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    Home > Medical News > Medical World News > Key points of medical security work in 2020: centralized procurement results will be implemented according to the established plan in April

    Key points of medical security work in 2020: centralized procurement results will be implemented according to the established plan in April

    • Last Update: 2020-02-18
    • Source: Internet
    • Author: User
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    On February 6, the state health insurance bureau issued a notice on the key points of medical insurance work in 2020 to deploy this year's key points of medical insurance work There are 12 key points of work, including: 1 Unswervingly strengthen the construction of the party 2 Promote the improvement of medical insurance system 3 Win the battle of medical insurance poverty alleviation 4 Continue to fight against fraud 5 Deepening the reform of centralized purchasing mechanism of drugs and consumables 6 Deepen the reform of medicine price 7 Strengthening the management of medical insurance catalogue 8 Deepening the reform of payment methods and the management of two fixed institutions 9 Strengthen the construction of informatization and standardization 10 Improve the ability of medical insurance planning and legalization 11 Improve the public service capacity of medical insurance 12 Strengthen capacity building Fifth, deepen the reform of centralized purchasing mechanism of drugs and consumables, and the pharmaceutical industry pays more attention to it Under the outbreak of novel coronavirus, it is a question whether the pharmaceutical enterprises will resume their work Can the national collection be implemented in April? How do pharmaceutical companies guarantee the supply of selected products? Should the scope of centralized mining continue to expand? To this end, the notice on key points of the work gave a clear reply to the beginning: 1 Despite the current situation, the centralized mining will not stop The document "do a good job in the centralized procurement of the second batch of drugs, and let the people use the drugs after price reduction in April" It can be seen that the results of the second batch of national centralized procurement will be implemented according to the established plan in April 2 How to promote the centralized mining mechanism? "Establish a normalized centralized drug procurement mechanism of national organizations, and strengthen organizational support and platform specialization support" It seems that the national power continues to promote volume procurement, and professional platforms like Shanghai Pharmaceutical Institute should be affirmed 3 In the context of volume procurement, the procurement mode determines the access mode and marketing mode of pharmaceutical enterprises The document specifies that the national centralized procurement "promotes the new procurement mode, marketing mode and industry ecology to become the leading force." The mechanism of centralized mining is constantly exploring and maturing, forcing traditional pharmaceutical enterprises to carry out marketing reform Those pharmaceutical companies that still can't rely on centralized mining may want to make other plans 4 The scope of purchasing with volume is expanded "We will encourage and standardize all localities to purchase high-value medical consumables with large amount of drugs and clinical use, high purchase amount and sufficient competition that fail to pass the consistency evaluation." It can be seen that the scope of centralized purchase will be expanded from the drugs that have passed the consistency evaluation to the drugs that have not passed the consistency evaluation; from drug procurement to high-value medical consumables with quantity procurement It seems that the epidemic has not shaken the established policies, and the in-depth procurement at the national and local levels will continue The seventh point of work points out: "revise and issue the Interim Measures for the administration of the scope of use of drugs in basic medical insurance, and establish a dynamic adjustment mechanism for the list of drugs for medical insurance Gradually establish the access system of basic medical insurance for high-value consumables and implement the catalog management of high-value medical consumables Establish a monitoring mechanism for the implementation of negotiated drugs, and guide all localities to implement the new version of the directory Strengthen supervision and dispatching, and promote each region to complete the digestion of self supplemented varieties according to the schedule We will study and issue regulatory documents on medical insurance drug payment standards, and promote the establishment of a mechanism for the formation of medical insurance drug payment standards " It can be seen that the important measures to strengthen the management of medical insurance catalogue are as follows: 1 To establish the dynamic adjustment mechanism of pharmaceutical products catalogue; 2 Establish the access system of basic medical insurance for high value consumables; 3 Establish a monitoring mechanism for the implementation of negotiated drugs; 4 We will promote all localities to complete the digestion of supplementary varieties as scheduled These measures, from the scope of medical insurance, continue to strengthen the supervision of drugs and high-value consumables It is also the focus of work in 2020 to further promote the reform of payment mode and the management of two fixed institutions Because any reform can only be effectively implemented through the strong payer of health insurance In the reform of payment mode, it is clear that: 1 Formulate compound payment standards according to disease type, disease group, bed day, head, etc According to the notice, the state health insurance bureau will promote the reform of multiple and compound payment methods, formulate technical specifications for various payment methods such as disease type, disease group, bed day and head, form a typical case set of payment methods, and guide all regions to standardize the reform of payment methods 2 We will further promote DRG payment pilot projects "We will further promote the DRG paid country pilot, guide pilot cities to carry out simulation operations, and simultaneously implement intelligent monitoring, monitoring and evaluation, and supporting policies." 3 The Interim Measures for the designated management of medical institutions and retail pharmacies were promulgated and implemented, the management of designated service agreements was standardized, and the performance appraisal mechanism of designated medical institutions was established Attached is the full text of the notice issued by the State Health Insurance Bureau on the key points of medical security in 2020
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