Policy challenges facing private hospital for large-scale hedge risk

by:Celecare     2020-06-30
On September 10, as health policy of couplet of intensive and medical and health has quickly established, private medical institutions are facing a large growth in the future. Face extrusion from payment or other public institutions, private hospitals are rapidly improve itself against the risk of future long-term scale. At the end of 2017, private hospitals across the country have 18759, including 228 for tertiary hospitals, accounting for 1% of the total private hospitals institutions. Of (among) all the tertiary hospitals, private accounts for only 10%. Although three private hospitals were still less, but growth is faster. From 2013 to 2017, more than double the number of private tertiary hospitals, outpacing growth in private secondary and private level hospital. Private hospitals, 2013 and 2014, growth is faster in addition to more than 800 bed large hospital, including 100 beds and 400 beds of all sizes between small and medium-sized hospitals, but in 2016, especially in 2017, more than 800 bed big hospitals emerged as the leader of the increase in the number of institutions. This point and the trend of public hospital is the same, showing China's hospitals have to the characteristics of the large-scale development in recent years. Large the cause of the rapid growth of private hospitals in addition to the increase of investment, another important factor is to counter the risk of long-term future. As the national health insurance bureau launched combination control measures, whether in less developed areas of health care itself is to make ends meet, or developed areas residents health care subsidies to the local pressure, promote the health care more strictly control cost, this will greatly restricting private hospital revenue scale. In April 2019, for example, in health bureau directly to shut down the pain of the local hospital, because of the pain has become a high incidence of insurance fraud in department. In addition, with WeiJianWei requirements do big do strong county hospital policy, especially as part of the medical total body has the human, financial and get through, the unity of the total health and drug purchase made only 1 - in the county Two large hospital, public medical service agencies in the strength of the county will be further promoted, which will directly in the extrusion of private medical institutions of the county. As public hospital drug implemented zero bonus and 4 + 7 health belt quantity purchase, civilian battalion hospital of the cost of all time is generally higher than public hospitals, a much smaller competitiveness. If, in accordance with the lowest price to sell drugs, competition ability of the hospital itself is weak, and mainly depends on health care, revenue and profit will be double. And if to maintain our original price, public hospitals occupy the advantage of cheaper drugs, the possibility of a loss of patients will be very high, the revenue of the whole plate capacity will be discounted. And, after the amount of health care with purchasing, paid price is expected to be three years away in the country. In some remote three or four line city, five cities, even though the private hospitals as the only or the main local comprehensive hospital, may also keep prices in the short term, keep the profits of the drug. But in general, drug prices is inevitable, which means that the local civilian battalion hospital income may be significantly lower in the future. In front of the risk of the revenue decline, smaller hospitals have been hit by more apparent, because the individual small hospitals lack the scale to lower operating costs, and also lack the ability to expand new revenue. Once the income decrease, the overall pressure is very big, the small and medium-sized private hospital long-term development will produce significant challenges. While from the point of data, private level of civilian battalion hospital and public gap is minimum. On the level of hospital, 2013 public school is a private. 77 times, and in 2017 to 1. 69 times, slightly narrow. Private courtyard all income in 2013 to 2017, average annual growth of 7%, slightly more than 6% of the public, in the primary hospital is the only in the court all income grew close to public and private hospitals but can small and medium-sized public hospitals by joining of couplet of medical and health body, on the whole public tertiary hospitals rely on to fight the market risk. While the private hospitals have no way to rely on public tertiary hospitals to dissolve the risk, the future impact will be the biggest. Therefore, reform accelerated since 2015, the number of large private medical institutions increase rapidly. From an increasing number of institutions, however, does not relieve the gap between private hospitals and public hospital. In 2017, public tertiary hospital courtyard all income is 8. 300 million yuan, and private tertiary hospitals of all size of 1. 7. 8 billion yuan, both difference. 4. 68 times, both differ 3 than in 2013. 56 times continue to expand. This is mainly because the public tertiary hospitals in bed size and growth are more than private services, public tertiary hospital in 2013 to 2017 yuan are scale growth rate reached 8%, compared to 1% of private tertiary hospitals. Therefore, private hospitals in major at the same time, we must strengthen the ability of the overall technology, to enhance the overall competitiveness. Otherwise big and not strong private medical institutions will face great impact and unsustainable.
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