Full declassification of the new policy of provincial drug recruitment in the 4 pilot medical reform

Source: Cypress blue, March 9, 2015, the reform of public hospitals is the focus of the industry According to Mao Qunan, a spokesman for the health department, it has been clear that in the reform of public hospitals, the cancellation of drug mark ups and the reform of drug bidding and purchase have also been clear Recently, the state has just issued guidance on drug bidding and purchase Besides, what are the new pilot projects and trends? Let's take a look at the actions of four national health reform pilot provinces Drug procurement in Jiangsu Province: further enhance the participation of medical institutions in drug bidding and procurement The unified organization and platform in charge of centralized drug procurement in Jiangsu Province and public hospitals are not allowed to purchase products outside the bid winning catalogue, nor to conduct "second price negotiation" with enterprises On the basis of canceling drug mark up in county-level public hospitals, by the end of 2015, all public hospitals in cities will implement zero margin sales of drugs Reasonably reduce the price of drugs, high-value medical consumables and large-scale medical equipment inspection and treatment, and reduce the proportion of public hospital drugs to less than 30% by 2017 Fujian: to control the total amount of medical insurance expenses in hospitals The medical insurance fund of the human resources and social security department controls the total amount of the hospital and pays in advance on a monthly basis Cut off the doctor's interest relationship with drugs, consumables and large examination income It is strictly prohibited to set income indicators for medical staff, to directly link the president's income with the hospital's economic income, and to link the bonus, salary and other income of medical staff with the business income of drugs, consumables and medical examination Anhui: adhere to rational drug use, rational use of consumables, reasonable inspection, and establish a high price, large dosage, non treatment auxiliary and other key drug monitoring directory The total wage of the hospital is linked to the proportion of medicine, consumables and inspection income In the past three years, the weighted average was used as the assessment base If the proportion decreased, the total wage would be increased accordingly If the proportion increased, the total wage would be reduced accordingly, so as to ensure that the proportion of drugs, consumables and inspection income in the total income of the hospital would be decreased year by year Strengthen internal supervision, and unify network supervision on the diagnosis and treatment behaviors such as doctors' prescriptions Strengthen process monitoring, sign sunshine agreement, and implement blacklist system for illegal suppliers Qinghai: deeply study the management system and bidding method of centralized drug procurement after drug price liberalization Carry out provincial centralized procurement of high-value medical consumables, establish sunshine procurement trading system, build sunshine procurement information platform, and carry out online transactions for all drugs and medical consumables This paper studies how to make the actual transaction price of drugs form the lowest price by full competition in the market through medical insurance fee control and bidding procurement Gradually reduce the circulation of drugs We will severely crack down on the illegal activities of pharmaceutical production and trading enterprises, such as affiliated operation, sale of fake and substandard drugs, commercial bribery, and false invoices Sabilan comments: medical insurance will strengthen the control of hospital fees, and the hospital will turn to control drugs and consumables Anhui and Qinghai provinces put forward the management of drug enterprises, especially drug distributors Will the national health reform policy also have the content of drug distributors in the future? It deserves close attention.