Health Planning Commission: Improve medical insurance system and promote research and development innovation of medical devices and drugs

On December 28th, the 12th meeting of the Standing Committee of the 12th National People's Congress jointly reviewed the State Council's report on the overall planning of the work of urban and rural social security system construction and conducted special inquiries.

In response to the concerns of members of the committee to reduce the burden of medical treatment for urban and rural residents, Li Bin, director of the National Health and Family Planning Commission, said that since the medical reform, the proportion of personal expenses for medical expenses has shown a gradual decline, but the burden of serious illness is still relatively heavy. Next year, the medical insurance system will be further improved, comprehensive reforms will be promoted, and efforts will be made to alleviate the burden of medical treatment for the masses.

Li Bin said that in 2013, China's total health expenditure was 3.17 trillion yuan, and the per capita cost was about 2,300 yuan, ranking the 100th in the world; the total health expenditure accounted for 5.57% of GDP, ranking 120th in the world. Since the late 1990s, China has started to establish and improve the universal medical insurance system from the establishment of medical insurance for employees.

After less than 20 years, China's medical insurance system has grown from scratch, from small to large, the universal medical insurance system has been gradually established, coverage rate has remained above 95%, but the level of per capita funding is not high enough, the level of protection and the satisfaction of the people The gap between medical treatment needs and expectations is relatively large.

Li Bin pointed out that in the total health expenditure, the proportion of self-paying by the people dropped from 40.4% in 2008 to 33.9% in 2013, and the proportion of personal expenses paid for medical expenses showed a gradual decline. Through reforms, the proportion of rural residents who should be hospitalized without hospitalization has dropped by nearly 50% compared with 10 years ago. The proportion of patients who should be treated without any treatment has dropped from 14.3% before the reform to 2.5%. The phenomenon has basically been alleviated.

With the release of medical consumer demand, the aging of the population, and the change in disease spectrum, medical costs are rising. At present, the mechanism of replenishing medicine has not been completely eliminated. In particular, most urban hospitals have not yet undergone comprehensive reforms, so the feelings of the masses to relieve the expensive problems of medical treatment are not obvious enough.

Li Bin said that next year, it will continue to raise the level of medical insurance for urban and rural residents. By improving its support capacity, it will gradually improve its policies and reduce the proportion of self-pay for the people. It will promote the large-scale sickness insurance for urban and rural residents in the country, and focus on solving the problem of heavy burdens after the people are seriously ill. The actual reimbursement rate for major illnesses will be increased by 10 to 15 percentage points after the basic medical insurance reimbursement, and the personal burden will be reduced to less than 30%, effectively solving the problem of poverty and serious illness and returning to poverty.

Comprehensively promote comprehensive reforms in all county-level hospitals, expand the pilot scope of urban public hospital reforms, further eliminate the mechanism of medical supplements, and establish new mechanisms for safeguarding public welfare, mobilizing enthusiasm, and ensuring sustainability;

Strengthen the supervision and management of medical institutions, especially to promote the standardized management of clinical pathways and diagnosis and treatment, monitor the high medical expenses, valuable drugs and high-value consumables, monitor and control the growth of medical expenses, accelerate the construction of information technology, and utilize information. Technology monitors unreasonable medical expenses; strives to solve the problem of high drug prices, promotes the reform of drug procurement mechanism, regulates centralized drug procurement, explores the establishment of innovative drug negotiation mechanisms, promotes research and development of medical devices and drugs, and gradually reduces medical care for the masses. Cost burden.

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