"Work Task" is an important document to lead the medical reform forward, with distinct direction and continuity. Wang Hufeng, director of the Medical Reform Research Center of Renmin University of China, said that the task focused on five basic medical and health systems, adhered to the linkage of medical care, medical insurance and medicine, highlighted the reform and innovation ideas under the new situation and new challenges, and helped to promote the refined and institutionalized development of medical reform.
In order to speed up the linkage of high-quality medical resources, the Task proposes to promote the construction of graded diagnosis and treatment system in an orderly manner. Further standardize the construction and development of medical complexes, improve the construction of medical complexes and graded diagnosis and treatment assessment; We will promote the contract service of family doctors, improve the incentive mechanism, give priority to the contract service of key groups, and do practical and detailed services.
In establishing and perfecting the modern hospital management system, the "Work Task" is clear, deepening the reform of medical service price. Accelerate the establishment of a timely and flexible price dynamic adjustment mechanism according to the changes in cost and income structure, make room for reducing the cost of drugs and medical consumables by standardizing the diagnosis and treatment behavior, and optimize the price adjustment of medical services. Allow local governments to take appropriate measures to effectively reflect the value of pharmaceutical services.
How to ensure the sustainability of the medical insurance fund while making the people "affordable"? The "Task" proposes to raise the level of basic medical insurance and serious illness insurance, raise the per capita financial subsidy standard of residents' basic medical insurance by 40 yuan, and use half of it for serious illness insurance. Simultaneously raise the personal payment standard. We will comprehensively promote the reform of paying by disease, co-ordinate basic medical insurance and serious illness insurance, and gradually expand the diseases paid by disease.
Regarding the issue of drug supply security that the people are highly concerned about, the "Task" emphasizes that with the tax reduction policy for anticancer drugs, all provinces (autonomous regions and municipalities directly under the Central Government) should be promoted to carry out centralized procurement of anticancer drugs in the medical insurance catalogue and promote exclusive anticancer drugs outside the medical insurance catalogue. Medical insurance access negotiation. We will carry out a pilot program of centralized drug procurement in the country to substantially reduce drug prices.
In addition, the Task also requires strengthening the construction of a comprehensive supervision system and establishing a high-quality and efficient medical and health service system.