Drug companies nightmare again? 2015 Jiangsu public hospitals all zero difference rate

Source: saibailan Author: situ Yangming 2015-4-17 four pilot provinces of medical reform in Jiangsu, Anhui, Fujian and Qinghai Recently, the website of the health and Family Planning Commission published the work of medical reform in four pilot provinces It is shocking that we are concerned that Jiangsu Province also requires "zero margin sales of drugs in all urban public hospitals by the end of 2015" Fujian also proposed a thorough change in the mode of supporting medical care with drugs, achieving the full coverage of the comprehensive reform of public hospitals in the province in 2015; by 2017, the mechanism of supplementing medical care with drugs was completely broken, and on the basis of controlling the total cost of medicine, the proportion of drugs in public hospitals was reduced to less than 30% In 2015, Fujian has not made clear what policies are covered by the comprehensive reform of public hospitals However, in the long-term trend, it is also the trend to cancel the drug mark up On April 1 this year, Anhui Province began to implement zero margin sales of drugs, which caused a bloodbath in the whole industry When the volume purchase has not seen the volume, it requires rebate and rebate, so many products with less profit space are forced to be out of stock There are many Anhui wechat friends who are not optimistic about the future when they communicate with cypress blue Cypress blue has also learned that there are small and medium-sized businesses in Anhui who have quit Now, Jiangsu Province also has to implement zero price difference sales of drugs Will what happened in Anhui Province be staged in Jiangsu Province? We think it's very likely At present, the income from drug addition accounts for a large proportion of the hospital's income After the cancellation of drug addition, the hospital will lose a large part of its income According to the plan, this part of income is mainly made up by three ways: increasing medical service charges, increasing government investment and improving the hospital's own management ability It is difficult to improve the management level of hospitals in a short period of time, and the government can not expect too much to increase investment Now many media have exposed the debt crisis of the local government This year, county-level public hospitals will cancel the drug mark up If the third level public hospitals cancel the mark up again, the government's increased investment may be powerless To raise the medical service charge should be the main solution However, in the case that the public hospital is still run by the government, the price increase of medical services tests the financial strength of the medical insurance and the government If after the price increase, there is no corresponding increase in the proportion of medical insurance payment, it may become a burden on the people's livelihood Therefore, Chongqing medical reform also called for an emergency stop Apart from the economically developed areas such as Beijing, Shanghai and Guangzhou, the medical service charges in other places will face such difficulties Nor can the price of medical services rise too much In this case, the most simple and direct way to solve the problem is to ask the hospital to return to the pharmaceutical enterprises Although Jiangsu Province explicitly forbids the second price negotiation of hospitals, it is sure to be turbulent when the second price negotiation is forbidden in Mingli Anhui storm has come, Jiangsu storm is not far away The following is a summary of the four provincial medical reform pilot published on the official website of the health and Family Planning Commission.