Director of Tainan Hospital, Ministry of Health and Welfare (2012-May 2016) Targeting unnecessary medical expenses and assisting health care financial savings with information systems When asked if he would adjust health insurance premiums this year or next year, Li Bozhang said clearly, saying that the adjustment of premiums is a political issue and beyond his ability. However, he believes that regardless of whether premiums are charged more or less, the focus is on whether workers in the medical system can receive reasonable benefits. Compared with focusing on open source, Li Bozhang values and cares more about how to save money.
Or, to put it another way, he cares about finding unnecessary medical expenses. Li Bozhang said that after taking office, he first asked colleagues from the National targeted email list Health Insurance Department to review the proportion of health insurance expenses spent on various medical items. After inspection, it was found that the proportion of inspection and drug expenses increased year by year, while the proportion of medical expenses decreased year by year. After identifying this trend, Li Bozhang's goal is to control (and preferably reduce) the proportion of the first two expenses, so that the proportion of medical expenses can be increased.
Among them, how to avoid repeated inspections and repeated prescriptions in medical institutions has become the focus of the National Health Insurance Agency. Slide 2 Photo Credit: provided by the Department of Health In 2019, the costs of inspections and medicines were 95.5 billion yuan and 208.3 billion yuan respectively. When combined, the two accounted for 42% of the total cost of health insurance last year. How can physicians avoid prescribing repeated tests? According to the content published in the e-newsletter by the National Health Insurance Administration in 2017 , the department has promoted the "Results Sharing System of Important Inspection and Examination Items".