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    Home > Active Ingredient News > Drugs Articles > Fujian, drug purchase should be incorporated into medical insurance!

    Fujian, drug purchase should be incorporated into medical insurance!

    • Last Update: 2016-05-03
    • Source: Internet
    • Author: User
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    Source: saibelan collated 2016-5-3 on April 27, 2016, the national medical reform teleconference was held in Beijing, and Liu Yandong, vice premier of the State Council and leader of the leading group of medical reform of the State Council made an important speech Li Bin, director of the national health and Family Planning Commission and deputy leader of the leading group of medical reform of the State Council, attended the meeting and reported the progress of medical reform in 2015 The heads of the people's hospitals of Fujian Province, Shanghai City, Beijing City, Qinghai Province, Gansu Province, Zhenjiang City, Jiangsu Province and Tianchang City, Anhui Province made speeches respectively Speech materials of Li Bin, the official website of the national health and Family Planning Commission, and local leaders Li Bin's speech is relatively macro The speeches of Beijing, Shanghai and Gansu are mainly about the hospitals concerned and how to make hospital reform The following is the excerpt of cypress blue, which is related to medicine After all, in the national medical reform work teleconference, it is of model significance In the future, it may have a greater impact on the pharmaceutical market These contents are as follows: Fujian Province: drug procurement into medical insurance, recruitment and procurement in one! The first is the high moisture content of the extruded drug consumables We will implement zero margin for drug consumables, implement the "three in one" reform of prices, medical insurance and financial investment, and improve compensation policies We will promote a new mechanism for drug bidding and purchase, and take measures such as "listing", making the list of drugs publicly available, and "two ticket system" for drug purchase and sale, so as to control the chaos in the field of drug circulation Second, we will promote the reform of the medical insurance management system We will unify basic medical insurance policies for urban and rural residents and coordinate them at the municipal level Summarize and promote the experience of Sanming, comprehensively promote the reform of "Three Guarantees in one", at the same time, incorporate the drug purchase function into the medical insurance department, and realize the "integration of recruitment and procurement" We will promote the reform of payment methods for medical insurance This year, each city divided into districts will implement more than 100 single disease payment projects Third, we need to straighten out the price of medical services During the reform of public hospitals, the key measure to promote the reform is to replace the space made by "fee control" and increase the price of medical services In the new round of centralized purchase of drugs in our province, the average price drop is 15%, and the space made is used for the price adjustment after the compensation of "zero difference rate of drugs" Fourth, we will push forward the normal adjustment of medical service prices We should establish a mechanism based on cost, which can adjust the price of medical services dynamically At present, our province has started the adjustment of low price items such as pediatrics, nursing and internal medicine, and appropriately reduce the price of examination and test Fifth, regular pricing of new medical services This year, we will start to find out and straighten out the charging projects of public hospitals, guide and standardize the price catalogue of new medical projects, urge medical insurance to follow up in time, and effectively alleviate the unreasonable medical burden of the people The pricing of new projects shall be conducted once in the first half of the year in principle The biggest change in Fujian's pharmaceutical market in the future may be that the pharmaceutical purchasing function has been incorporated into the medical insurance department to achieve the "integration of recruitment and procurement" If the medical insurance department plays a leading role in drug procurement, how will the medical insurance department lead the procurement in the future? Jiangsu Zhenjiang Public Hospital Reform: the first is to improve the payment method of medical insurance Establish a fund budget management mechanism, and implement the total budget, per head, per bed day, per disease composite payment mode Second, deepen price reform The city's non-profit medical institutions above the second level implemented price reform, established a dynamic adjustment mechanism, adjusted prices three times in a row, and gradually increased the proportion of hospital labor income Third, strengthen the management of drug purchase Implement centralized bidding procurement at provincial level, and implement access system for distributors, purchase and sale contract and bill review system Carry out the pilot reform of drug supply chain in communities and hospitals Fourth, adhere to diversified financing The debt of public hospitals was resolved, and the growth rate of municipal financial and medical reform investment was higher than that of regular budget expenditure, with an average annual growth rate of 30% Cooperate with Xiamen eye group, Taiwan Qimei hospital, etc Saberland comments: the comprehensive promotion of medical insurance payment and the shuffling of drug distribution Anhui Tianchang people's Hospital: clinical pathway management, the proportion of medical consumables decreased In 2014, our hospital was identified as the first clinical pathway management demonstration hospital in the province Over the past year, 212 diseases have been implemented, 113 diseases have been included in the payment by disease, 54% of the patients have implemented clinical pathway, and 82.9% of the discharged patients have been included in the clinical pathway management The average cost per time of inpatients was effectively controlled In 2015, the growth rate of average cost per time decreased by 67.62%, the proportion of drugs decreased by 4%, the proportion of consumables decreased by 1%, the average length of stay shortened by 1.2 days, and the bed turnover rate accelerated At the same time, we have curbed drug abuse and over examination, standardized medical behaviors, and reduced medical expenses The actual reimbursement rate of patients who pay by disease in clinical pathway is 75%, the satisfaction is generally improved, and no medical dispute occurs Sabilan comments: Linchuan's path management will be greatly promoted this year The State Council recently released 2016 medical reform, which focuses on the development of clinical paths for 50 diseases, and strives to develop clinical path management in all tertiary hospitals and more than 80% of secondary hospitals The clinical pathway will have a great impact on the pharmaceutical market in the future Anhui hospital introduced the results of the implementation of the clinical pathway, the cost rate decreased by 67.62%! From this figure, it is still more influential.
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