echemi logo
Product
  • Product
  • Supplier
  • Inquiry
    Home > Active Ingredient News > Drugs Articles > Health insurance bureau and health care Commission jointly issue notice on drug landing in national health insurance negotiation in 2019

    Health insurance bureau and health care Commission jointly issue notice on drug landing in national health insurance negotiation in 2019

    • Last Update: 2019-12-19
    • Source: Internet
    • Author: User
    Search more information of high quality chemicals, good prices and reliable suppliers, visit www.echemi.com
    In order to promote the implementation of negotiated drugs for national health insurance as soon as possible, on December 18, the National Health Insurance Bureau and the national health and Health Commission officially issued the notice on completing the implementation of negotiated drugs for national health insurance in 2019, which requires all provincial health insurance departments to optimize the process and speed up the progress, organize enterprises to timely submit relevant materials, and collect 97 negotiated drugs at the provincial level within the prescribed time limit Online directly on the purchase platform Notice of the national health and Health Commission of the State Health Insurance Bureau on the implementation of the national health insurance negotiation drugs in 2019 The national medical insurance drug negotiation in 2019 is a major task deployed by the CPC Central Committee and the State Council, which is of great significance for improving the level of drug use guarantee of the insured and promoting the progress of clinical technology In order to promote the implementation of national negotiated drugs for medical insurance (hereinafter referred to as negotiated drugs) in 2019 as soon as possible, and ensure that the majority of insured patients can enjoy the relevant treatment as scheduled, we hereby give the following notice on relevant matters: 1 Seriously do a good job in online purchase and payment of negotiated drugs Each provincial medical insurance department shall optimize the process and speed up the progress, organize enterprises to submit relevant materials in time, and according to the notice of the Ministry of human resources and social security of the State Medical Insurance Bureau on the inclusion of negotiation drugs in the category B scope of the national basic medical insurance, industrial injury insurance and maternity insurance drugs catalogue (CMF [2019] No 65), 97 negotiation drugs shall be within the time limit of The provincial drug centralized purchase platform is directly linked to the Internet Timely organize medical institutions and drug manufacturers to sign agreements, and medical institutions shall purchase according to the agreements The medical insurance agencies in each overall planning area shall speed up the adjustment and update of the medical insurance information system according to the transfer in and transfer out of the new version of the directory, formulate settlement management measures, and ensure the timely implementation of the new version of the directory To improve the fine management ability and level, when determining the annual total amount control index of designated medical institutions, we should take into account the factors such as the increase and decrease of drugs in the new version of the catalogue, structural adjustment and the characteristics of designated medical institutions, reasonably calculate the fund payment amount, and guarantee the basic drug demand of medical institutions and patients 2、 Promote the negotiation of timely access of drugs to designated medical institutions Local medical insurance, health and other departments shall, in accordance with their duties, put forward specific requirements for the allocation and use of negotiated drugs, guide designated medical institutions to allocate and use them in a timely and reasonable manner according to their functional orientation, clinical needs and diagnosis and treatment capabilities, and shall not influence the allocation and use of negotiated drugs on the grounds of the total amount of medical insurance, the number limit of drug directories of medical institutions, and the proportion of drugs Each designated medical institution shall hold a special pharmaceutical management meeting in time according to the situation of drug transfer in and out of the directory to adjust and optimize the drug directory of the medical institution We will gradually establish a linkage mechanism between the adjustment of the medical insurance drug catalogue and the allocation of drugs in designated medical institutions to form a long-term effect 3、 We should optimize the way of payment, do a good job in linking the treatment guarantee with the medical insurance departments in all regions, make scientific calculation and careful organization, and actively explore the way of payment in line with the local reality on the premise of ensuring the safety of the fund and the rational use of drugs For negotiation drugs suitable for outpatient treatment, with long service cycle and high treatment cost, the burden of patients can be reduced by including special disease guarantee in outpatient service and exploring single disease payment according to fund income and expenditure Where conditions permit, we can actively explore long-term prescription policies to facilitate the use of patients Measures can be taken to encourage alternative use of drugs that are more cost-effective and can be completely replaced than the original drugs in the medical insurance catalogue before the negotiation 4、 Strengthen the management and monitoring, ensure that the standardized use areas should establish a monitoring mechanism for the use of negotiated drugs, and strengthen the statistical monitoring of the allocation, use and payment of negotiated drugs From January to June 2020, each provincial medical insurance department will summarize and report to the State Medical Insurance Bureau (medical service management department) monthly Health departments at all levels should strengthen the management and guidance of medical institutions, improve the guidelines and norms for drug use negotiation, standardize diagnosis and treatment, and promote rational use of drugs All designated medical institutions should simultaneously strengthen drug administration to ensure the rational and standardized use of negotiated drugs Each province shall timely report the progress of relevant work as required, and the state will timely supervise and urge the provinces that are slow in progress and fail to implement policies within the specified time limit The state health insurance bureau will select some overall planning areas in the country to monitor the drug use after the adjustment of the new version of the catalogue The specific requirements will be notified separately 5、 Strengthen publicity and training, reasonably guide and predict that all relevant departments should strengthen policy interpretation, reasonably guide social expectation, and actively create a good public opinion atmosphere for understanding and supporting the adjustment of medical insurance drug catalog Carry out policy and business training level by level, strengthen the guidance of medical insurance departments at all levels, designated medical institutions and medical personnel, guide and respond to patients' concerns in a timely manner, and deal with social public opinion safely 6、 Strengthen overall planning and coordination to form a joint force for implementation The negotiation of drug landing is related to the vital interests of the insured patients The central leading comrades attach great importance to it, and the community pays close attention to it The relevant departments of medical insurance, health care and other relevant departments must improve their political positions, unify their thoughts, organize them carefully and make solid progress, strengthen organizational leadership, fine scientific management and closely follow up the progress, so as to ensure the smooth landing of the negotiated drugs and do a good job Medical insurance departments at all levels shall take the initiative to work with health and other relevant departments to complete the implementation of the new version of the directory, including negotiated drugs In case of major problems, please report to the State Health Insurance Bureau in time National Health and Health Commission, state health insurance bureau, December 16, 2019
    This article is an English version of an article which is originally in the Chinese language on echemi.com and is provided for information purposes only. This website makes no representation or warranty of any kind, either expressed or implied, as to the accuracy, completeness ownership or reliability of the article or any translations thereof. If you have any concerns or complaints relating to the article, please send an email, providing a detailed description of the concern or complaint, to service@echemi.com. A staff member will contact you within 5 working days. Once verified, infringing content will be removed immediately.

    Contact Us

    The source of this page with content of products and services is from Internet, which doesn't represent ECHEMI's opinion. If you have any queries, please write to service@echemi.com. It will be replied within 5 days.

    Moreover, if you find any instances of plagiarism from the page, please send email to service@echemi.com with relevant evidence.