In accordance with the rule of the first year of the introduction of my country’s policy, the expansion of the pilot in the second year, and the full implementation of the third year, the DRGs collection and payment model implemented by the Medical Insurance Bureau is expected to be fully implemented in 2021.
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Medical insurance is closely related to our lives. Whenever we get sick and need medication, hospitalization or other medical services, medical insurance will silently cover most of the costs, allowing us to enjoy high-quality medical services at extremely low prices.
According to the “Statistical Bulletin on the Development of National Medical Security in 2019”, the national basic medical insurance fund spent 20854 billion yuan in 2019. Most of these expenditures are used to pay for various drugs, medical projects or build medical service facilities. There is no doubt that medical insurance has brought great protection to our lives and health.
The relationship between medical insurance and us is more than that. For entrepreneurs in the medical and health industry, can the medical drugs, medical equipment or medical services provided by their companies be purchased by the hospital? How to purchase? What is the purchase price? The answers to these questions are in the medical insurance policy.
It can be said that the medical insurance policy is a “business guide” worth tens of thousands of dollars for entrepreneurs in the medical and health industry. In order to help entrepreneurs understand this guide and obtain business opportunities in the industry, an online live broadcast with the theme “Medical Insurance Reform, which medical and health companies have the opportunity to stand out?”
This is the second live broadcast of the “New Trends in the Medical and Health Industry” series. We invited Shanghai to jinchuang TechnologyGeneral Manager Shi Chao, Beijing Wu ZuzeTechnology development< /a> Zhu Liang, Deputy Secretary-General of the Foundation, jointly explained to us what kind of opportunities the DRGs payment system, which will be fully promoted in 2021, will bring to entrepreneurs in the healthcare industry.
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The core of the DRGs payment system is that hospitals need to reduce their own expenditures on drugs, medical equipment, and even medical services as much as possible. This has brought huge survival pressure to medical companies that rely on hospitals to obtain orders. In this regard, the two guests will start a super dialogue from several problems they often encounter:
1. The hospital outsources various services, and the original product sales channels are closed
Limited by DRGs’ reimbursement of medical expenses, most hospitals will choose to outsource related medical services such as diagnosis and prescription to research institutes and pharmacies. This makes hospitals no longer directly purchase drugs, testing reagents or other medical supplies from companies.
If a company loses its original sales channels, and fails to establish corresponding sales channels to diagnostic institutions, retail pharmacies or rehabilitation centers in time, it is very likely that the capital chain will break.
2. The competitor changes and the sales strategy is no longer applicable
Take medical supplies as an example. In the past, the direct competitors were the same types of medical supplies. As long as they have an advantage in product quality and price, companies can get orders.
After the implementation of the DRGs payment system, because the overall medical budget is fixed, medical institutions will give more priority to purchasing plans with lower overall costs, which poses greater challenges to the company’s product portfolio capabilities. If a company that only produces a single type of medical supplies cannot cooperate with other companies for product package sales, it may face a situation where a large number of orders are lost.
3. The patient offline service cycle is shortened, and the lifetime value of users is reduced
According to the feedback from the current pilot cities of DRGs, the most obvious one is the shortened hospital stay. Many patients who need to use medical devices to treat or receive medicines in hospitals,It is very inconvenient to go back and forth between the hospital and home. This has hindered the offline medical services provided by many medical and health companies.
In this case, if the corresponding online service system is not established in time, even if the product is good enough, it may lead to the loss of users due to insufficient convenience.
The second phase of the live broadcast of the new medical and health trend series
The upgrading and development of the health industry has created a new paradigm in the new era. Facing the turbulent business environment and the future full of unknowns, continuous innovation and continuous breakthrough are the melody of this era.
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