In fact, it is difficult for Internet hospitals to become an industry alone. However, due to its connection value, it can connect enterprises in many sub-sectors such as medicine, equipment, insurance, consumer medical care and consumer health, and promote the digitalization of enterprises in the field of medicine and health. Therefore, an industrial ecology can still be formed around Internet hospitals.
Aiming at how to build a new ecology of Internet medical industry. Wu Hao, president of Dolphin Digital Medical Industrial Park, pointed out that it is possible to attract all kinds of enterprises from all over the country to settle in the industrial park through industrial carriers and regional medical resources, and finally form a cluster; In addition, it is also very important to expand the access to medical insurance payment and commercial insurance payment.
The improvement of medical insurance payment can support the development of internet medical care in many aspects, such as improving the operational efficiency of hospitals and opening up the closed loop of enterprise business.
Wen Jian, president of Internet Hospital Branch of China Research Hospital Association, pointed out that in recent years, Internet hospitals have developed rapidly and improved the health and health security system; In addition, as a means of deepening medical reform, Internet hospitals can not only optimize the allocation of medical resources, but also better serve users.
However, Wen Jian also pointed out that there are corresponding problems in the rapid development of Internet hospitals. For example, medical quality issues, security issues, medical data security issues and so on. In addition, the write-off of medical insurance in Internet hospitals involves physical hospitals, and how to deal with medical insurance pricing in different provinces is also a problem.
Wen Jian said that Internet medical care should also follow the principle of medical evidence-based, and explore and demonstrate consensus guidelines such as disease management and specialist disease diagnosis and treatment through practice. At the same time, Internet medical care should also follow the national medical and health data security regulations and collect, manage and use data in compliance.
How does Internet medical care provide services for patients with chronic diseases? Huang Hui, co-founder and chief operating officer of Yunkai Yamei, pointed out that we can provide patient-centered disease management services based on the corresponding diseases, reconstruct the diagnosis and treatment path, establish a perfect user portrait for patient data collection, and help patients provide more professional and exclusive medical advice.
It is reported that operation is often a major defect of public hospitals, and public hospitals Internet hospitals are no exception. Alina Zhang, director of Kingdee Medical Operation Department, suggested that an innovative operation mode with hospital as the main body and external extension of internal circulation could be established.
Alina Zhang further pointed out that around the single-hospital Internet hospital, internal circulation can be used to improve its operational efficiency; For the medical association, through the help of hospitals at higher and lower levels, it can achieve external extension and help hospitals to make big increments. "By continuously improving the brand influence of hospitals, while improving the service capacity and comprehensive level of hospitals, the quality and efficiency of Internet hospitals in public hospitals will eventually be improved."
How to build a professional Internet hospital that is often regarded as "good business"? Chang Jiang, CEO of Youmai Technology, pointed out that dermatology is the most suitable department for online diagnosis and treatment, and dermatology itself has stronger consumer medical attributes. "In the process of building a specialist Internet hospital, we can focus on maximizing the value of doctors on the supply side of medical services, and gradually build a unique business model by establishing a doctor's personal brand image, providing a learning platform and providing intelligent diagnostic tools for doctors, so as to improve the work efficiency of doctors."
Zhang Xiaoxu, a senior researcher at Eggshell Research Institute, pointed out that the current Internet hospital policy provides a large exploration space for the industry on the premise of ensuring medical safety and information security. Affected by the epidemic, the number of online medical services on the Internet has surged, and their demand for substantive services to solve medical problems has become stronger. Therefore, more Internet medical listed companies began to devote themselves to medical and health services.
The importance of data in the medical industry is obvious. According to the planning of Chengdu, the medical and health industry in Chengdu is expected to reach 500 billion in 2030. Based on this, Chengdu has built a data integration platform to realize the interconnection of government data and medical data.
Liu Guoli, deputy general manager of Chengdu Big Data Company, pointed out that the next step in Chengdu will be to build an Internet service platform that will benefit the people and provide services for residents, medical industry and medical industry enterprises; Focus on public health and primary health care, and promote the high-quality development of public medical institutions and the equal development of community medical institutions; Relying on computing power, algorithms and data, we will build a platform with industrial enterprises to support new drug research and strengthen medical transformation results.
In fact, it is difficult for Internet hospitals to become an industry alone. However, due to its connection value, it can connect enterprises in many sub-sectors such as medicine, equipment, insurance, consumer medical care and consumer health, and promote the digitalization of enterprises in the field of medicine and health. Therefore, an industrial ecology can still be formed around Internet hospitals.
How to build a new ecology of Internet medical industry? Wu Hao further pointed out that through industrial carriers, combined with regional medical resources, attracting all kinds of enterprises with special diseases and industrial ecology from all over the country to settle in the industrial park, and finally forming a cluster, we can realize the synergy of market operation, maximize the sharing of the achievements of top medical companies, and expand innovative practices such as medical insurance payment access and commercial insurance payment. In addition, ecological construction will affect the enterprises in the park for a long time and contribute to the healthy development of the industrial park.
Since 20 19, the National Medical Insurance Bureau has taken the lead in issuing policies related to Internet medical insurance payment for many times. Up to now, 26 provinces have followed up and formulated corresponding implementation opinions or landing rules. Internet follow-up, remote consultation, remote monitoring and remote diagnosis are several categories of Internet medical pricing and medical insurance payment, among which Internet follow-up has become a standard item.
According to the survey of 20021Internet Hospital Report, 43% of the Internet hospitals that have been put into operation have realized medical insurance payment. Among them, the coverage rate of medical insurance payment in Internet hospitals dominated by hospitals has reached 53%. According to public statistics, the medical insurance settlement of Internet hospitals in some provinces has reached tens of millions of yuan, with an average reimbursement of more than 200 yuan.
The improvement of medical insurance payment can support the development of internet medical care in many ways. First of all, it can improve the operational efficiency of the hospital. According to the survey, there is a big difference in the operational data of whether hospital-led Internet hospitals have medical insurance payment. The improvement of medical insurance links is conducive to improving the operational efficiency of Internet hospitals.
Secondly, it is conducive to opening up the closed loop of the company's business. In addition to hospital-led Internet hospitals, large enterprises also connect with local medical insurance through Internet hospitals around the country, realizing a closed loop of medical, pharmaceutical and medical services.
It is worth noting that the construction and operation of internet hospitals in many places has become an important way for internet medical companies to strengthen the connection of offline medical resources, enhance the ability of localization services, and enhance the conversion of offline traffic. It is also the basic premise of opening local medical insurance payment.
In the process of internet medical insurance landing, many provinces in China published medical insurance settlement data.
Taking Beijing as an example, since 2020, the Beijing Municipal Medical Insurance Bureau has determined 1 1 batch of Internet+medical service medical insurance designated institutions; As of August this year, Internet diagnosis and treatment services in 30 hospitals have been included in the scope of medical insurance payment, and Internet hospitals in large top three hospitals such as Peking Union Medical College Hospital and China-Japan Friendship Hospital are among them. According to the data of the National Medical Insurance Bureau, by the end of 2020, 9 hospitals in Beijing/KLOC-0 had received 45,779 consultations through the Internet, with a total cost of174.62 million yuan, of which medical insurance paid 9.238 million yuan.
In addition, online medical insurance payment in Zhejiang, Ningxia, Shanghai and other places has also shown results. As of April this year, there were 222 Internet hospitals in Zhejiang Province, and the number of medical insurance settlement for online consultation and follow-up reached1230,000, and the online payment was 27.4 million yuan. By the end of July this year, Ningxia Yinchuan Internet Hospital had signed more than 24,000 serious illness clinics, consulted more than 30,000 people online, and reimbursed 2.466 million yuan for medical insurance expenses. Judging from several areas where medical insurance settlement fees have been announced, the average reimbursement fee for patients ranges from tens of yuan to 200 yuan.
Although the Internet medical insurance payment has achieved results, there are still problems to be solved urgently. For example, the pricing of Internet medical services needs to be optimized. For doctors, due to the long time limit of online consultation, patients may spend more time initiating multiple rounds of dialogue than offline. In addition, according to the medical insurance policy, public medical institutions carry out internet follow-up, and the services provided by medical staff at different levels are charged according to the general outpatient service, which also means that doctors and hospitals pay higher costs.
In addition, for Internet hospitals that are mainly physical hospitals, the essence of applying for a supplementary agreement based on their physical medical institutions is to transfer part of the medical insurance reimbursed offline to online; However, for enterprise-led Internet hospitals, if many Internet hospitals rely on the same entity medical institution to bid, then online and offline medical insurance distribution and other issues need to be explored.
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