Monday, October 25, 2010

A private medical reform and his 30 million members

 Pay 20 yuan a year membership fee, in the eight designated public hospital, 13.6% of all drugs and check the inspection fee of 5% -20%, can receive cash reimbursement; and this reimbursement is not by whether the parties have insurance, whether to join the new rural cooperative, is in full public expense reimbursement and any other restrictions.

This is in Chongqing, a civilian medical mutual health organization, with hospitals, pharmaceutical co-operation, 3 years, not only in the way of cash subsidies of more than 30 million members for the reimbursement of medical expenses 3000 million, but also made eight designated hospitals for drugs significantly decreased by 2 million yuan, accounting for medical costs of drugs, compared to just 30% (national average is about 50%.), so that problem by direct mitigation.

Mutual health care organization that was founded by a private entrepreneur in Chongqing; co-sponsors, including the eight public hospitals in Chongqing; participants in addition to the eight public hospitals, there are more than 1900 nationwide pharmaceutical companies.

more intriguing is that participating hospitals,cheap UGG boots, pharmaceutical companies and sponsors, also not a pure public good behavior, and they all get their own commercial success. Now, the organization's founder and co-launched the Three Gorges Reservoir in Chongqing, the

Currently, there are multiple copies of the provinces and municipalities interested in medical reform models.

This is what kind of health care reform model? It shapes what kind of medicine, medicine, patients benefit chain? How to make it past the medicine, doctors and patients and other

known as the domestic Some predict that if this new action Qun smooth and successful, then 3 years ago, he first has the domestic or exclusive to public health action More importantly, the health reform model may also be out of Chongqing, in the other provinces and cities to promote copy.

by farmers more than 30 million members

- 3 years, the designated hospitals to reduce medical expenses over 200 million yuan, the
Liu Qun, a well-established reputation in Chongqing pharmaceutical industry, but also controversial figure: Chongqing famous private entrepreneurs, Dan Lingcun Dianjiang County village head ... ... but the most attracting outside attention, and let his controversial is his other identity - the

3 years ago, March 1, 2006, Liu launched a private medical reform known as the domestic version of the The first person .

As present,UGG boots, the action has been 3 years in Chongqing Shi Shi, a member in more than 30 million people; in the designated hospitals, including the eight public hospitals in Chongqing, China more than 1,900 pharmaceutical companies.

Liu Qun, founder of the journalists said, 3 years, to At the same time, a substantial decline in designated hospitals for drugs, drugs accounted for the proportion of medical expenses is 30%, while the national average of about 50%, eight designated hospitals for medical expenses which decreased by 2 million.

2 月 25 日 下午 2 am, picture: First, the door next to a prominent hospitals and general hospitals are not the office -

In the A man with a backpack and carrying a child, said he wanted to see a doctor for drugs reimbursed two days ago, his hand a copy of the receipt drugs, drugs total was 80.5 million.

br> Service Department Huzhu Ren told reporters, because many of their members have joined the new rural cooperative medical insurance, etc., or need medical fee invoices, and the pieces can be, invoices for reimbursement for period of 7 days.

membership in the new reception counter, a 40-year-old farmhouse look, speaking in the local accent of women membership in the inquiry situation. Press through a dialogue with her staff learned that she was through the village, the villagers join other know of the

staff gave her a living in the PRC legal citizens.

reimbursement in addition to drugs, the farm women asked electrocardiogram, B extra fine to be reimbursed.

; 100-300 dollars for reimbursement of 10%, the general inspection fees are reimbursed 5%. more than 90% for local farmers, providing a total cost of medical claims about 420 million, in other words, more than 420 million to medical expenses, ease the

designated hospitals

- > at the same time reduce the medical expenses of patients, does it mean to reduce the hospital's revenue? In particular, members of inspection and examination fee reimbursement 5-20% of the burden from the hospital, which directly reduce the hospital's revenue. So why are hospitals willing to participate?

with questions, a reporter knocked on the Nanchuan Li Jianping County People's Hospital office. loss of more than 800 million; but in 2008, our medical expenses grew by 36.6% of total revenues, amounting to more than 8300 million in Nanchuan public and private hospitals is the highest. income increased, the proportion of income is drugs decreased by about 20%. In 2008, we accounted for only 33% of the drugs, while the national average is about 50%; while the same area in Nanchuan, many hospital drugs accounting for up to 70%. In the

, tried to persuade persuaded not to go. Hospital Medical Waste Management II action, the figure is 5,000 -8,000 yuan, 10,000 yuan -12000 tertiary hospitals in the yuan. He bluntly said: reduced, but increased business volume; in particular, through the dramatic decline in medical costs, directly address the 'doctor of your' problem, the hospital established a 'People's Hospital for the people' of the brand image, market competitiveness greatly enhanced. independent of their income. hospital departments targeted by the assessment; assessment indicators, the health care quality assessment, quality of care accounted for 70% of the assessment, such as patient satisfaction, bed turnover rate, complaint rate. this medicine for doctors concerned about the improvement of skills to improve other study provides an institutional guarantee business. The former medical expenses less than 2,000 yuan, which was RMB 3,000 yuan -4000 (Note: the top three hospitals in Chongqing, then about one million).

Long pointed out at the site, said: We will come up with one of the floor, specialized health care operations for Waste Management 'Member Health Services'. hold down prices Theory ', did not think that think it is 6 years The so-called theory of time to hold down prices for pharmaceutical companies cleared 'charges'. Economic Weekly

graduated from Southwest Agricultural University, Liu Qun, said since 1989 he entered the pharmaceutical industry, engaged in drug distribution and pharmaceutical production, pharmaceutical companies and have their own distribution companies.



became the mainstream sound. 'medical care, medical treatment is difficult' the buck to the drug manufacturer. Province are engaged in; pharmaceutical companies are busy desperately to cope with, spend a lot of the cost of the tender - Data fees, public relations costs, potentially increasing a lot of cost, the cost of taking up almost all production profits. then not only the business loss, or even the whole industry losses. things almost to the point of no control. there is no living space, there is no profit, more than 4,000 factory workers how to do? wages, insurance come from?

to the hospital he began to conduct field research. and the new theory, it 'theory to hold down prices' just the opposite. comprehensive variety of drugs prescribed depends on a doctor's prescription, specifically, different varieties, different number - such as the low price of penicillin can be used, but the doctor prescribed expensive cephalosporins, or this can be made in China, But the doctor in imports, or the amount of 3 days is enough, but the doctor prescribed amount of 6 days; and medical costs, not just drugs, including inspection fees, medical fees, bed fees of all charges. Therefore, drug prices, drugs, medical bills can not be equated between.

'approach, that is, through the control of drug distribution, not to a doctor's prescription costs, billing costs. Dianjiang County of Chongqing People's Hospital, Nanchuan County People's Hospital, Fengdu county hospitals. He put all the drug marketing at the hospital had not changed all drug promotion, the promotion of exclusive production of the same type of medicinal drugs to replace. said.

some other parts of the country at this time also began the implementation of pharmacy managed,UGG bailey button, Chongqing, other local hospitals managed their practice of pharmacy,

drugs. . autopsy: allow doctors to lose their high-priced drugs and to open the enthusiasm of more drugs, so that medical representatives from the source no longer have to sell high-priced drugs on the basis of. This is the first thought Huimin prototype of medical action.

- How doctors, medicine, patients between the three design a new medical model. First, there must be a large medical groups, Member Services by the team to organize themselves drugs, for team members to use, this drug is not only the interference of the hospital, doctors are not subject to interference; Third, pharmaceutical companies are willing to lower than a certain percentage of the market price for the team supply,Discount UGG boots, clinical drug promotion that pharmaceutical companies should take to recharge the cost of membership.

So, Liu first local public hospital, provide the necessary emergency treatment and the green channel service.

doctors prescribe expensive drugs and large institutional basis for innovation and finding new hospital development of a breakthrough. Li Ch'ing-p'ing Therefore, the hospitals also hope to have a new mechanism to regulate the pharmaceutical supply behavior of doctors, streamline patient relationship.

have health groups and the participation of designated hospitals after, Liu began to negotiate with pharmaceutical companies. ratio of 20% of drug costs for team members paid to patients (Note: After deduction of personal income tax, actually paid to patients to 13.6%). to my surprise, most pharmaceutical companies are happy to accept our terms, members are willing to do the drug suppliers.

why pharmaceutical companies are willing to accept the conditions of 20% below market supplier to do?

Qun that he designed Huimin medical action, for the pharmaceutical companies, is not only no longer have to rely on promotions to doctors kickbacks and other irregularities into the hospital, cost of sales greatly reduced. 5% of Shipping, the pharmaceutical companies are all open and transparent; the same drug in different pharmaceutical companies to enter the platform after the implementation of equal distribution, pharmaceutical companies are fair to each. We have also developed the earliest independent open platform for drug supply. more than one drug, a drug more than price, a regulation of the pharmaceutical drug circulation of more than chaos, establishing a standardized system of medicines. This system of hospitals and doctors are no longer subject to interference, which regulate the drug distribution system, and chaotic drug distribution system is lost to medical supervision, pushing up medical costs. all People's Hospital) is co-sponsored;

was commented, and benefiting consumers in the medical action is equivalent to the hotel's Qun am not entirely agree with his view, this analogy is far from reflects the deep meaning of this model.

for the benefit of re-adjustment and organic integration; the biggest challenge of this model object is for the original model and for the drug means drugs can be said another way - to establish a membership-based coalition of medical mutual aid, and to form alliances to purchase health care service, so that patients have a voice in the pharmaceutical pricing, remodeling and new distribution model of pharmacy benefit; the model changed the medical services and pharmaceutical services, the original rules of the game in to the hospital and doctors no longer rely on to prescription and expensive drugs to make money under the premise, so that patients really enjoy the low-drugs, to eliminate from the system, the 'doctor of your' source.

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