MIL-OSI Asia-Pac: Hospital Authority implements fees and charges reform rationalising healthcare services and enhancing patient protection

Hospital Authority implements fees and charges reform rationalising healthcare services and enhancing patient protection 
The Chairman of the HA, Mr Henry Fan, said, “We sincerely thank the Health Bureau for leading the HA in conducting this fees and charges reform review. Through this reform, the HA can promote the development of Hong Kong’s public healthcare services. We believe that once the fees and charges reform measures are fully implemented, the current service imbalances in public hospitals can be gradually straightened out and the protection for patients, especially those with critical illnesses or emergency conditions, can be enhanced. This will enable sustainable development of public healthcare services to cope with the various challenges posed by Hong Kong’s ageing population.”
 
Currently, the government provides a high degree of subsidy for HA services, with a subsidy rate as high as 97.6 per cent, with the subsidy amount for some public hospital services even reaching 100 per cent. Beyond facing challenges from an ageing population creating excess demand, Hong Kong’s public healthcare system experiences systemic imbalances, subsidy misallocations, and service waste. To ensure the sustainability of the public healthcare system, the HA initiated a review to reform public healthcare fees and charges last year, based on relevant principles including public affordability, optimal service utilisation, cost sharing, subsidy prioritisation, support for the underprivileged and public acceptance. The review covers the following areas:
 
Reforming the susidisation structure
 Reducing wastage and misuse
 Strengthening healthcare protection
 The Chief Executive of the HA, Dr Tony Ko, said, “The HA will fully implement the reform. Under the reform, subsidy ratios will vary by service type of public hospitals, depending on the nature of the service. After the reform, the public copayment ratio will remain affordable. Through the enhanced medical fee waiving mechanism, relaxed eligibility criteria of means test for Samaritan Fund safety net applications, and a cap on annual spending on inpatient and outpatient fees, the HA will continue to ensure that no one will be denied adequate medical care due to lack of means and will strengthen the protection of the public, not only taking care of the underprivileged groups, but also preventing middle income people from impoverishment due to illness.”
 
After the implementation of measures such as enhancing medical fee waiving mechanism, relaxing eligibility criteria of means test for Samaritan Fund safety net applications, and establishing a cap on annual spending on inpatient and outpatient fees, over 1.4 million people are expected to be eligible for protection. The HA pledges that all additional revenue generated from fees and charges adjustments will be entirely utilised to medical services, particularly supporting those with critical conditions like cancer or rare diseases, waiving or reducing self-financed medications and devices or medical supplies fees. The HA can also accelerate the introduction of more effective new medications and devices to improve treatment outcomes.
 
The detailed fee schedule will take effect in January 2026 (see Annex). Details of enhanced protection measures, include enhancing medical fee waiving mechanism, introducing an annual fee cap on inpatients and outpatients of $10,000, and relaxing eligibility criteria of means test for Samaritan Fund safety net application, are provided in the appendix. The HA’s last fee adjustment was in 2017.
 
Mr Fan stated that Hong Kong’s public hospitals remain among the world’s most efficient healthcare providers. The HA will continue promoting reforms to improve the service level of public hospitals, and ensure limited medical resources can be used for patients most in need. Once the public healthcare fees and charges reform achieves its target within five years, Hong Kong’s public healthcare system will take a major step forward. The HA will also fully cooperate with other government healthcare reform measures to continue providing high-quality and sustainable medical services with appropriate healthcare protection for Hong Kong citizens.

Annex
 
Public healthcare fees and charges reform