointed out that the corresponding disease can be cut from the corresponding disease, to provide patient-centered specialized disease management services, through the reconstruction of the diagnostic and treatment paths, the patient data collection to establish a perfect user image, to help patients provide more professional and exclusive medical advice.
It is reported that the operation is often a major flaw in public hospitals, public hospitals Internet hospitals are no exception. Zhang Mian, director of Kingdee Medical Operations Department, suggested that an innovative operation model can be established with the hospital as the main body of the internal circulation and external extension.
Zhang Mian further pointed out that around the single hospital Internet hospital, can use the internal cycle to improve its operational efficiency; and oriented to the health care consortium institutions, through the upper and lower levels of hospitals to help, to realize the external extension, to help the hospital to do a large incremental. "By constantly improving the brand influence of the hospital, in order to enhance the hospital's service capacity and comprehensive level at the same time, and ultimately realize the quality and efficiency of the public hospital Internet hospital."
Often regarded as a "good business" specialty Internet hospital construction and how to build? You wheat Technology CEO Chang Jiang pointed out that dermatology is the most suitable for online diagnosis and treatment of the department, dermatology itself consumer medical attributes are also stronger. "In the process of building specialty Internet hospitals, the focus can be placed on maximizing the realization of the value of doctors on the supply side of medical services, and gradually build a unique business model of its own by establishing a personal brand image for doctors, providing a learning platform, and providing doctors with intelligent diagnostic tools to enhance the efficiency of doctors."
Eggshell Research Institute senior researcher Zhang Xiaoxu pointed out that the current Internet hospital policy, under the premise of ensuring medical safety and information security, provides the industry with a larger exploration space. Affected by the epidemic, the number of Internet medical online users has surged, and their demand for substantive services to solve medical problems is also more robust, so more Internet medical listed companies have also begun to devote themselves to medical and health services.
The importance of data in the healthcare industry is clear. According to Chengdu's planning, in 2030, the city's medical and health industry is expected to reach a scale of 500 billion dollars. Based on this, Chengdu has built a data integration platform to realize the interconnection of government data and medical data.
Liu Guoli, deputy general manager of Chengdu Big Data Company, pointed out that Chengdu City will build the next step to create an Internet convenient and beneficial service platform for residents, the medical industry, medical industry enterprises to provide services; will focus on the public **** health and primary health care, to promote the high-quality development of public health care institutions as well as the development of community health care institutions in the equalization of the development of the public health care institutions; will rely on arithmetic, algorithms, data, and industrial enterprises **** with Create a platform to support the research of new medicine and strengthen the results of medical transformation.
In fact, it is difficult for the Internet hospital itself to become an industry on its own. However, because of its connectivity value, it can connect enterprises in multiple segments such as drugs, devices, insurance, consumer healthcare, and consumer healthcare, and promote the digitization of enterprises in the field of medicine and health, so an industrial ecosystem can still be formed around the Internet hospital.
How to construct a new ecology of Internet medical industry? Wu Hao further pointed out that through the industrial carrier, combined with regional medical resources, to attract the head of the national specialty specialties, industrial ecology of various types of enterprises stationed in the industrial park, and ultimately the formation of clusters, can realize the synergies of the market operation, maximize the *** enjoy the results of the output of the top medical companies, expanding such as the health insurance payment access, commercial insurance payment and other innovative practices. In addition, the ecological construction will continue to influence the enterprises in the park for a long time, helping the healthy development of the industrial park.
Since 2019, the National Health Insurance Bureau has repeatedly led the release of policies related to Internet medical health insurance payment. Up to now, 26 provinces have followed up and formulated corresponding implementation opinions or landing rules, and Internet follow-up, remote consultation, remote monitoring and remote diagnosis are several major categories of Internet medical pricing and health insurance payment, among which, Internet follow-up has become a standard item.
According to the research results of the 2021 Internet Hospital Report, 43% of the Internet hospitals that have been put into operation have realized health insurance payment. Among them, hospital-led Internet hospitals have opened health insurance payment coverage has reached 53%. In addition, according to public data statistics, some provinces Internet hospitals have reached tens of millions of dollars in health insurance settlement, the average reimbursement of more than 200 yuan.
The improvement of health insurance payment can support the development of Internet health care from various aspects. First of all, it can improve the operational efficiency of hospitals. The research shows that in the hospital-led Internet hospitals, whether or not there is a health insurance payment presents a big difference in the operational data. The improvement of the health insurance link is conducive to improving the operational efficiency of Internet hospitals.
Secondly, it is conducive to closing the business loop. In addition to hospital-led Internet hospitals, large companies also landed in various parts of the Internet hospitals and local health insurance docking, in order to realize the business of medical, pharmaceutical and insurance closed loop.
It is worth noting that the construction and operation of Internet hospitals in multiple locations has become an important way for Internet healthcare companies to strengthen the connection of offline medical resources, enhance the ability to localize services, and improve the conversion of offline traffic, as well as a basic prerequisite for opening up the local health insurance payment.
In the process of Internet medical health insurance landing, many provinces in China announced health insurance settlement data.
In Beijing, for example, from 2020 to the present, the Beijing Municipal Health Insurance Bureau summarized and identified 11 batches of Internet + medical services health insurance designated institutions; as of August this year, *** there are 30 hospitals Internet diagnosis and treatment services into the scope of payment of health insurance, the Peking Union Medical College Hospital, Sino-Japanese Friendship Hospital and other large-scale tertiary hospitals of the Internet hospitals are all in it. According to data from the National Health Insurance Bureau, as of the end of 2020, 19 hospitals in Beijing received 45,779 visits through Internet diagnosis and treatment,**** incurred costs of 17,462,000 yuan, of which 9,238,000 yuan was paid by health insurance.
In addition, Zhejiang, Ningxia, Shanghai and other places online medical insurance payment has also shown results. As of April this year, Zhejiang Province, included in the medical insurance designated Internet hospitals have 222, online consultation, follow-up medical insurance settlement has reached 123,000 people, online payment of 27.4 million yuan. By the end of July this year, Internet hospitals in Yinchuan, Ningxia signed up more than 24,000 outpatients with major diseases online, with more than 30,000 online consultations and 2.466 million yuan reimbursed by health insurance. From the several regions that have already announced the medical insurance settlement costs, the average patient reimbursement cost is about tens of yuan to 200 yuan.
Although the results of the Internet medical insurance payment has been shown, but it still has problems to be solved. For example, issues related to the pricing of Internet medical services need to be optimized. For doctors, because the online consultation time limit is long, the patient initiated multiple rounds of dialog, etc., may spend more time than offline. In addition, according to the medical insurance policy, the public medical institutions to carry out Internet review, different levels of medical personnel to provide services are based on the general outpatient diagnosis of the type of project fees, which also means that the doctor and the hospital to pay a higher cost.
In addition, for the entity hospital-led Internet hospitals, relying on its entity medical institutions to apply for a supplemental agreement is the essence of the offline reimbursement of part of the health insurance transferred to the line; but for the enterprise-led Internet hospitals, if a number of Internet hospitals relying on the same entity medical institutions to apply for the online and offline health care insurance distribution and other issues to be explored.
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