After the new medical reform plan was announced, some elderly people with chronic diseases saw that the medical service fees paid for medical treatment in tertiary hospitals were a few yuan more than the original registration fees, so they planned to go to tertiary hospitals in 4 I went to the hospital specifically to prescribe medicine before March 8th. Can we save money by going to the hospital together to prescribe medicine now? Relevant departments stated that according to calculations, the city's total medical expenses will remain basically balanced after the medical reform, and the overall cost burden on patients will not increase. Due to the cancellation of drug mark-ups and the implementation of sunshine procurement, drug prices will decrease to varying degrees, so there is no need to rush. Get together to prescribe medicine before the medical reform on April 8.
According to the comprehensive reform plan for the separation of medicine announced by this city, starting from 0:00 on April 8, patients who go to all public hospitals in Beijing will no longer pay registration fees and diagnosis and treatment fees, but will be charged according to the hospital grade. Pay medical service fees with doctor rank. Among them, the minimum medical service fee for third-level hospitals is 50 yuan, and patients with Beijing medical insurance will pay 10 yuan after reimbursement of 40 yuan; Beijing medical insurance patients who seek medical treatment in second-level hospitals and first-level hospitals will pay a minimum medical service fee of 20 yuan after reimbursement. yuan and 1 yuan. At the same time, the average 15% bonus on medicines (except traditional Chinese medicine pieces) will be cancelled.
As far as individual patients are concerned, there will be different impacts due to individual differences in the disease, treatment plan, treatment cycle, etc. of each patient. For patients whose diagnosis and treatment process is mainly based on drug treatment, or involves more CT and MRI examinations, the medical expenses will generally decrease; if the diagnosis and treatment process is mainly based on technical labor treatment items, the patient's diagnosis and treatment expenses will increase to a certain extent. In other words, most patients who are simply prescribed medication will see their costs go down. For example: before the implementation of the medical reform plan, a diabetic patient's registration fee for each registration was 5 yuan, the prescription fee was 477 yuan, and the total cost was 482 yuan; after the reform, the medical service fee was 50 yuan, and the drug fee was cancelled. The 15% sales mark-up and sunshine purchase achieved an 8% decrease, and the overall price reduction level was around 20%. The total cost became 431 yuan, a reduction of 51 yuan, a decrease of 10.5%.
The Beijing Municipal Health and Family Planning Commission stated that after the implementation of the medical reform plan, the prices of many drugs will decrease due to the implementation of sunshine procurement of drugs. Taking medicines commonly used by the elderly, "Atorvastatin Calcium Tablets" commonly used in anti-hyperlipidemia drugs, there are two main brands sold in Beijing in 2015, among which the imported product is called "Lipitor" and the domestic product It's called "Ale". After the sunshine purchase, the purchase prices of these two drugs dropped by 9.76% and 11.47% respectively. For "Hydroclopidogrel Tablets" used for cardiovascular and cerebrovascular anticoagulation, the two brands with the largest purchase amounts in this city in 2015 were the imported product "Plavix" and the domestic product "Taijia". The purchase prices after Sunshine Purchase were respectively Decreased 6.14% and 9.56%. For patients who simply prescribe medicines, it may seem like they have saved a few dollars through the registration process, but compared with the drop in drug prices, they may not save money.
According to calculations, after the medical reform, the overall medical expenses of outpatients have declined, while the medical expenses of inpatients have increased slightly. Static calculations of 405 types of diseases show that after the reform, the average cost per outpatient visit dropped by 5.11%, and the average cost per inpatient stay increased by 2.53%. In the short term, the costs for different patients will rise and fall, which is not balanced; but in the long term, through the adjustment and standardization of medical services, the people will ultimately benefit.