【Aug 16】Guangzhou to Establish a Comprehensive Senior Care Ecosystem
On August 16th, the Development and Reform Commission of Guangzhou Municipality issued a document entitled “Plan to Push the Development of Health and Nursing Care Industries”. According to the Plan, by 2020, the Guangzhou government will finish the construction of the Guangzhou Health and Medical Center and Guangzhou International Healthcare Industry Park. With the completion of these two major healthcare landmarks, Guangzhou will be one step closer towards establishing a comprehensive healthcare ecosystem.
Moreover, a series of international medical and healthcare facilities will be constructed in such areas as Nansha and Guangzhou Zhongxin Technology Park. These areas are to become the clusters of international healthcare resources according to the Plan. In particular, an international port for pharmaceutical imports and exports will be constructed in Nansha, making it a hub for international medicare services. The plan also stipulates the establishment of a pilot zone containing medical resources from Guangdong Province, Hong Kong, and Macao. This zone is expected to encourage collaboration among medicare providers at these three locations. Cutting edge technologies such as hematopoietic stem cell transplantation, gene chip diagnosis, and immune cell therapy would be introduced.
As for the construction of an information platform, a comprehensive operational platform containing medicare, healthcare, and senior care services would be established by the end of 2020. This program will include two phases. The first phase is to complete the construction of the Guangzhou senior care service information platform by the end of 2018. The second phase is to construct a smart health service database, to improve the community care service database, and to instill such functions as evaluation of service providers and recipients by the end of 2020.
【Aug 21】Black List and Exit Mechanism for Nursing Homes to be Established
On August 21st, Vice Minister of the Ministry of Civil Affairs, Xiaobing Gao, hosted the Conference on Improving the Service Quality of Nursing Homes, at which he outlined a series of issues underlying the national senior care system. These issues include potential safety hazards of nursing homes, loopholes in the service management system, substandard service providers, poor quality of rural nursing homes, etc. Gao emphasized five key areas in which policy improvement is needed. The first is to improve the safety and security of nursing homes nationwide. Secondly, authorities should further explore the reform on reducing bureaucracy, increasing management capacity, and improving service quality. This can be done by lowering the entrance standard of nursing homes while maintaining strict control and supervision on the operation of these nursing homes. Thirdly, authorities should focus on policy making in areas where no regulations currently exist. A nursing home credit system and an exit mechanism should be established to maintain and improve the service quality of operating nursing homes. Fourthly, nursing homes should focus on establishing a comprehensive training model to enhance the professionalism and service quality of nursing service providers. Lastly, authorities should invest more in the construction of nursing facilities in rural areas. Facilities serving the impoverished population in rural areas should be rated based on their service quality and feedback of service recipients to stimulate better performance.
《意见》具体提出如下三点鼓励政策：1. 鼓励政府将现有公办养老机构交由社会资本方运营管理。2. 鼓励政府和社会资本在城乡社区内建设运营居家养老服务网点、社区综合服务设施，兴办或运营老年供餐、社区日间照料、老年精神文化生活等形式多样的养老服务。支持政府将所辖区域内的社区养老服务打包，通过PPP模式交由社会资本方投资、建设或运营，实现区域内的社区养老服务项目统一标准、统一运营。3. 鼓励养老机构与医疗卫生机构、健康服务机构开展合作，支持打造“以健康管理为基础、以养老服务为核心、以医疗服务为支撑”的全生命周期养老服务链，兴建一批养老为主题，附加康养、体育健身、医疗、教育、文化娱乐、互联网等现代服务业的“养老+”综合新业态。
【Aug 22】Public-Private Partnerships Encouraged to Develop Senior Care
Recently, the Ministries of Finance, Civil Affairs and Human Resources and Social Security co-issued the “Instruction to Use the Public-Private Partnerships Model to Support the Development of the Senior Care Industry”. The Instruction is meant to encourage the application of the Public-Private Partnerships model to reform the supply chain of the senior care industry and create a more diverse senior care market.
The Instruction specifically sets forth three policy guidelines to encourage more social capital investment in the senior care industry. Firstly, the Instruction encourages local governments to allow private investors to operate existing public nursing facilities. Secondly, the Instruction encourages the application of the Public-Private Partnerships model to construct, invest in, or operate food and daycare services. Local governments are instructed to bundle all senior care services in the region together and allow private investors to manage these bundled services. Lastly, the Instruction encourages more collaboration between nursing facilities and medical or healthcare facilities. This is to create a full cycle of senior care services. These services will span across such areas as physical exercise, education, medical services, entertainment, rehabilitation, nursing services, and internet powered services.
上药云健康的首席运营官张小栋表示，自费患者会对此类高价创新药物疗效产生疑惑是很容易理解的，因此“按疗效付费”的保单的推出可以帮他们消除对未来不确定性的顾虑。事实上，国际上早已推出类似的“按疗效付费”的保单：英国国民医疗健康系统（NHS）和强生公司谈判决定，针对其药物万珂采用按照疗效付费的条件。NHS会购买并使用万珂，但若是在3个月的疗效评估中没达到预期的治疗效果，NHS将会停止万珂的使用，强生也需要退款给NHS。中国的医疗企业和保险机构通过大数据和相应的分析工具对临床试验效果进行研究，对于疗效有保障的药物可以推出更多此类保险，让自费患者多一种选择，多一份保障。 原文来自健康点微信公众号，本文由ACCESS Health研究部整理编辑而成
On August 15th, Huatai Insurance Group introduced the first insurance product in China that settles claims on the basis of the actual therapeutic effect of treatments. Patients prescribed with anti-hepatitis C drugs Daclatasvir and Asunaprevir will be the first group entitled to these settlements. Specifically, after purchase the insurance, patients will undergo a 24 week therapy, followed by a 12 week observation period. If the effect of these drugs is less than satisfactory, the insurance company will cover part of the drug purchasing expense – 30,000RMB in this case. The insurance premium was paid by Shanghai Pharma Health Commerce Co., Ltd, the insured party in this case. That Shanghai Pharma Health Commerce decided to apply for this insurance is to encourage more insurance companies to roll out similar products as well as to boost the confidence of consumers to purchase such products.
According to Xiaodong Zhang, COO of Shanghai Pharma Health Commerce, new CFDA approved drugs such as the anti-hepatitis C drugs in this case are not covered by social security, and therefore consumers tend to become more reluctant to purchase these drugs that are highly expensive and whose therapeutic effect is uncertain. Insurance products that determine the settlement of claims based on the actual therapeutic effect help clear the doubt. In fact, other countries had developed similar insurance products long before China. For example, Johnson & Johnson and the UK National Health Service had formulated an agreement in which the National Health Service would continue purchasing the Johnson & Johnson produced Velcade on the condition that Velcade reaches the expected therapeutic effect.
The original article appeared on the WeChat subscription account of HealthPoint. This is a transcribed version produced by ACCESS Health Research Unit.
【Aug 28】Distinct Healthcare Received a Series C Funding of Forty Million USD
Distinct Healthcare is a multidisciplinary healthcare provider founded in Shenzhen in 2012. Just a few days ago, Distinct Healthcare was reported to have received a series C funding of 40 million USD from three leading investment companies in China, namely Capital, China International Capital Corporation Limited, and Qianhai Parent Fund. Distinct Healthcare had received a series A funding of 3.5 million USD and a series B funding of 17.5 million USD in 2014 and 2015 respectively.
Since its founding in 2012, Distinct Healthcare has established 18 healthcare centers in six cities across the country, providing services in paediatrics, obstetrics and gynecology, dermatology, and Otorhinolaryngology, Head and Neck Surgery (ENT). These eighteen medical centers altogether receive fifteen thousand patients per month, with the two centers in Beijing receiving thousands of outpatients per month. According to Caixin Healthpoint, Distinct Healthcare is now expanding its service offerings to include child care and pediatric dentistry.
A community healthcare provider at the beginning, Distinct Healthcare plans to use its series C funding to improve quality control of its workforce, establish a continuing education platform for medical professionals and an IT information platform. Specifically, Distinct Healthcare will dedicate some of the funding to improving the standardization of services, establishing sub-categories under existing departments, and expanding the expertise of all of its staff. Part of the funding will also be dedicated to Distinct Healthcare’s expansion in new markets such as Shanghai and Beijing.
【Aug 30】Internet Insurance Company Shuidi Received 160 Million RMB Series A Funding
On August 30th, Shuidi announced that it had received a series A funding of 160 million RMB from leading companies in China such as Tencent, BlueRun Ventures, Sinovation Ventures, Banyan Capital, and Meituan.
Shuidi was founded in 2016 by Shen Teng, a former executive at Meituan. Shuidi boasts three main businesses, namely Shuidi Huzhu (a charitable community that encourages grassroots donations), Shuidi crowd funding, and Shuidi Insurance. Shuidi’s vision is to provide healthcare financing solutions and mobile healthcare services so that everyone has access to high quality and affordable healthcare.
Shen Teng, founder and CEO of Shuidi, announced that this series of funding will be dedicated to incorporating cutting edge technologies into healthcare insurance products. As of now, Shuidi has established partnerships with some of China’s leading insurance companies such as PingAn Insurance, Taikang Life Insurance, and ZhongAn Insurance. As of August 2017, Shuidi has raised more than one billion RMB for over sixty thousand people.
MedGenome是一家来自印度的基因组数据提供商，专注基因组学的研究和诊断。近日MedGenome对外宣布，公司已获得3000万美元的C轮融资。该轮融资由红杉印度与Sofina领投，也吸引到了包括Zodius Capital, Infosys前CEO以及Cognizant前CEO的投资。据悉，MedGenome会将这笔资金投入到生物标记项目与精准医药的研发之中。
【Aug 30】Genomics Startup Secured Thirty Million USD Series C Funding
MedGenome, a genomics research and diagnostics startup, has secured a series C funding of 30 million USD led by Sequoia India and Sofina. Other participants include Zodius Capital; Kris Gopalakrishnan, co-founder and former CEO of Infosys; and Lakshmi Narayanan, former CEO of Cognizant. Part of the funds will be dedicated to developing MedGenome’s biomarker discovery programs to reach the ultimate stage of precision medicine, according to Sam Santhosh, the company’s founder and chairman.
MedGenome hails from India and is now present in both India and the U.S. The company provides affordable genetics tests of rare ailments such as cancer, eye disorder, metabolic diseases, etc. It operates the largest next-generation sequencing lab in Southeast Asia as well as a certified sequencing lab in California.
Steve Swensen是Intermountain Healthcare的医疗总监，在一场新英格兰医学杂志举办的演讲会上，他问听众，如果我们的医疗健康体制由病人设计，那我们的医疗体系会变成什么样子？
Steve和他的团队还发现，病人希望医护人员之间能够互相关心、互相照料，因为他们明白，如果医护人员之间能够互相关心，那么他们就更有可能将这份关心传递给自己。团队成员互相照料的最典型例子来自于Barry Wehmiller公司。在2008年经济危机期间，当其它所有公司都在大肆解雇员工之际，Barry Wehmiller公司首席执行官Bob Chapman决定不解雇任何一名员工，而是采用临时休假、统一降薪等方式留人。经济危机过后，Barry Wehmiller公司的员工对公司高层表达了至高的敬意。这样互相关心互相照料的团队，是很多医疗集团与医院都缺少的。
What if Our Healthcare System Were Designed by the Patients?
“What if our healthcare system were designed by the patients?”, asked Steve Swensen, the Medical Director for Professionalism and Peer Support at Intermountain Healthcare. The thought struck him when he learned from a friend that the mechanic would always be the first one to fly a plane right after the maintenance is done. Swensen couldn’t help but ask himself, “what if we think about our healthcare system through the eyes of that mechanic who flies the plan s/he had repaired?”
Through interviews with some of the most successful healthcare leaders in the country, Swensen and his team discovered three wishes of a patient who is about to undergo care.
Wish One: Care about Me
Patients long for kindness and empathy, which unfortunately are often the missing pieces in the care system in America. “Care without love is at-risk care when there are higher risks of safety issues, patient experience issues and higher costs”, argued Swensen. Empathy and kindness are also reciprocal, meaning that patients who are treated kindly will return the same kind of empathy to healthcare professionals. It is estimated that one third of prescriptions filled out in the U.S. are not filled by patients, the reason for which being a lack of trust and rapport between patients and healthcare providers. If that trust and empathy exists, patients are more likely to comply with doctors’ notes and do what is in their best interest.
Wish Two: Care for Each Other
Swensen’s research also shows that most patients wish that healthcare professionals care for each other. These patients understand that if healthcare professionals care for each other, they will extend the same kind of care and empathy to their patients. In an interview with Bob Chapman, CEO of Barry Wehmiller Companies, Swensen discovered that Chapman sees his company as a platform to enrich lives. During the 2008 recession, Chapman’s company did not lay anyone off but instead only had furloughs and pay cuts. After the recession, most of the team members expressed content with the way the company management handled the situation, which led to better patient outcomes, better patient safety, at lower costs.
Wish Three: Put My Interests First
Swensen’s research estimates a 40% waste of the healthcare system, which is comprised of overtreatment, care delivery failures and care coordination failures. Swensen sees it as an opportunity to put patients’ interests first. Addressing these issues is not only good for the patients but also for healthcare providers because it tackles some of the major drivers of the burnout of physicians.