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    Home > Medical News > Medical World News > 97 negotiated drugs officially issued by the medical insurance bureau and the health care commission are directly linked to the provincial centralized purchase platform

    97 negotiated drugs officially issued by the medical insurance bureau and the health care commission are directly linked to the provincial centralized purchase platform

    • Last Update: 2019-12-18
    • Source: Internet
    • Author: User
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    The National Health Insurance Bureau and the National Health Commission officially issued the notice on the implementation of national health insurance negotiation drugs in 2019, which requires all provincial health insurance departments to optimize the process and speed up the progress, organize enterprises to timely submit relevant information, and directly link 97 negotiated drugs on the provincial drug centralized purchase platform within the specified time limit Timely organize medical institutions and drug manufacturers to sign agreements, and medical institutions shall purchase according to the agreements Original document attached: Medical insurance bureau and Health Committee of all provinces, autonomous regions, municipalities directly under the central government and Xinjiang production and Construction Corps: The national medical insurance drug negotiation in 2019 is a major task deployed by the CPC Central Committee and the State Council, which is of great significance for improving the level of drug use guarantee of the insured and promoting the progress of clinical technology In order to promote the implementation of the national medical insurance negotiation drugs (hereinafter referred to as the negotiation drugs) in 2019 as soon as possible, and ensure that the majority of insured patients can enjoy the relevant treatment on schedule, we hereby notify the following matters: Each provincial medical insurance department shall optimize the process and speed up the progress, organize enterprises to submit relevant materials in a timely manner, in accordance with the National Medical Insurance Bureau Notice of the Ministry of human resources and social security on the inclusion of negotiated drugs in the category B scope of the catalogue of drugs for national basic medical insurance, industrial injury insurance and maternity insurance in 2019 (medical insurance Fa [2019] No 65) stipulates that 97 negotiated drugs will be directly linked to the network on the provincial drug centralized purchase platform within the time limit Timely organize medical institutions and drug manufacturers to sign agreements, and medical institutions shall purchase according to the agreements The medical insurance agencies in each overall planning area shall speed up the adjustment and update of the medical insurance information system according to the transfer in and transfer out of the new version of the directory, formulate settlement management measures, and ensure the timely implementation of the new version of the directory To improve the fine management ability and level, when determining the annual total amount control index of designated medical institutions, we should take into account the factors such as the increase and decrease of drugs in the new version of the catalogue, structural adjustment and the characteristics of designated medical institutions, reasonably calculate the fund payment amount, and guarantee the basic drug demand of medical institutions and patients Local medical insurance, health and other departments shall, in accordance with their duties, put forward specific requirements for the allocation and use of negotiated drugs, guide designated medical institutions to allocate and use them in a timely and reasonable manner according to their functional orientation, clinical needs and diagnosis and treatment capabilities, and shall not influence the allocation and use of negotiated drugs on the grounds of the total amount of medical insurance, the number limit of drug directories of medical institutions, and the proportion of drugs Each designated medical institution shall hold a special pharmaceutical management meeting in time according to the situation of drug transfer in and out of the directory to adjust and optimize the drug directory of the medical institution We will gradually establish a linkage mechanism between the adjustment of the medical insurance drug catalogue and the allocation of drugs in designated medical institutions to form a long-term effect All local medical insurance departments should make scientific calculation and careful organization, and actively explore the payment methods that are in line with the local reality on the premise of ensuring the safety of the fund and the rational use of drugs For negotiation drugs suitable for outpatient treatment, with long service cycle and high treatment cost, the burden of patients can be reduced by including special disease guarantee in outpatient service and exploring single disease payment according to fund income and expenditure Where conditions permit, we can actively explore long-term prescription policies to facilitate the use of patients Measures can be taken to encourage alternative use of drugs that are more cost-effective and can be completely replaced than the original drugs in the medical insurance catalogue before the negotiation All localities shall establish a monitoring mechanism for the use of negotiated drugs, strengthen the statistical monitoring of the allocation, use and payment of negotiated drugs, and from January to June 2020, all provincial medical insurance departments shall summarize and report to the State Medical Insurance Bureau (medical service management department) monthly Health departments at all levels should strengthen the management and guidance of medical institutions, improve the guidelines and norms for drug use negotiation, standardize diagnosis and treatment, and promote rational use of drugs All designated medical institutions should simultaneously strengthen drug administration to ensure the rational and standardized use of negotiated drugs Each province shall timely report the progress of relevant work as required, and the state will timely supervise and urge the provinces that are slow in progress and fail to implement policies within the specified time limit The state health insurance bureau will select some overall planning areas in the country to monitor the drug use after the adjustment of the new version of the catalogue The specific requirements will be notified separately All relevant departments should strengthen policy interpretation, reasonably guide social expectations, and actively create a good public opinion atmosphere to understand and support the adjustment of the medical insurance drug catalog Carry out policy and business training level by level, strengthen the guidance of medical insurance departments at all levels, designated medical institutions and medical personnel, guide and respond to patients' concerns in a timely manner, and deal with social public opinion safely.
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