1905 movie network news Produced by Chen Sicheng, directed by Sam Quah, starring Shawn, Tan Zhuo, Chen Chong and Jiang Haowen, the pre-sale of films specially starred by Qin Pei exceeded 10 million, and the popularity continued to soar. Moreover, the total number of people who want to see the film on the ticketing platform is as high as nearly 400,000, ranking first in the same period, and the high degree of attention can be seen.

Previously, after the advance screening of the film, it was praised by critics and audiences in unison. Cat’s Eye scored 9.6, Taobao Film 9.2 and Douban 7.6, ranking first in the opening of the film in December, and the recommendation degree of Big V was as high as 100%.

In the film, the storyline and carefully designed details that stimulate brain burning won unanimous praise. Some viewers said, "The montage design is full of high energy, and the plot is well-laid. Every second is the focus. It’s amazing! Civilian father VS police chief, diamond cut diamond wits. The most enjoyable anti-killing film of the year, a domestic film conscience that should not be missed! "

The amazing performances of powerful actors such as Shawn, Tan Zhuo and Chen Chong were also highly praised. "This film is not only the highlight of Shawn’s performance, but also the confrontation between Tan Zhuo and Chen Chong’s two mothers makes people’ blood boil’, and their hearts will jump out in the next second. Being a father is strong, being a mother is rigid, and they can be desperate for their children, which is really great … …”

The film Sheep Without A Shepherd will be officially released nationwide on December 13th, 2019.

China’s football is once again in the doldrums. This time, the defeat comes from the women’s Asian qualifiers of the Paris Olympic Games. This is a very disappointing failure for players, coaches, fans and officials of China football. The first Paris Olympic Women’s Asian Regional Qualifier attracted the attention of many fans, but the final outcome dashed the dream of China women’s football team.

Paris Olympic Games is one of the biggest sports events in the world. It is held every four years and attracts athletes and teams from all over the world. Football is one of the important events in the Olympic Games, and it is the dream of every women’s football team to qualify for the Olympic Games on behalf of the national women’s football team. Therefore, the women’s Asian qualifiers for the Paris Olympic Games are of great significance to the participating national teams. However, the defeat of the women’s football team in China is not only a game defeat, but also exposes the deep-seated problems and challenges faced by the football team in China. Let’s discuss the reasons for this setback, the difficulties faced by China women’s football team and the future prospect of China football.

Looking back on the history of women’s football in China, we can see the glory of this team. China women’s football team won many honors in international football in 1990s and early 21st century. In 1986, 1989, 1991, 1993, 1995, 1997 and 1999, the women’s Asian Cup won seven consecutive championships; In 1990, 1994 and 1998, the women’s football team won three consecutive championships in the Asian Games; Runner-up in the 3rd Women’s World Cup in 1999. In 2006, she won the women’s Asian Cup again. They won the runner-up in the 1999 Women’s World Cup and the silver medal in the 1996 Atlanta Olympic Games. These achievements have made China women’s football team the pride of domestic sports, and also inspired generations of girls’ football dreams.

However, in recent years, the competitiveness of women’s football in China has gradually declined. Their performance in the international arena is not as good as before, and they gradually lost their former glory. Before the women’s Asian regional qualifiers of the Paris Olympic Games, China women’s football team had not performed well in the 2019 Women’s World Cup and failed to enter the quarter-finals. This has caused concern about the decline in the competitiveness of women’s football in China.

After Song Kai, the new president of China Football Association, took office, his first goal was to ensure that China women’s football team could successfully advance to the Paris Olympic Games. Song Kai has taken a series of measures, including strengthening the leadership, improving the quality of training, and formulating clear tasks. He made it clear that the success of the women’s football team in China is very important for the football team in China, and the Asian women’s football qualifiers of the Paris Olympic Games are the key for them to achieve this goal.

However, Song Kai’s first task after taking office ended in failure. This defeat is undoubtedly a heavy blow to him personally, and it also challenges his leadership position. As soon as he started to reform China football, he was confronted with such a great setback, which posed serious problems for his leadership and reform plan.

The lineup and competitiveness of China women’s football team

China women’s football team has always been the focus of attention. Their players have shown excellent personal abilities in the international arena, but the overall strength of the team has not reached the highest level. This setback makes people wonder whether China women’s football team needs more young blood and fresh strength to enhance the overall competitiveness of the team.

The frustration of China women’s football team also makes people think about the management and guidance of the coaching staff. On the field, at the management level, whether the coaching staff needs more reforms and improve the management level in order to better train and guide players is a problem that needs deep thinking.

This defeat is undoubtedly a painful experience for China women’s football team. After the game, the players cried many times, and the Xie Chang session of the whole team was full of sadness. They have worked hard for their own defeat, but in the end they failed to advance as expected. This setback needs reflection and summary, and China women’s football team needs to learn from it and constantly improve its level.

However, this defeat does not mean that the women’s football team in China has come to an end. This is only a temporary setback, not an end. China Women’s Football Team has many potential players, who will have the opportunity to prove themselves and compete for honor in future competitions.

The future of women’s football in China is still full of hope. Although this defeat is sad, it can also be seen as an opportunity to urge the China women’s football team to make greater efforts to prepare for future competitions. China women’s football team needs to learn from this failure, strengthen teamwork and improve the overall competitive level.

China football needs more reforms and improved management level to better promote the development of China football. Although this setback is sad, we believe that China Football Club will keep going and strive for its dream. I hope that the women’s football team in China can re-emerge and win honor for the country, and I also look forward to more progress and development of football in China in the future. No matter how difficult it is, China football will keep going.

The failure of China women’s football team is a setback, but it is also an opportunity. China football needs to learn from it, keep moving forward and strive for more honor. In the future, China women’s football team will have the opportunity to rally and make a name for itself in the international arena again. At the same time, China football needs to continue to reform and improve its management level to ensure the long-term development of China football. No matter how many challenges are encountered, China Football will stick to its dream and strive to move forward.

Author: Night 1986

The rankings are in no order. After all, everyone has their own list. 1. The Book of Gone with the Times, written by Ji Cha, was originally written by Ji Cha when she returned to the harem. With the help of a blind fortune teller, the protagonist travels through troubled times and makes his own world. This book has been updated with 2.34 million words, and it is not finished yet.

Second, "If you cultivate immortality in the troubled times of Yaowu", the author Wen Chaogong, opened the book in 2023, and ended that year, with 3.54 million words in ten months. The protagonist can cross two worlds and be Nuo Nuo in the world of cultivating immortals. He can strike hard in the world of low martial arts and rely on the resources of the world of low martial arts to cultivate immortals in the world of cultivating immortals.

Third, "Dining Table of the Tang Dynasty", written by Yi and 2, is the theme of returning to the Tang Dynasty after Yi and 2 wrote "Brick of the Tang Dynasty". Compared with brick of the Tang Dynasty, the dining table of the Tang Dynasty has more sense of honor for the nation and the country. Everyone in the world, what’s going on in the world, is just a series of dishes on the table of Datang people. 3.86 million words have been updated, which is not finished.

Fourth, "The Traveler of the Spiritual Realm", the author bought Xiao Langjun, a supernatural urban sci-fi power stream, and sold the newspaper Xiao Lang, according to another masterpiece after "Da Feng Da Geng Ren", which won the first place in many lists on the first day of its release. The story is fascinating and I can’t stop. 4.1 million words have been updated, not finished.

5. "Deep Sea embers", the author Yuan Tong, the protagonist crossed a strange world and unexpectedly became ghost captain, constantly exploring the world. At the beginning, the readers were full of curiosity, and his ship was named Lost Hometown, which made us smile. 2.32 million words have been updated, which is not finished.

Six, "This game is too real", the author Morningstar LL, this is a behind-the-scenes black hand flow, the protagonist crossed the wasteland world and obtained a refuge system that can summon the fourth natural disaster player, so he became the manager of the game and fooled a number of players to work for themselves and successfully embarked on the peak of life. Let other players give him a super double 007 job. 6.63 million words have been updated, which is not finished.

Seven, "National Forensic Medicine", the author Zhiniao Village, this book is a stream of urban systems. The protagonist can improve the skills of forensic doctors by acquiring forensic systems and assisting in solving crimes. This book combines professionalism and interest, and the case description is true, which makes us feel immersive when reading. This book has been updated to 2.42 million words, and it is not finished.

Eight, "Red Heart Survey", the author’s feelings, this book has just come out and no one cares, feeling that it is going to save the street. Now it is in the top 5 of the monthly list. It is a novel that is a late bloomer and is also a Xianxia type. The physical book of this book has been sold on the whole network, with 7.64 million words updated and not finished.

Nine, "Beyond Time", the author Ergen, this is the sixth novel of Ergen, and it is still a consistent Xianxia. It incorporates the elements of eschatology and gangsters. The protagonist is decisive and intelligent, and is known as the protagonist who is most like Wang Lin in Ergen’s works. After experiencing a short trough, my ears returned to the top stream with this book. This book has been updated to 3.25 million words, and it is not finished.

Ten, "The Ring of Destiny", the author loves diving squid, the sequel to "The Mysterious World", has dominated many lists since its debut, and has won the title of golden keyboard in 2023, but there are many controversies, such as wanting to see the first story of the mysterious Lord, but it is not. Slow pace, etc. 4.1 million words have been updated, not finished.

I really admire the authors of these online novels. Their brains are open and they have all kinds of topics. Some of them are very real, but I didn’t expect it to be my own experience.

This article comes from what is worth buying website (www.smzdm.com).

　　People’s livelihood investigation bureau

　　Editor’s note:

　　This is the People’s Livelihood Investigation Bureau, which has never been seen before, investigating the changes in people’s livelihood. Pay attention to what you want to pay attention to and what you don’t, and investigate what you want to see and what you don’t see.

　　Chinanews. com client Beijing May 14 th:Litchi is too expensive to eat? Have you achieved "fruit freedom"?

　　Author Xie yiguan

　　Recently, after the "free cherries", the "free litchi" is fond of hot search again. In fact, is litchi really so expensive this year? Is "fruit freedom" really hard to achieve?

　　Is litchi expensive or not? Some people say it’s expensive, others say it’s not.

　　Under Weibo’s comment of "Litchi Freedom", many netizens complained that Litchi was too expensive to eat. Some people even said that 60 yuan is nothing but a catty, and 79 yuan, a small city on the 18th line, is a catty.

　　Is litchi really expensive? The reporter randomly visited several supermarkets in Beijing and found that the price of litchi was mostly concentrated in more than ten yuan a catty.

　　In a Yonghui lifestyle shop in Beijing, the reporter saw that the price of Feizixiao (a variety of litchi) was 15.98 yuan a catty, and there was not much left.

　　In a large supermarket in Fengtai, the price of princess smile is 19.8 yuan a catty. An old couple stopped at the stall for a long time and then looked at other fruits.

　　In another community store, the unit price of litchi is also 19.8 yuan, and 24.8 yuan can be seen on the yellow price tag.

　　A nearby resident said that litchi was cheaper last year. I remember that when I bought it in June, it was less than 10 yuan a catty. "The price is a bit expensive now, and I haven’t bought it this year."

　　In a large supermarket in Luohe, Henan, the price of litchi is also 19.8 yuan per catty. Liu Wei, a resident of Luohe, Henan Province, said, "I feel that few people around me buy it."

　　However, some residents feel that the price of litchi is still appropriate. Xiao Li, who lives in Beijing, said, "The litchi I bought two days ago is 10 yuan a catty, which doesn’t feel as expensive as everyone said."

　　A vendor working in Xinfadi wholesale market also said, "This year’s litchi is 10 yuan a catty, which is cheaper than in previous years."

　　On an e-commerce platform, the reporter saw that a merchant in Nanning, Guangxi, made a price of 59.9 yuan and 6 Jin for Feizixiao Litchi. After accounting, it is less than one Jin in 10 yuan, and the current monthly sales volume is tens of thousands.

　　This year’s "litchi is expensive" may be

　　— — Litchi has not yet come into the market in large quantities.

　　"Different litchi varieties have different mature seasons. At present, litchi is just on the market, and most of the varieties sold in the market are in the early stage, so the price is definitely more expensive. After a while, after many varieties of litchi are listed, the price will drop, and the possibility of being cheaper than last year is not ruled out. " Zhu Xianhong, Guangxi Qinzhou Fruit Circulation Association, told reporters.

　　Some netizens also said that according to the past situation, after a period of time, litchi will be listed in large quantities, and the price will naturally come down.

　　— — There is a big price difference among different varieties.

　　There are many varieties of litchi, such as March Red, Feizixiao, White Sugar Papaver, Guiwei, Gualv, Xiangli and glutinous rice paste. Different varieties have different tastes and prices. For example, the price of white sugar poppy, which is close to the listing time of Princess Smile, is much higher than that of Princess Smile.

　　Recently, it has been reported by the media that a catty of litchi in 60 yuan is white sugar poppy, and the price of Feizixiao is much more "affordable". Therefore, "litchi is expensive" among some people, which may be the reason for buying more expensive varieties.

　　— — In the next year, the output drops.

　　"Last year was a big year for litchi production, and this year is a small year. The output may not be as good as last year, making the price slightly higher than last year." Liu Tong, manager of statistics department of agricultural and sideline products wholesale market in Xinfadi, said.

　　According to the news released by Guangdong Station of China Weather Network, after last year’s bumper harvest, litchi trees consumed a lot of nutrients, resulting in insufficient basic energy materials for flower formation. In winter of 2018-2019, the temperature was high, and litchi trees could not accumulate nutrients well for flower bud differentiation, which affected the yield of litchi this year.

　　The reduction of litchi production means a decline in supply, which in turn drives up the price. According to media reports, the agricultural department of Guangdong Province introduced that from the recent field prices of early-maturing litchi varieties, "March Red" in Gaozhou, western Guangdong, is 15-20 yuan/kg, and "White Sugar Poppy" in Xuwen, Zhanjiang, is 10-15 yuan/kg, which should be the highest price range of this variety in recent ten years.

　　Many fruits such as apples have gone up in price.

　　The reporter found that in Weibo’s comments on "Litchi Freedom", many people replied that the prices of apples, oranges and other fruits also rose.

　　In the wholesale market of Xinfadi, many vendors also reported that many fruits did increase in price this year.

　　According to Lao Zheng, who sells fruits in Xinfadi boutique fruit area, compared with last year, "the price of bayberry has increased by one piece, the price of grapes has increased by 5 hairs, and 80% of fruits have increased in price."

　　Many merchants said that Apple is much more expensive this year than last year.

　　An apple vendor said, "Now the price of apples is more than 5 yuan a catty, compared with more than 3 yuan last year, which is more than half of the price."

　　In addition to apples, pears have also experienced some price increases this year. Merchants who do fresh pear wholesale business told reporters that a box of pears is now one-third more expensive than last year. "But this year’s pear production is good. With the listing of new pears, the price will be adjusted." He added.

　　At the same time, there are bananas and watermelons. Some merchants told reporters that bananas are 3 yuan more expensive than last year. In addition, the current purchase price of watermelon is 1.8-2.3 yuan, which is slightly higher than the same period of last year.

　　The price changes in the wholesale market are also reflected in the price tags of major supermarkets.

　　"Fruits have generally gone up in price. Take apples for example, the price has gone up by half." A vendor selling fruit in a vegetable market in Fengtai said.

　　In several supermarkets in Beijing, the price of ordinary apples is around 8-9 yuan per catty. "It was two or three yuan cheaper than this last year." A customer said, "Now pears have reached 8 or 9 yuan, and even bananas are more than 4 yuan a catty, which really has increased a lot."

　　Not only in Beijing, "Shaanxi apples in supermarket chains are 9.8 kilos, and medium-sized apples in ordinary small fruit shops are also around 7 yuan, so I feel that I can’t afford apples." Lily li, a student in Xiamen, also said.

　　Lin Jinzhi, who works in Changsha, Hunan, spoke out, "Cherry is already expensive, but now it is more expensive. The last time I bought it, it cost 178 yuan a catty, and I almost returned it when I checked out."

　　Many netizens also listed the price list of fruits to prove that the price of fruits is too high.

　　On a nationwide scale, the prices of various fruits are on the rise.

　　According to the monitoring of the "National Agricultural Products Wholesale Market Price Information System" of the Ministry of Agriculture and Rural Affairs, Fuji Apple has been the biggest gainer among fruits. Since mid-March, the ring has been on the increase year-on-year. In the past two weeks, the year-on-year increase has even exceeded 40%. In addition, after the Spring Festival, the price of bananas has been higher than that of the same period last year, and the price of watermelons has been rising year-on-year for nearly two months.

　　The fruit retail data released recently in many places also point to the same result: price increase.

　　For example, according to the information released by the Guangdong Provincial Department of Commerce, the average retail price of fruits increased by 0.2% from May 6 to May 12. Due to the rainy weather last week, the transportation and storage costs of fruits increased slightly, driving the overall price of fruits to rise.

　　According to the data of Guangxi Provincial Department of Commerce, from May 6 to May 12, the retail price of fruits was 9.46 yuan/kg, and the price increased by 1.94% from the previous month. Among the seven retail fruit varieties monitored, the retail prices of apples, grapes, pears, watermelons and lychees rose.

　　Why do fruits increase in price?

　　"The overall price of fruits is higher than last year, and the prices of apples and pears have doubled, mainly because of inventory." Liu Tong said.

　　"Because the weather conditions were not very good last spring, the low temperature weather lasted for a long time, and it was often windy in the north in March and April, which made it spend a lot and the fruit setting rate decreased. All fruits that bloom in spring and bear fruit in autumn have basically reduced production, including apples, pears, kiwifruit, grapes and citrus in some areas. Affected by the strong wind in the north, the output of apples and pears has been greatly reduced. Now pears, kiwis and apples are at the end of the inventory, and the new fruits have not yet come up, and the prices will be higher. "

　　The vendor selling apples in Xinfadi also said, "Due to hail and frost, the output of apples decreased last year, and now they are all out of stock."

　　"The price increase of fruit is actually a normal phenomenon," Liu Tong also stressed. "Now the quality of fruit is better than the original, and the requirements for packaging and sorting are higher. Many bad fruits have been picked out, and the market is good, and the price must be high."

　　Secondly, the increase in labor costs and transportation costs mentioned by merchants also has a certain impact on the price of fruits.

　　It is worth noting that Australian cherries, New Zealand kiwis, etc. are now highly sought after by people who are pursuing high-quality life, and the import volume has increased year after year.

　　The report Analysis and Forecast of Rural Economic Situation in China (2018-2019) shows that in 2018, China imported 8.42 billion US dollars of fruits, an increase of 34.5% over the previous year.

　　The price of imported fruits is often higher than that of domestic fruits. The example of "selling cherries and buying a kiwi in 10 yuan" is not uncommon. These high-priced fruits have undoubtedly boosted the domestic fruit price.

　　Are there any fruits on sale?

　　So many fruits have gone up in price. Is there any fruit that has gone down in price?

　　Liu Tong revealed that the prices of grapes and mangoes have dropped because of the launch of new products.

　　National agricultural products wholesale market monitoring data show that the price of pineapple has decreased this year compared with last year.

　　In some supermarkets, "you can buy a pineapple for a dozen dollars."

　　Some minority fruits, such as carambola and guava, have no change in price because of their small audience.

　　People who like to eat these fruits can eat them with an open stomach.

　　If you can’t even afford cheap fruit, a netizen has a "good idea" to eat cucumbers and tomatoes as fruits.

　　Have you achieved "fruit freedom"? (End)

On January 10th, the financial sector reported that Foton Motor announced that in order to effectively prevent, timely control and resolve the financial business risks of the company and its holding subsidiaries in BAIC Group Finance Co., Ltd. and ensure the safety and liquidity of funds, the financial business risk disposal plan was formulated. The financial business risks in the plan include deposit risk, credit risk of financial companies, compliance operation risk and reputation risk. The Company has set up a leading group for financial risk prevention and disposal, which is responsible for the prevention and disposal of the risks of funds associated with the Company and financial companies. The leading group is headed by the chairman of the company, with the chief financial officer as the deputy head. Other members include the secretary of the board of directors, the heads of the financial planning department, the audit department, the legal department and the financial management department. The office of the leading group is located in the financial planning department, with the company’s chief financial officer as the office director and the chief financial planning officer as the deputy director, responsible for timely monitoring and evaluating the financial company’s business qualifications, business and risk status, and starting the emergency response plan according to the emerging risk status.

At 1 am on October 30th, Beijing time, in the 10th round of Serie A in 2023-24, Inter Milan played against Rome at home. In the first half, Charles Hanoglu shot and hit the doorframe; In the second half, Thuram scored the winning goal in the 81st minute, and Augusto hit the crossbar again. In the end, Inter Milan beat Rome 1-0, overtaking Ewan and rising to the top of the standings.

In this game, Roma coach Jose Mourinho was unable to play against his old club because of suspension, but Lu Kaku appeared in the starting lineup of Rome, and he was booed by tens of thousands of Inter fans at Meazza Stadium.

In the 6th minute, Char Hanoglu blasted a long-range shot in front of the restricted area, and the ball bounced back after hitting the doorframe. Then Thuram’s barb hit the door and the goalkeeper got it. In the 7th minute, Inter’s left corner kicked into the restricted area, and lautaro’s header was not strong enough, so the goalkeeper confiscated the ball.

In the 15th minute, dumfries made a cross from the right, Thuram’s header hit the defender, and then his stab was blocked by the goalkeeper. In the 16th minute, Di Marco’s shot on the left side of the restricted area missed the far post.

In the 24th minute, mkhitaryan received the clearance ball before the top of the arc and volleyed it high. In the 38th minute, dumfries made another cross on the right, and pawar, who was inserted into the restricted area, volleyed his right foot and missed. In the 45th+3rd minute, varela got the chance to volley in the restricted area, and the ball was higher than the crossbar. At the end of the first half, neither team scored.

In the second half, it was easy to fight again. In the 48 th minute, Inter Milan’s free kick was hoisted into the penalty area, and Thuram’s header was high.

In the 59th minute, varela crosses the restricted area, Thuram returns the ball in the chest, lautaro volleys with his right foot, and the ball bounces to the ground and is hugged by the goalkeeper. In the 65th minute, Rome won a free kick in front of the penalty area, and chaaraoui took the penalty and hit the wall. Two minutes later, Charles Hanoglu blasted a long-range shot in front of the restricted area, and the ball hit the defender and crossed the bottom line in disguise.

In the 76th minute, Aslani took the ball in front of the restricted area. When he saw that no one had come forward to block it, he hit a long-range shot, and the ball slightly missed the post.In the 81st minute, Di Marco crossed the ball on the left side of the frontcourt, and Thuram, who was inserted into the middle of the restricted area, grabbed the ball and scored a goal. Inter Milan led Rome 1-0.

In the 89th minute, Augusto made a cross on the left side of the frontcourt. Thuram’s outflanking shot in the middle missed. In the 90th minute, Augusto made a long-range shot in front of the restricted area, and the ball hit the crossbar and popped up.

In the end, the whole game ended and Inter Milan beat Rome 1-0.

(The author of this article is Jianwen Consulting, a cross-border insight into the medical industry)

On the morning of November 28th, the responsible comrades of the Organization Department of the Central Committee attended the meeting of leading cadres in State Taxation Administration of The People’s Republic of China, and announced the central decision: Comrade Hu Jinglin was appointed as the Party Secretary of State Taxation Administration of The People’s Republic of China, and Comrade Wang Jun was removed from the post of Party Secretary of State Taxation Administration of The People’s Republic of China.

A short news of personnel appointment has aroused the attention of practitioners in the entire medical industry.

The Medical Insurance Bureau, whose administrative level is only the deputy ministerial level, has been deeply embedded in the medical and health field of China by virtue of its frequent medical insurance policies in the past five years, and even transformed and reshaped the behaviors of patients, hospitals, enterprises and other multi-stakeholders, and has become the leader of the linkage among the three hospitals in medical reform.

For Hu Jinglin personally, he was born in the financial system, and this time he can be said to return to the fiscal and taxation circle. As the first director of the National Medical Insurance Bureau, if you understand Hu Jinglin, you can understand the work of the National Medical Insurance Bureau in the past five years.

In the eyes of many medical insurance policy observers, the National Medical Insurance Bureau, as a super payer, has successfully completed the phased historical task of "controlling medical insurance fees" in the past five years with a number of policies, such as national talks, centralized procurement, payment mode reform, outpatient co-ordination and individual account reform. Today, the balance of medical insurance funds has exceeded 4 trillion yuan.

But at the same time, the relationship between medical insurance and pharmaceutical industry innovation still needs to be straightened out; After "changing cages for birds", the pace of medical service price reform is slightly delayed; Although medical insurance is forced to go upstream, which can generate great impetus, it is obviously unrealistic to rely solely on medical insurance.

All these call for the National Health Insurance Bureau to make greater achievements in the next five years.

The "tax collector" who broke into the medical system

According to the website of State Taxation Administration of The People’s Republic of China, Hu Jinglin is the Party Secretary of State Taxation Administration of The People’s Republic of China.

Time goes back to five years ago. On May 31, 2018, with the official unveiling of the National Medical Insurance Bureau, Hu Jinglin, who was born in the financial system, became the party secretary and the first director, and entered the medical field.

This appointment has surprised many people in the industry. Looking back now, in the early days of the establishment of the National Medical Insurance Bureau, in order to complete the task of "managing the medical insurance fund", it can be said that it is appropriate for the financial system official to serve as the director of the National Medical Insurance Bureau.

Zhu Hengpeng, director of the Public Policy Research Center of China Academy of Social Sciences, once pointed out that the raising of social medical insurance funds has a quasi-fiscal color, and at the same time, finance is responsible for the funds.

Before joining the National Medical Insurance Bureau, Hu Jing Lin had been deeply involved in the financial system for 20 years, and served as deputy director of the Property Appraisal Department of the Ministry of Finance, deputy director of the Economic Construction Department, director of the Economic Construction Department, chief of staff, assistant minister and deputy minister.

The experience of more than five years in the National Medical Insurance Bureau laid the foundation for Hu Jinglin to return to the fiscal and taxation system.

The aforementioned scholars in the field of public management said that the administrative leaders of various departments belong to policy posts, and they pay more attention to political quality and personal ability than familiarity with the industry, so that the incumbents can fully exercise their decision-making ability.

During his tenure as director of the National Medical Insurance Bureau, Hu Jinglin’s work style was also recognized by the outside world. A researcher in the field of medical insurance told Jianwen Consulting that Hu Jinglin was willing to listen to and absorb opinions from all sides, and his attitude was modest and polite, "unlike those technocrats".

He also revealed that he received many WeChat greetings from the director during the holidays. "This is absolutely not among the officials at the same level I have contacted."

Some observers believe that in the past five years, after the National Medical Insurance Bureau completed the task of "vacating cages", the core of the next step is to promote the task of "changing birds"-the reform of medical service prices. Shi Zihai, the current deputy director of the National Medical Insurance Bureau, is an expert in this field. He has been engaged in policy research in the National Development and Reform Commission for a long time and was once the director of the price department.

Not limited to "controlling fees", supporting innovation is the future direction.

"Through the coordinated development and governance of medical insurance, medical care and medicine, the win-win situation of’ people enjoying benefits, funds ensuring safety, hospitals developing and enterprises growing’ is taking shape."

In May of this year, Hu Jing Lin once commented on the work in the past five years at a series of news conferences on the theme of "the beginning of authoritative departments" held by the State Council.

Look carefully, medical insurance, medical care, medicine; The masses, funds, hospitals and enterprises, as the payer, the Medical Insurance Bureau, traced back to the lower reaches of the industrial chain and used the logic of managing money to connect the whole medical and health system in China, reshaping the medical and health pattern, just like throwing a big stone into an ancient well, which not only caused ripples, but also caused stormy waves.

Before the establishment of the National Medical Insurance Bureau, China’s medical care faced some problems: the adjustment time of medical insurance catalogue was not fixed, and it was only adjusted three times in 18 years, which was difficult for innovative pharmaceutical companies to predict; The drug price is artificially high, and the people’s medical burden is heavy; The logic of supporting doctors with medicine distorts the income structure of doctors; Payment by project is too extensive, excessive medical care is hard to avoid, and medical insurance funds continue to be under pressure.

This chaotic situation was gradually broken after the establishment of the National Medical Insurance Bureau, relying on frequent policies.

There are policies such as medical insurance negotiation, centralized procurement with quantity, reform of medical insurance payment method, individual account reform and outpatient co-ordination, all of which have not caused widespread debate and discussion in the industry and society. However, only by breaking the old system can we rebuild the new system on the ruins.

Specifically, there are some changes worthy of writing: promoting centralized procurement with quantity, the average price reduction of 333 drugs organized by the state is over 50%, and the average price reduction of 8 high-value medical consumables such as heart stents and artificial joints is over 80%; Together with local alliance procurement, the cumulative burden reduction is about 500 billion yuan. At present, the ninth batch of national procurement has included 41 drugs in the list, and the average price of the drugs to be selected is reduced by 58%. It is estimated that the annual drug cost can be saved by 18.2 billion yuan, and the fourth batch of consumables will also be opened this week.

The medical insurance catalogue has achieved "one adjustment per year", and 618 drugs have been added in five years. More than 80% of new drugs can now be included in medical insurance within two years of listing. The expenditure of medical insurance on new drugs increased from 5.949 billion yuan in 2019 to 48.189 billion yuan in 2022, an increase of 7.1 times. Among them, a considerable part of them are anticancer drugs and drugs for rare diseases. In addition, after reimbursement, the cumulative burden reduction for patients exceeds 500 billion yuan, which benefits thousands of families.

By November, 2023, there were 282 overall planning areas in China, accounting for 71% of all overall planning areas. The results are also quite remarkable. The data show that from January to March 2023, the average hospitalization expenses of tertiary public hospitals nationwide were 13,822.9 yuan, down by 0.8% at comparable prices, and the average hospitalization expenses of secondary public hospitals were 6,756.3 yuan, down by 1.4% at comparable prices.

After careful consideration of the above policies, we can find that the underlying logic is the efficient use of medical insurance funds, and a more rude summary is "controlling fees."

Under the control of Hu Jinglin, who was born in the financial department, the National Medical Insurance Bureau has done an excellent job in the management, use and control of medical insurance funds in the past five years. "The most important function of medical insurance is to manage the medical insurance fund", and Zhong Chongming, a medical insurance policy researcher, pointed out that this will also be the red line and safety line of the medical insurance bureau for a long time to come.

At present, although "controlling fees" is still the most basic requirement, it is not enough to complete it, and the constraint of simply controlling fees on the innovation and development of the medical industry has gradually emerged. Therefore, the next work of the National Medical Insurance Bureau may no longer be limited to simply "controlling fees".

In fact, this weather vane has begun to appear-the propaganda slogans such as "soul bargaining" commonly used in the early years have gradually withdrawn, the national mining cycle has been extended to four years, and the new national talks have also been described as "moderate". In the contact between Jianwen Consulting and industry professionals, it is also noticed that promoting the high-quality development of the pharmaceutical industry is now the direction that the medical insurance department wants to highlight.

Shanghai may have come to the front. At the end of July, Shanghai issued "Several Measures to Further Improve the Multi-payment Mechanism to Support the Development of Innovative Medical Devices" (referred to as "Several Measures"), which aroused heated discussions among practitioners in biomedicine, medical devices, commercial insurance and other fields and became the hottest topic in the medical device market in Shanghai at that time.

Xia Kejia, director of the Shanghai Municipal Medical Security Bureau, once said that the introduction of "Several Measures" is not only to promote the construction of a multi-level medical security system in Shanghai, to meet the diversified security needs of citizens, and to reduce the burden of medical treatment for the masses; It is also to improve the multi-payment mechanism of innovative medical equipment, guide good development expectations, and promote the high-quality development of biomedical industry and insurance financial industry in this city.

The industry hopes that the more such policies, the better.

In the next five years, how can medical insurance continue to "do its best"?

The industry expects that the funds saved by fee control should not only be used to support industrial innovation, but also be used to rationalize the price of medical services and correct the distorted income structure of medical staff.

Xu Yucai, a well-known medical reform expert, pointed out that "the biggest shortcoming of medical insurance reform in recent years is that the price reform of medical services is seriously lagging behind, and the price reform of medical services under the leadership of the Medical Insurance Bureau needs to be accelerated."

Previously, the state identified Ganzhou, Suzhou, Xiamen, Tangshan and Leshan as pilot cities for medical service price reform. Jianwen Consulting noted that in recent months, many places outside these five cities have also frequently adjusted the prices of medical services. However, compared with thousands of medical service price systems, there are still a few adjustments at present.

More importantly, it is an important link to be explored next whether we can shed the part of "rule by man" in medical service price adjustment and hand over the adjustment or not to the mechanism related to medical service price adjustment.

The price of medical services has remained unchanged for many years, which gave birth to the soil of selling with gold. The two have formed a fragile balance in practice, but now one end of the balance has been shattered and stands after breaking, and the other end needs to keep up quickly.

The five years since the establishment of the National Medical Insurance Bureau are also five years when the decision-making power of local medical insurance has been gradually weakened.

On the surface, the local medical insurance catalogue will gradually withdraw, and the local medical insurance equipment catalogue will gradually be unified in the future. The overall level of medical insurance funds has been continuously improved, and many provinces such as Jilin, Liaoning and Sichuan have shouted the slogan of provincial overall planning.

In the future, national overall planning may not be impossible. The authority of the local medical insurance department has been tightened continuously, and it has gradually changed to the agency.

Some scholars believe that the current reform direction is to improve the focus of medical insurance decision-making, standardize the decision-making power of governments at all levels, and establish a unified national medical insurance system.

From a deeper perspective, in recent years, conflicts and even lawsuits between private hospitals and local medical insurance bureaus are common. The contradiction between the two sides is also typical. Some local medical insurance bureaus think that private hospitals buy drugs and consumables at low prices and then report them to medical insurance at high prices, which actually reflects the different understanding of the authority of different local medical insurance bureaus. Nowadays, it has gradually become a consensus that medical insurance "cannot be stretched too long", and the law has also proved this with judgments.

The standardization of medical insurance information system provides objective conditions and possibilities for the concentration of medical insurance power, which is beneficial to the coordination of policies at all levels to some extent, but excessive concentration of power also weakens the regulatory power of local medical insurance in disguise. There are both advantages and disadvantages. Finally, judging whether the medical insurance power is concentrated in the central government is good or bad may be left to the future and reality.

In Zhong Chongming’s view, with the gradual development of medical insurance services and the continuous exploration of the direction of health insurance, medical insurance will inevitably go through the process from "managing money" to "managing some things and cooperating with more things", and in this process, corruption and inefficiency are still huge challenges.

The road to medical reform is long and arduous, although medical insurance has played a key and fundamental role, and even played a leading role in the process of joint reform of the three hospitals. However, limited by the scope of power of the medical insurance department, the medical insurance department can only "appeal", "guide" or even "force" the implementation of some specific medical reform policies, but the real executor is "someone else".

In some places, it is difficult for the medical insurance department and the health care department to work together. In the absence of a strong and effective coordination mechanism, as the medical reform enters the deep water area, the road of "crossing the river by feeling the stones" has become more challenging.

"No matter how the linkage between the three hospitals evolves and how healthy China develops, we should always uphold’ reform is the brightest background of the medical insurance banner’." Zhong Chongming said.

(The author of this article is Jianwen Consulting, a cross-border insight into the medical industry)

This article only represents the author’s point of view.