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Pharmaceutical Network August 4th, to enhance the welfare of patients "generous" and strict control of spending "petty", essentially for the "benefit of the people's livelihood."
According to the Beijing News, the State Administration of Medical Insurance has officially announced the Interim Measures for the Administration of Drug Use in Basic Medical Insurance, which makes it clear that medicines such as health-care drugs, preventive vaccines and contraceptives, as well as other drugs that do not meet the provisions of the basic medical insurance drug use, may not be included in the Drug Catalog.
The Measures will come into effect on September 1, 2020, and the administrative department of medical security under the State Council shall establish a mechanism for improving the dynamic adjustment, which shall be adjusted annually in principle.
the Measures have received widespread attention since they were publicly solicited for comments in April this year because of the vital interests of patients involved.
the Measures are now officially released, and although the public has some understanding of the relevant content, the Measures exclude medicines, medicines containing national precious or endangered wildlife medicines, health drugs, preventive vaccines and contraceptives from the basic medical insurance drug catalogue, and clearly in principle the "Drug Catalog" will no longer add OTC drugs.
the strength of "saving" is greater than many people expected.
in recent years, medical insurance drugs in the expansion of the scope of protection, improve the level of protection, and so on, leaving a deep impression.
, for example, drug price-for-for-bargaining negotiations, to be included in the health insurance catalog as a condition of negotiation, many of the past expensive drugs after a substantial reduction in prices, included in the "drug catalog", including a variety of imported anti-cancer drugs are also included for the first time, so that patients no longer "hope for drugs."
the "generousness" of improving patient welfare and the "pettyness" of strict lying to control spending, in sharp contrast, it also shows that health care is moving further towards the direction of "the benefit of the people".
in fact, the inclusion of health-care drugs in the health-care catalogue to save money and improve people's livelihood and welfare is not only non-conflicting, but can also be balanced.
because, there will be an exit will have access, and the "drug catalog" withdrawal of the greater the strength, the higher the threshold of access, the greater the space to ensure upgrade.
in the past, tonic drugs, health-care drugs, auxiliary drugs and other drugs accounted for a considerable proportion of the list of medical insurance drugs, which will crowd out the clinically necessary, safe and effective, reasonable price of drugs, these non-essential drugs transferred or excluded, can be included in more urgently needed drugs, to better protect the need for treatment.
also have to see that the cost of saving is not a benefit-reducing, but precise protection.
for example, this time to exclude preventive vaccines from the "drug catalog", some people worry that will lead to the loss of health insurance benefits, but therapeutic vaccines are not excluded, hepatitis B therapeutic vaccines and other high-tech products that can play a greater role in treatment, can still be included.
and the first vaccine in the preventive vaccine is a free vaccine within the national immunization programme, and the second vaccine is a self-funded vaccine.
even a second-class vaccine can be guaranteed through temporary measures, such as Beijing and other places for people over 60 years of age and school students free of charge influenza vaccine, is a typical case of temporary protection measures, the new crown pneumonia vaccine can also be used in the future this model.
medical security includes both basic medical insurance, but also commercial insurance, medical assistance, temporary protection, too much reliance on a way of protection can not solve the immediate problems, but also may affect the sustainable protection of the health insurance fund, a variety of protection methods of their own duties, joint efforts, can weave the entire medical security network more encrypted.
can foresee that in the future there will be better clinical lying, new drugs included in the "drug catalog", health insurance will only be more and more vigorous.
in addition, the series of health insurance savings measures will be gradually strengthened, in addition to the clear "drug catalog" of the ban list, to combat hedging, strengthen the health insurance fund audit and other measures, will also play a greater role.
only a good cut and huimin chess, medical security level and people's medical well-being, can steadily improve.
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