新加坡政府如何制定收费基准，保障医疗费用透明化？

2024年5月8日，新加坡卫生部长王乙康在国会书面答复杨厝港单选区议员叶汉荣有关强制规定医疗保险公司提供透明的医疗程序收费标准的问题。

以下内容为新加坡眼根据国会英文资料翻译整理：

叶汉荣（杨厝港单选区议员）先生询问卫生部长 ：

(a) 卫生部是否可以考虑强制医疗保险公司提供透明的医疗程序收费表，以帮助患者在寻求私人护理时做出明智的决定？

(b) 如果考虑，卫生部将如何确保这些收费表在保险公司和医生的利益冲突中符合患者的利益？

(c) 卫生部可否规定处理这些收费表的索赔和赔付的时限？

卫生部还对选定的私人保险服务指标进行监测。卫生部网站上公布了每家保险公司的 IP 索赔处理时间和赔付情况，以及预定治疗的预授权周转时间。

王乙康（卫生部长）先生：医疗程序没有强制性的收费表，因为这取决于患者的病情和程序的复杂程度。任何公布的收费表也将由医疗服务提供者而不是保险公司制定。尽管如此，医生可以与综合健保计划 (IP) 保险公司签订合同协议，以承诺的专家组费用提供服务，保险公司可以考虑公布这些费用。

卫生部 (MOH) 已针对约30种常见疾病制定了私立医院收费基准，为合理收费提供参考。在卫生部网站上也可以找到常见疾病过往账单金额，该网站每年都会更新。我们鼓励患者在选择医疗服务提供者时参考这些标准。

卫生部还监测私人保险的特定服务指标。卫生部网站上公布了每家保险公司的综合健保计划（IP）索赔处理时间（含赔付）和预定治疗的预授权周转时间。

以下是英文质询内容：

Mr Yip Hon Wengasked the Minister for Health (a) whether the Ministry can consider mandating transparent fee schedules from health insurers for medical procedures to help patients make informed decisions when seeking private care; (b) if so, how will the Ministry ensure that such fee schedules will be in the interest of patients amidst the competing interests of the insurers and doctors; and (c) whether the Ministry can implement a stipulated timeframe to process the claims and payouts for these fee schedules.

Mr Ong Ye Kung:Medical procedures do not have mandatory fee schedules as this depends on the patient's condition and complexity of the procedure. Any fee schedule published will also be done by the healthcare provider and not the insurer.That said, doctors may enter into contractual agreements with Integrated Shield Plan (IP) insurers to provide services at committed panel fees, which insurers can consider publishing.

On the Ministry of Health's (MOH's) part, it has developed private hospital fee benchmarks for about 30 common conditions to provide a reference of reasonable fees. Past bill sizes of common conditions can also be found on MOH's website, which is updated annually.Patients are encouraged to refer to them when choosing a healthcare provider.

MOH also monitors selected service indicators for private insurance. The claims processing duration for IP claims with payouts and pre-authorisation turnaround time for scheduled treatment for each insurer are published on MOH's website.

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