On June 10, our province took the lead in the country to include tumor whole body tomography (PET-CT) examination into the payment scope of serious disease insurance. The price of provincial public hospitals was adjusted to 5,300 yuan per time, and implemented on June 30. Compared with the previous cost of nearly 10,000 yuan, it will greatly reduce the medical burden of cancer patients.
Although a large number of cancer targeted drugs have been included in the health care drug directory and our province serious illness insurance drug payment scope, better reduce the burden of cancer patients, however, diagnosis and treatment process examination still bring heavy pressure to cancer patients, especially commonly used clinical cancer diagnosis and treatment of PET-CT examination costs not included in reimbursement, become an important economic burden of patients with families.
Recently, the Provincial Healthcare Security Bureau issued the Notice on Integrating Tumor Tomography into the Payment Scope of Serious Disease Insurance, which made clear the inclusion of tumor fault imaging (PET-CT) examination into the payment scope of serious disease insurance from four aspects: specify the payment object and be the insured of serious disease insurance.
Define the scope of payment, limit the stage of malignant tumors and the detection of recurrence / metastasis after treatment; find the primary tumor of unknown metastatic tumor; guide the setting of the target area of radiotherapy plan.
The payment standard is clear. The price of tumor body tomography (PET-CT) shall be adjusted to 5,300 yuan per time. At the price of the public medical institutions within the jurisdiction, and the serious disease insurance shall be paid according to the above price and relevant regulations.
Clear payment regulation, around to make full use of health care intelligent regulation platform, strengthen the medical institutions tumor body fault imaging (PET-CT) expenses monitoring analysis, focused, targeted measures to prevent the abuse in the process of medical, promote clinical reasonable examination, reasonable treatment, really do huimin good.
(Source: Zhejiang Daily)