A large number of local medical insurance adjustments began

Recently, Tianjin Medical Insurance Bureau issued the notice of municipal human resources and Social Security Bureau of Tianjin Medical Insurance Bureau on docking the work of national drug catalog in 2019 According to the notice, the docking scope of this medical insurance catalog in Tianjin is: 1 For the western medicine, Chinese patent medicine, negotiated medicine catalogue within the term of agreement in the national drug catalog, and the medicine and its classification, remarks (limited payment scope) and other information in line with the requirements of the national drug catalog, they shall be listed in the docking scope in strict accordance with the national regulations; 2 The non-national drugs listed in the current drug catalog of our city are included in the docking scope, and the category and remarks (limited payment scope) are not adjusted The State Key monitored drugs and drugs deleted in the process of national drug catalog adjustment are not included in the docking scope; 3 Chinese herbal pieces and hospital preparations of medical institutions shall be separately connected with the work arrangement of our city according to the requirements of national documents From the above requirements, it can be found that at present, Tianjin has eliminated the national key monitoring drugs and the varieties transferred out of the national health insurance catalog in the current round of national health insurance catalog adjustment Although there is no mention of clearing up the original local supplementary varieties of medical insurance, I believe it will be sooner or later under the requirements of national policies According to the regulations, the following categories will no longer be included in the scope of Tianjin medical insurance reimbursement: National key monitoring drugs (20 varieties): Items transferred out of national medical insurance catalogue in 2019: Recently, the 2019 medical insurance catalogue of Guangdong Province has been circulated in the industry It is reported that the catalogue is divided into six parts: general medicine, western medicine, Chinese patent medicine, national negotiated drugs during the agreement period, Chinese herbal pieces and hospital preparations Among them, 2934 are western medicine and Chinese patent medicine, of which 1425 are western medicine, 1461 are Chinese patent medicine (including 97 ethnic medicine), and 48 are negotiated during the agreement period (including 43 western medicine and 5 Chinese patent medicine) According to the statistics of Fengyun medicine, 30 varieties were removed according to the circulated documents compared with the previous version of the catalogue, as follows: According to the information previously confirmed by cypress blue from authoritative channels, the local government added the varieties in the medical insurance catalog and required to transfer out the catalog in batches within three years The transfer out arrangements are as follows: 1 The drugs in the key monitoring catalogue were first removed from the medical insurance catalogue; 2 In principle, the remaining local supplementary varieties shall be cleared up within three years, and the proportion of varieties cleaned up within three years is 40%, 40% and 20% respectively From the current provinces and cities that have carried out the adjustment of the medical insurance catalog, the first point is basically achieved I believe that from next year, all regions will successively start to add varieties to the local market That is to say, at the latest in 2022, the local medical insurance catalogue will become history Those varieties that were once supplemented by local governments but failed to squeeze into the national medical insurance catalogue will lose the "halo" of medical insurance, which is a great challenge to maintain their market share Due to the strong regional characteristics of medical representatives, local medical insurance supplement is very important for many medical representatives With the start of "operation" of medical insurance supplement, it is believed that it will bring great pressure to many medical representatives.