Key tasks in the second half of the year! New documents for drug procurement and medical insurance payments.

On July 24, the Chinese government website issued the Notice of the General Office of the State Council on the issue of key tasks for the second half of 2020 to deepen the reform of the medical and health system (hereinafter referred to as the "Notice"). In accordance with the Notice, the
will study and develop eight documents on medical reform in the second half of 2020 to promote the implementation of 26 priorities.
8 Research and Development Documents 1. Development of Guidance Documents for In-depth Development of patriotic Health Campaigns in the New Era 2. Development of Guidelines for the Management of Health Care And Integrated Institutions 3. Developing Guidelines for Cancer Prevention and Screening (Science Edition) 4. Developing policy documents to promote the high-quality development of public hospitals 5. Developing guidelines for the establishment of standards for the payment of medical insurance drugs 6. Develop ingest policy documents to reform and improve the drug procurement mechanism. Develop a second batch of guidelines to encourage generic drugs.
promote pay-per-country pilots and pay-per-disease for disease diagnosis-related subgroups.
improve the mechanism of consultation and negotiation between medical insurance agencies and medical institutions, reasonably determine and dynamically adjust the budget targets of the total amount of medical insurance funds, and where conditions exist, the advance of working capital may be increased to reduce the pressure on medical institutions to advance payments.
explore the implementation of the total amount of the tight medical complex, strengthen supervision and assessment, balance retention, reasonable overspend sharing.
from the current progress, according to the disease diagnosis-related grouping (DRGs) pilot is accelerating, in June this year, the National Health Insurance Administration issued the National Medical Security Disease Diagnosis Group (CHS-DRG) sub-group (VERSION 1.0), the group inggroup of 376 groups of core DRG (ADRG) further refined into 618 groups.
requires the pilot cities to develop local DRG sub-groups and submit assessment reports to the DRG Paid National Pilot Technical Steering Group by August 31 with reference to the group results of the CHS-DRG sub-group, the list of complications of comorbidities/severe comorbidities (CC/MCC table), grouping rules, named formats, etc.
analysis predicts that the landing of DRGs will force the stakeholders of the medical industry chain to change the purchase and sale and use mechanism of medicines in medical institutions and reshape the market pattern in the hospital.
if drGs are cut from a long-term perspective, then the guidance referred to in the Notice to establish standards for the payment of health-care drugs, I am afraid, more seriously hit the industry's focus.
in fact, the medical insurance drug payment standards of the system research and local exploration has been carried out, however, in the context of the expansion of the national drug centralized procurement, the national level of guidance was once again mentioned, no doubt released a clear signal.
As earlier researchers have pointed out, national harvesting could be a process for building medics for drugs.
combing the current introduction of the relevant documents, can be greatly outlined the medical insurance drug payment standards of the general idea.
such as the principle of the selection of varieties collection price as the standard of medical insurance payment for settlement, patients using drugs with a price higher than the payment standard by the patient out of pay, the use of drugs price slower than the payment standard to pay the actual price, drug prices and payment standards when the gap between the large gradual adjustment, the same generic name did not pass the consistency evaluation of generic drug payment standards are not higher than the price of the selected drugs.
range of collected varieties will be expanded to promote the comprehensive clinical evaluation of drugs "Notice" clear, will improve the procurement policy of pharmaceutical supplies.
an orderly expansion of the scope of centralized procurement and use of drug varieties by state organizations, and the pilot of centralized procurement of high-value medical supplies.
encouraged medical insurance operators to settle drug purchases directly with drug production or circulation enterprises.
guide the local government to fully implement the procurement, distribution and use policies of selected medicines and high-value medical supplies.
formulate a policy document to reform and improve the drug procurement mechanism.
guide the local authorities to improve the new crown virus detection related to centralized procurement, medical insurance payment and other policies.
at the same time, promote scientific and rational drug use.
implement rational drug use monitoring, regularly publish monitoring, promote medical institutions to optimize and standardize drug use structure, promote priority provision of national basic drugs, the implementation of "can oral non-muscle injection, can not inject infusion" and other requirements.
strengthen the construction of a national monitoring platform for drug use.
to promote the comprehensive clinical evaluation of drugs, and organize and carry out a pilot clinical comprehensive evaluation of basic drug use for major diseases.
develop a second batch of generic drug catalogues.
it is worth noting that, in addition to the "orderly expansion of the scope of centralized procurement and use of drug varieties by national organizations" as the expected promotion, the promotion of comprehensive clinical evaluation of drugs may also bring a relatively large impact on the hospital market.
in accordance with the relevant documents of the previous Health and Care Commission, the results of the comprehensive clinical evaluation of drugs will be used to promote the improvement of drug research and development, production, circulation, use and other drug policies.
include highlighting the clinical value of drugs, promoting the selection and dynamic adjustment of relevant evidence for the use of national essential drugs, encouraging generic drugs, encouraging research and development to declare children's drugs, guiding drug procurement and drug convergence between medical institutions and higher and lower levels of medicine, continuously optimizing the drug use structure of medical institutions, improving the level of safe drug use and rational drug use, proposing drug price policies and encouraging drug production and support policies in the national list of essential drugs;
Deepening the reform of the medical and health system in the second half of 2020 Has been the key task in recent years, especially since the Third Plenary Session of the 18th Cpc Central Committee, the reform of China's medical and health system has been deepening, and the fairness and accessibility of people's health conditions and basic medical and health services has continued to improve.
since the outbreak of Xinguan pneumonia, the medical and health system has stood the test and played an important role in winning the new crown pneumonia epidemic prevention and control resistance war.
deepening the reform of the medical and health system in the second half of 2020, taking The new era of socialist ideology of Socialism guided by Xi Jinping, comprehensively implementing the spirit of the 19th National Congress and the 19th Central Committee of the Communist Party of China, the Second, Third and Fourth Plenary Sessions of the 19th Cpc Central Committee, implementing the decision-making and deployment of the CPC Central Committee and the State Council, adhering to the people-centered development thought, adhering to the basic, strong grass-roots and building mechanisms, and comprehensively promoting the deepening of medical reform and the prevention and control of the new crown pneumonia epidemic. Prevention is mainly placed in a more prominent position, make up the short board, plug loopholes, strong and weak items, continue to focus on promoting the treatment-centered into the people's health as the center, deepen medical, medical, medical joint reform, continue to focus on solving the problem of difficult to see a doctor, expensive to see a doctor, in order to win the epidemic prevention and control of the people's war, the overall war, the fight against the war, to ensure the people's life safety and health to provide strong support.
. Strengthen the construction of public health system (i) reform and improve the disease prevention and control system.
optimize and improve the functional setting of disease prevention and control institutions and improve the basic conditions for disease prevention and control.
improve the coordination mechanism of medical prevention and control, strengthen the responsibility of disease prevention and control of medical institutions at all levels, enhance the ability of public hospitals to treat infectious diseases, and promote the communication of medical and preventive institutions personnel, information and resources.
strengthen the responsibilities of disease prevention and control in township hospitals and community health service centers, and improve the mechanism of linking disease prevention and control institutions with urban and rural communities.
strengthen capacity-building for the prevention and control of infectious diseases at ports.
(National Health and Health Commission and General Administration of Customs are responsible for the participation of the National Development and Reform Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, the State Administration of Traditional Chinese Medicine, etc.
are responsible for each department to take the lead according to their responsibilities, the same below) (ii) improve the infectious disease surveillance and early warning system.
implement the system of first consultation system for infectious disease reporting, improve the monitoring mechanism for unexplained diseases and abnormal health events, promote the establishment of intelligent early warning multi-point trigger mechanism, strengthen the inter-military and inter-departmental surveillance and early warning information circular, and promote the improvement of multi-channel monitoring and early warning mechanism.
(National Health and Health Commission, General Administration of Customs, State Administration of Traditional Chinese Medicine, Central Military Commission Logistics Support Department, health bureau, etc. are responsible for, the relevant departments involved) (iii) improve the public health emergency materials security system.
increase the number of medical facilities and mobile laboratories for epidemic prevention and treatment.
adhere to the emphasis on Chinese and Western medicine, and strengthen the capacity-building of emergency medical rescue for public health emergencies prevention and control.
strengthen the reserves of pharmaceutical and medical protection materials, enhance the detection capacity of nucleic acids, promote the transformation of fever clinics in medical institutions, and promote the implementation of the "three zones and two channels" requirements.
increase disinvestment in research and development of vaccines, drugs and rapid detection technologies.
(National Development and Reform Commission, Ministry of Science and Technology, Ministry of Industry and Information Technology, Ministry of Finance, National Health and Health Commission, State Council SASAC, General Administration of Customs, State Administration of Traditional Chinese Medicine, etc.) are responsible for the prevention and control of the outbreak of new crown pneumonia in autumn and winter.
guide all regions to formulate specific programs early, strengthen personnel training and emergency drills, compact "quartet responsibility", do a good job of "five three strict" (there are guidelines for protection, prevention and control management system and responsible persons, protective materials and equipment, health care support, isolation transfer arrangements, strict fever outpatient setting management, serious epidemiological investigation, strict prevention of hospital infections in hospital) and other work.
establish and improve the classification, stratification, diversion of infectious diseases and other major epidemic treatment mechanism.
promote local long-term prescription services for chronically ill people.
(National Health and Health Commission, National Development and Reform Commission, Ministry of Finance, State Administration of Traditional Chinese Medicine, etc. are responsible.
the lead department, the same as below) (v) to strengthen the public health team.
strengthen the construction of public health-related disciplines and the training of reserve personnel.
strengthen public health knowledge training for clinicians, including general practitioners, on epidemics.
and other conditional places, such as the pilot provinces of comprehensive medical reform, should increase their exploration efforts in improving the access and use of public health personnel, guarantee of treatment, evaluation and evaluation, and incentive mechanism.
(The Ministry of Education, the Ministry of Human Resources and Social Security, the National Health and Health Commission, the State Administration of Traditional Chinese Medicine, the Secretariat of the State Council's Leading Group on Medical Reform, respectively, the Ministry of Finance and other participation) ii, the in-depth implementation of the Healthy China Initiative (vi) to continuously improve the production and living environment, and promote a healthy and civilized lifestyle.
perfect the working mechanism of health science.
carry out in-depth rehabilitation of the rural living environment.
to improve the farmers market new crown pneumonia outbreak prevention and control technical guide.
promote the standardization of farmers' markets, standardize functional zoning and layout, and increase standardized management and supervision of law enforcement.
to promote the revision of the general principles of nutrition labels for prepackaged foods.
develop a guiding document to carry out the patriotic health campaign in the new era.
(Ministry of Ecology, Ministry of Agriculture and Rural Affairs, Ministry of Commerce, National Health and Health Commission and General Administration of Market Supervision) are responsible for strengthening the health promotion of key population groups.
conduct a national comprehensive prevention and control of children and adolescents short-sighted review and assessment.
to strengthen and improve the education of physical education, health and health in schools in an all-round way.
to promote the innovation of the mechanism of maternal and child health institutions pilot expansion.
develop guidelines for the management of medical and health-care institutions.
to strengthen the provision of on-site health services for the elderly.
implement community health and care capacity enhancement project.
(the Ministry of Education, the National Health and Health Commission are responsible for the National Development and Reform Commission, the Ministry of Civil Affairs, the General Administration of Sports, the State Administration of Traditional Chinese Medicine) (VIII) to raise the level of chronic disease prevention and control.
improve public health services.
to hypertension, diabetes and other chronic diseases management as a breakthrough, strengthen the combination of grass-roots prevention and treatment.
to heart and cerebrovascular disease, cancer, pneumoconiosis early screening intervention as the starting point, to promote disease prevention and control institutions and medical institutions business integration.
develop guidelines for cancer prevention and screening (science edition).
to promote the construction of a social psychological service system pilot work.
(national health and health commission, Ministry of Finance, State Administration of Traditional Chinese Medicine, etc.) (nine) to increase the prevention and treatment of infectious diseases, endemic diseases, occupational diseases and so on.
do a good job in winter and spring flu prevention and control work.
achieve the goal of eliminating malaria, control and eliminate the harm of major endemic diseases and schistosomiasis, and basically control the epidemic of germatochomia.
promote the work of occupational health.
(the National Health And Health Commission and the State Administration of Traditional Chinese Medicine) third, deepen the comprehensive reform of public hospitals (10) improve the performance appraisal mechanism of medical and health institutions and medical personnel.
improve the performance appraisal of three-level public hospitals, initiate the performance appraisal of the second-level public hospitals, and promote the performance appraisal of maternal and child health care institutions.
include disease prevention and control, public health emergency, health promotion and education in the scope of assessment.
promote the disclosure of information on the economic operation of public hospitals.
to promote the establishment and improvement of the modern hospital management system pilot, in-depth implementation of the comprehensive reform of public hospitals demonstration and performance evaluation work.
develop policy documents to promote the high-quality development of public hospitals.
(National Health And Health Commission, State Administration of Traditional Chinese Medicine, respectively, the Ministry of Human Resources and Social Security, etc.) (11) to establish and improve the dynamic adjustment mechanism of medical services prices.
guide the provinces in accordance with the setting of start-up conditions, evaluation trigger implementation, there is a rise and fall price adjustment, medical insurance payment convergence, tracking monitoring and assessment of the basic path, the overall design of dynamic adjustment mechanism, seize the drug supplies centralized procurement, cancel medical supplies plus and other reduced cost of pharmaceutical supplies window period, timely price adjustment assessment, to achieve the start-up conditions to adjust prices in a steady and orderly manner.
promote the improvement of the access system for medical services and speed up the review of new medical service price items.
monitoring the price, cost, cost, income distribution and reform operation of medical service in public medical institutions, as the basis for the implementation of dynamic adjustment of medical service prices.
strengthen the cost accounting of medical services in public medical institutions.
(the National Health and Health Commission, the State Health Insurance Administration and the State Administration of Traditional Chinese Medicine) (12) deepen the reform of the remuneration system and the establishment and management.
implement the "two permits" requirements, comprehensively push forward the reform of the public hospital remuneration system, guide the local government to improve the total compensation approval, internal performance appraisal and income distribution methods, and establish and improve the operation mechanism of combining the guarantee and incentive of medical and health institutions.
to make good use of the resources in the field of medical and health care, focusing on strengthening the establishment and equipping of public health institutions such as public hospitals, primary health care institutions, and disease prevention and control at all levels.
(central lying, human resources and social security departments are responsible for, the Ministry of Finance, the National Health and Health Commission, the State Health Insurance Administration, the State Administration of Medicine, the State Of Chinese Medicine.