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    Home > Active Ingredient News > Drugs Articles > About the fate of pharmaceutical companies medical insurance payment standard policy before the National Day!

    About the fate of pharmaceutical companies medical insurance payment standard policy before the National Day!

    • Last Update: 2015-05-11
    • Source: Internet
    • Author: User
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    Source: sabilan 2015-05-11 May 9, the general office of the State Council issued the work summary and 2015 key tasks of deepening the reform of the medical and health system in 2014 After that, the State Council also attached 2015 key tasks, among which, we are concerned that the payment standard for medical insurance will be completed by the end of September this year   After drug price liberalization, the bidding and medical insurance payment price of the health and Family Planning Commission have become an important force in drug price control At present, the bidding has been clear, but the payment price of medical insurance has been shrouded in mystery At present, all regions are only in the pilot stage Anhui Province equates the bidding price with the payment price of medical insurance Sanming, the star of medical reform, takes the lowest bidding price as the payment price of medical insurance, while Chongqing makes the payment price according to the drug The quality level has different medical insurance payment price From the perspective of the policies issued by the State Council, "research and improve the policies and measures to deepen the reform of medical insurance payment mode." In terms of specific planning, it is required to introduce rules such as procedures, basis and methods for the formulation of medical insurance payment standards, which shows that the issuance of medical insurance payment will be the rules for the formulation of medical insurance payment price Does this mean that in the future, the medical insurance payment price will not be the national unified medical insurance payment price, or at least in the current stage, it is likely that the provinces will issue their own medical insurance payment price according to the established procedures, basis and methods We speculate that the reason why the medical insurance payment price of each province is not unified may be that the economic development of each province is not balanced, and whether the fund pool of medical insurance funds is abundant or not is not the same, some are surplus, some are facing the bottom, and some have a huge deficit Although, from the perspective of drug price, the same drug should be the same price, but due to the differences in the medical insurance fund pool, the medical insurance payment price may also be different in each province   For pharmaceutical enterprises, in the future, they may face different market choices For the market with relatively abundant medical insurance funds, the price of medical insurance payment is relatively high, which will become the key market for the competition of original research drugs and high-quality generic drugs For other provinces with tight medical insurance funds and even deficit, the future prospect of medical insurance payment is not optimistic, and they are willing to accept this Low price generic companies can focus on these markets Due to the differentiation of the pharmaceutical market, it means that the market of different types of pharmaceutical enterprises will be further refined, which means that some pharmaceutical enterprises will be narrowed down In the future, pharmaceutical enterprises will enter the Warring States period, especially general medicine, and the competition will be more intense However, in the long run, with the docking of bidding data and national drug bidding platform and the sharing of information, the payment price of medical insurance should be unified across the country Will the payment price be a middle price or just a low price? The only thing we can be sure of is that we won't take high prices The ideal is to take the middle price, and taking low prices will be more tragic The following is the list of 8 key tasks and 7 key aspects of medical reform issued by the State Council in 2015 No work task leading department time schedule 1 formulation of implementation opinions on comprehensively promoting the comprehensive reform of county-level public hospitals by the end of April 2015 by the health and Family Planning Commission 2 formulation of guiding documents for the pilot reform of medical service price formation mechanism by the end of December 2015 by the development and Reform Commission 3 To study and formulate the pilot program of salary system reform in public hospitals, the Ministry of human resources and social security and the Ministry of finance to complete 4 studies by the end of September 2015, to formulate and integrate the reform program and pilot implementation opinions of basic medical insurance management system for urban and rural residents, the state council medical reform office, the Ministry of human resources and social security and the health and Family Planning Commission to complete 5 by the end of November 2015 To formulate guidance documents for the full implementation of the serious illness insurance system for urban and rural residents by the end of June 2015 by the State Council's medical reform office, the Ministry of human resources and social security, the health and Family Planning Commission and the Insurance Regulatory Commission; to formulate policies and measures to accelerate the development of social medical services by the end of December 2015 by the development and Reform Commission; 7 The development and Reform Commission shall complete 8 measures for the management of medical insurance payment standards by the end of June 2015, and the Ministry of human resources and social security and the health and Family Planning Commission shall complete 7 key aspects of medical reform by the end of September 2015: first, comprehensively deepen the reform of public hospitals We will eliminate the mechanism of supplementing medical treatment with drugs, promote the establishment of a scientific compensation mechanism, further rationalize the price of medical services, deepen the reform of personnel system, establish a salary system that is in line with the characteristics of the medical and health industry, optimize the distribution of medical and health resources, accelerate the establishment and improvement of modern hospital management system, and strengthen performance evaluation Second, improve the national health insurance system We will improve the financing mechanism and management services, fully implement the serious illness insurance system for urban and rural residents, improve the guarantee mechanism for major and major diseases, deepen the reform of the medical insurance payment system, and vigorously develop commercial health insurance Third, we should vigorously develop social medical services We will further improve the social policy for running medical services, strengthen supervision and management, and standardize service behaviors Fourth, we will improve the drug supply guarantee mechanism We will implement measures for centralized drug procurement in public hospitals, deepen reform in the field of drug production and distribution, actively promote drug price reform, ensure drug supply and distribution, and improve the evaluation system for innovative drugs and medical devices Fifth, improve the system of hierarchical diagnosis and treatment We will improve the service capacity of the grassroots and accelerate the establishment of the system of first and two-way referral at the grassroots level Sixth, we will deepen the comprehensive reform of basic medical and health institutions Mobilize the enthusiasm of the grass-roots level, strengthen the construction of rural doctors, and accelerate the equalization of basic public health services Seventh, we will comprehensively promote various supporting reforms Promote the construction of health information, strengthen the construction of health talents, improve the medical and health supervision system and other related work.
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