Guo Yixiong, director of the provincial health department's policy and regulations department, explained that the move is intended to play a role in compensating primary care institutions, without increasing the burden on the premise of increasing the income of medical institutions. He said that before the implementation of the basic drug system, the primary health care institutions more through the drug price difference to obtain profits, but the basic drug system abolished the drug markup, the income of these institutions is reduced accordingly, and therefore the need to protect the operation of the government subsidies. According to Guo Yixiong, the 10 yuan general consultation fee is in line with the national average and is fully reimbursed by the medical insurance pool fund. Prior to that, some of the four fees, such as the registration fee, were covered by the medical insurance's centralized fund, while the rest was paid from individual accounts.
"Opinions" shows that the adjustment of medical service charges and health insurance payment policy will be implemented from the basic drug system and has been carried out basic health insurance outpatient co-ordination of primary health care institutions first. The content of the merger project by the provincial price authorities in conjunction with health, human resources and social security and other relevant departments in accordance with national requirements specified, has been merged into the general diagnosis and treatment fees in the original charges, shall not be charged separately or disguised charges.
The amount of government subsidies linked to performance appraisal
Government-organized township health centers, urban community health service institutions generated by the capital and equipment purchases and other development and construction expenditures by the government to arrange the full amount of its commitment to the basic public **** health services are subsidized through a special fund. Last year, all levels of government allocated the basic public **** health service funding standard of not less than 15 yuan per capita, according to the design of the Opinions, from this year onwards will further increase the per capita funding standard.
After the government's special subsidies and adjustment of medical service fees, the recurrent income of primary health care institutions is still insufficient to make up for the difference in recurrent expenditures, which will be fully arranged by the government in the annual budget, and will be pre-allocated and then settled.
Will primary healthcare organizations become overly dependent after the implementation of multi-channel compensation? Guo Yixiong said, for the primary health care institutions of the performance assessment approach has begun to pilot, based on management performance, the number and quality of basic medical and public **** health services, service users satisfaction, the improvement of the health status of the population and other indicators of the primary health care institutions to carry out a comprehensive and quantitative assessment, the results of the assessment will be linked to the funding arrangements and disbursements. Those with good performance appraisals will be appropriately rewarded, and vice versa or have their funding arrangements deducted.
Non-government-organized primary health care institutions will be given reasonable subsidies for the public **** health services they undertake through government-purchased services and other means. Among them, qualified institutions will be included in the scope of health insurance designated points, and implement the same health insurance payment and reimbursement policies as government-run primary health care institutions.
The Opinions also puts forward a subsidy method for village health offices, which is mainly realized through government-purchased services, with the health department arranging a certain percentage of the workload of basic public **** health services for village health offices on the basis of their approved ability to undertake public **** health service projects and the number of people they serve. Eligible village health office outpatient services can be included in the new rural cooperative reimbursement.