118 cities pilot list of medical consortia! High ground must be conquered in drug marketing

Today, the list of 118 pilot cities of Medical Association was officially announced The national health and Health Commission issued the notice on printing and distributing the list of pilot cities for the construction of urban medical consortia, which identified 118 pilot cities for the construction of urban medical consortia According to this year's notice on pilot construction of urban medical consortia issued by the national health and Health Commission and the State Administration of traditional Chinese medicine, drug procurement, medical insurance payment and other aspects will be unified in the future What does Medical Association mean for the industry? The author believes that the medical association is a new round of integration and optimization of medical resources In the future, there may be a powerful hospital group dominated by the original advantage hospitals, which must occupy a high market for drug marketing Why? In the past, under the expansion of large hospitals, primary medical institutions were siphoned to large hospitals, resulting in unreasonable distribution of medical resources, so the policy proposed to promote hierarchical diagnosis and treatment in various forms such as medical consortia However, due to the unified package and distribution of medical insurance, each hospital will pay separately when paying for medical insurance Therefore, from the perspective of the hospital's own interests, the grass-roots level is not willing to refer patients, and the large hospitals are not willing to return patients Although the medical association is advancing, the overall progress is not ideal Now, after the large hospitals and the grass-roots medical institutions form a Medical Association, their medical insurance is packaged to the Medical Association in a unified way, and the medical association carries out internal distribution according to the principle of surplus retention and common sharing of overspending, which fundamentally changes the situation of difficult interest coordination in the past Therefore, under the joint venture, the medical joint venture will reasonably divide its work according to the cost optimization, that is, to save the medical insurance expenses to the greatest extent and increase the medical insurance balance: those who stay at the grass-roots level for treatment shall stay at the grass-roots level, the referral shall be transferred to the superior hospital for referral, and the rehabilitation shall be carried out at the grass-roots level or special rehabilitation hospital after treatment These medical consortia will grow more and more because they have grassroots medical institutions as the feelers to grasp patients and grassroots because of the brand effect of large hospitals According to the documents of the health and Health Commission, the medical association should build a unified management platform for drug consumables, take the priority of using basic drugs as the guide, realize the connection of drug catalog, purchase data sharing, free flow of prescriptions, and integrated distribution and payment We will strengthen the leading hospital's guidance on the use of drugs in subordinate medical institutions, strengthen the management of drug supply and response to the monitoring of drug shortage, and gradually homogenize drug supply and pharmaceutical care In the local medical market, leading in scale, drug procurement and use will be gradually unified Therefore, medical consortia will be the marketing highland that pharmaceutical enterprises must conquer in the future Objectives of medical consortia: by the end of 2019, 100 pilot cities will start the grid layout and management of urban medical consortia, and each pilot city will build at least one medical consortia with obvious results, initially forming a medical consortia management mode led by the city's three-level hospitals and based on grass-roots medical institutions, with the participation of rehabilitation, nursing and other medical institutions By 2020, 100 pilot cities will have formed a grid layout of medical consortia and achieved remarkable results The ability of regional medical and health services has been significantly enhanced, and the efficiency of resource utilization has been significantly improved Medical consortia has become a community of services, responsibilities, interests and management, forming an orderly hierarchical diagnosis and treatment order Grid planning of Medical Association: in principle, the Medical Association grid should not cross the medical insurance planning area We will encourage business collaboration among medical consortia Leading hospitals should actively attract medical institutions run by social forces to participate in medical consortia, and encourage medical institutions run by social forces to participate in medical consortia according to the principle of voluntariness On the basis of grid management of medical consortia, city level three public hospitals can establish medical consortia with county-level hospitals in the region through trusteeship and other forms to help improve the medical service ability and level of county-level hospitals Hospitals representing national, regional and provincial medical level mainly set up specialized alliance and telemedicine cooperation network, which can establish cooperation relationship with several medical consortiums across regions, form high-level medical consortiums with complementary advantages, and radiate and drive the improvement of medical service capacity and medical service homogeneity within and between regions We should encourage TCM hospitals to take the lead in establishing medical consortia and give full play to the important role of TCM in the prevention, treatment and rehabilitation of diseases We will actively support women and children's health care institutions at Prefecture and city levels as the leaders and county and district levels as the backbone to form a federation of women and children's specialist doctors Attachment: