
AI-generated summary
健保總額協商是全民健康保險制度的重要決策程序,過去多年因付費者代表與醫界代表對成長率意見分歧,常需採「兩案並陳」送交衛福部長拍板。近年透過共識形成,協商程序較為順暢,但督保盟擔憂其流於形式。
Growth of 5.5% for 3 consecutive years. The Supervisory and Protective Alliance hopes that the total amount negotiation will be more transparent.
The National Health Insurance Council held a consultation on the 116 annual total amount on the 23rd. The medical community and consumer representatives reached a consensus at the meeting. The total amount officially exceeded 100 trillion yuan, and the growth rate reached 5.5% for three consecutive years. five%. Minister of Health and Welfare Shi Chongliang said that taking into account factors such as the increase in basic wages next year, salary increases for the military, public and education, and economic development, it is optimistically estimated that the health insurance security reserve will still be available for two to three months by the end of next year, and it is estimated that there will be no need to adjust health insurance premium rates.
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Calculated based on the growth rate range of total health insurance in 2016, reflecting the natural growth budget that does not require negotiation such as population aging and cost changes, the increase was 259. 8.6 billion yuan, and the remaining room for negotiation is 2.84 billion yuan. 1.1 billion yuan. After an 11-hour meeting and negotiation, it was decided that the total amount of health insurance for 116 years would reach 1.434 trillion yuan. 4.7 billion yuan, with a growth rate of 5.0 for three consecutive years. five%.
In addition, the growth rates of the four major sectors of total health insurance in 2016 all reached the approved upper limit of 5. 5%, of which the hospital total amounted to 7,235. 2.9 billion yuan, the total amount of primary-level western medicine is 1965 yuan. 8.2 billion yuan, and the total number of dental clinics is 6.16 billion yuan. 2.8 billion yuan, and the total number of TCM outpatient clinics is 3.84 billion yuan. 6.4 billion yuan, and other budgets also include 232 yuan. 4.4 billion yuan, an increase of 12.0% compared with 2015. One to two billion yuan.
Shi Chongliang pointed out that taking into account the increase in basic wages next year and salary increases for the military, public and education, etc., it is expected that general premium income will increase again, and economic development will also promote an increase in supplementary premium income. The Executive Yuan will inject another 60 billion yuan into the health insurance fund from the official budget. It is optimistically estimated that the health insurance security reserve will still be maintained at a level of two to three months by the end of next year, and there will be no need to adjust health insurance premium rates.
Full live broadcast of total health insurance negotiation?
Shi Chongliang: Will discuss with National Health Insurance Association
This year is the second consecutive year that a consensus on the total amount of health insurance has been reached on the same day of the National Health Insurance Council. Unlike in the past years, where payer representatives and medical representatives had different opinions on the total growth rate, negotiations broke down, and the two cases were finally submitted to the Minister of Health and Welfare for approval. Teng Xihua, spokesperson of the Supervisory and Insurance Alliance, is worried that the negotiations on the total amount of health insurance in recent years may become a mere formality.
Teng Xihua pointed out that representatives from the medical community often demand huge amounts of money in meetings with just "a few words". When faced with opposition, they use medical staff to leave and the collapse of medical care to blackmail them. Consumer representatives are unable to refute, resulting in the negotiation of the total amount being reduced to a formality. He calls for the Legislative Yuan to follow the example of the Legislative Yuan and live broadcast the entire meeting.
Shi Chongliang said that before the consultation on the total amount of the National Health Insurance Commission, the agenda will be disclosed seven to nine days before the meeting in accordance with the procedures, and the meeting minutes and speeches will be published on the website ten days after the meeting. All audio and video files will also be retained. Whether it will be made public immediately through live broadcast in the future, we will further discuss with the National Health Insurance Commission members and others to confirm whether there are any other problems. If not, "maybe we can plan in this direction."
AI outlook — possibilities, not facts
健保會將與衛福部長石崇良討論是否採取健保總額協商全程直播的方式
Possible · Within weeks

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