从90个工作日缩至30天 上海加速新增医疗服务项目

2019-05-24 龚雯 新华社

上海市简化新增医疗服务项目管理流程

为鼓励医疗新技术更快进入医院使用,更好服务患者,上海市医疗保障局积极推进“放管服”改革,在保证严格监管的基础上,进一步简化上海市新增医疗服务项目管理流程。

流程简化最大的亮点在于,对于上海市首次开展的医疗服务项目,审核流程所需时间由90个工作日缩短为最长30天。对于已经在上海市开展的医疗服务项目,新增医院开展该项目,审核流程所需时间由90个工作日缩短为2天。

上海交通大学医学院附属第九人民医院财务处长张海斌表示,“肿瘤冷冻消融治疗技术”为治疗肿瘤提供了新的技术手段。按以往的程序,需要每一家想开展的医院获得技术准入,然后再申请开展和收费,需要耗费数月。现在流程大大简化,只要医院有这个新技术的临床应用备案,就可以按照不超过上海市现行价格执行,到上海医保局变更医保信息,2天内就能正常开展这个新技术。

记者从上海医保局获悉,此次新增医疗服务项目管理流程调整优化,还体现在三个方面:一是加快价格审核速度。从原来每年审核2-3次优化为每月审核1次,特殊情况如重大技术创新项目等可一事一议。

二是改“一院一批”制度为“统一定价”制度。对首次应用于上海市临床的新项目,统一制定价格标准。其他医院需跟进开展的,免去审价环节,只要向卫生行政部门进行医疗技术临床应用备案,办理完成备案手续后,就可直接按照不超过该项目上海市现行价格水平进行收费,无须再申请核价。

三是缩小新增医疗项目认定范围。对属于《全国医疗服务价格项目规范(2012版)》,并且在上海市首次开展的新项目,医院按规定提供资料后,经组织专家认定,确实为2012版项目名称、内涵后,统一制定价格标准,并在全市医院执行。

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