Limit self-harvesting, personal account purchaser insurance medical insurance drug accelerated reconstruction.

Pharmaceutical Network September 1st, September 1st, a number of new health insurance policies will have a deep impact on the future pattern and direction of the pharmaceutical industry.
this date, the Interim Measures for the Administration of Drug Use in Basic Medical Insurance have been put into effect, and eight categories of drugs will no longer be included in the List of Essential Medical Insurance Drugs in the future.
That is, drugs that mainly play a tonic role; medicines containing the country's precious and endangered wildlife herbs; health care drugs; drugs that primarily enhance sexual function, treat hair loss, weight loss, beauty, quit smoking, alcohol withdrawal, etc., which are very common in hospitals and pharmacies.
the same day, Zhejiang Province took a new step: "Zhejiang Province to enhance the centralized procurement platform function to promote the health insurance drug payment standards full coverage reform program" began to land.
particular concern is that, after clarifying the mechanism for drug access and withdrawal, the document innovatively proposes to "explore the self-procurement system of public medical institutions" throughout Zhejiang province.
a reporter from the Journal of Medicine and Economics noted that the new initiative, while small in size, conveys a lot of information.
This document, which allows 1% self-harvesting behind the wind in Zhejiang, shows that for clinical needs and there is no online trading product on the platform or cannot be purchased at the established price within the platform, public medical institutions are allowed to determine the purchase price in consultation with enterprises in accordance with the principle of fairness within the 1% limit of the drug settlement amount in the previous year, and purchase it themselves through the provincial drug procurement platform.
industry was surprised not by the simple 1% figure, but by the message behind it that some drugs had a liberal "taste" in terms of market access and prices.
explanation given by the Zhejiang Provincial Health Insurance Bureau is very clear: the new adjustment of medical insurance should serve five purposes, namely, to improve the access mechanism of the drug recruitment platform.
the medical insurance catalogue drugs, state-based drugs, 1 new drugs and other drugs to check for deficiencies, all included in the scope of online trading platform;
to encourage competition among different manufacturers of medicines to create more favorable prices;
the province's fixed-point medical institutions and fixed-point retail pharmacies to sell medical insurance drug standards consistent, encourage private medical institutions and retail pharmacies to voluntarily purchase drugs in the province's drug recruitment platform;
the same standard of medical insurance payments for public and private medical institutions at the same level.
For the first test, Zhejiang Province also has pre-conditions: officials said that the provincial drug procurement center will regularly announce the situation of self-purchased products, focusing on monitoring the high unit price, large purchase amount and medical institutions to purchase more products.
note that, from this perspective, tender procurement is no longer the only threshold for market access, but self-procurement is not covered by health insurance payments.
If contact Zhejiang is the country's first province to start the implementation of DRG payment reform, then, there is reason to believe that when a disease reimbursement quota is determined, drugs, supplies, etc. will become hospital operating costs, in order to improve the level of profitability, hospitals will take the initiative to reduce the cost of drugs, supplies and so on, this is the hospital's concern, as to whether self-harvesting or collection, are based on this purpose.
industry believes, "This requires enterprises to pay close attention to, research local health insurance policies to do a good job of variety layout, in the future will be more and more test the ability of enterprises to find opportunities, which is as important as product power."
does buying commercial insurance from my personal account bring? In addition to Zhejiang, Shenzhen Health Insurance Bureau also has innovative actions.
according to the relevant person in charge of the bureau, Shenzhen Medical Insurance Bureau will launch a personal account to purchase commercial exclusive medical insurance policy, to further improve the level of serious illness and multi-medical needs protection.
also expanded the use of personal accounts, allowing families to use and pay for their own and family members' vaccine medical examinations.
health care treatment in Shenzhen is the highest in the country.
to speed up the establishment of a health-oriented government-led, market-oriented multi-level long-term care insurance system has brought a new way of thinking.
that at present, 240 communities in Shenzhen can run health insurance business.
the number of permanent residents in 2019 was 13.4388 million, and in July this year there were 1.5697 million insured, which means that the number of people insured is greater than that of the resident population.
recently, many people are concerned about where the money from the workers' health insurance fund will go. On August 26th the State Administration of Health Insurance issued the Guidance on establishing and improving the mechanism for the protection of basic medical insurance outpatient co-payments for workers (draft for comments), in which the accounts of medical insurance individuals with much attention have been accounted for significantly.
analysts believe that "retail pharmacies, especially those with a focus on health insurance, urgently need to be re-planned."
for hospitals, can greatly promote the classification of diagnosis and treatment, small diseases, common diseases left in the clinic, reduce the rate of hospitalization, reduce the waste of medical insurance funds.
data show that the hospitalization rate in China was less than 9% in 2008 and will increase to 19% by 2019.
472.4 billion yuan will be spent on employee health insurance personal accounts in 2019.
can predict that the reform of personal accounts will lead to the use of drugs for serious and chronic diseases, rather than the eggs, health care products and so on in the past.
if it were to extend a little further, the money freed up for health care could go to the grassroots.
the Wuhan Municipal Health Insurance Bureau recently had a move in response to this view.
In Wuhan City, the latest batch of medical institutions were added to the list of fixed-point units of medical insurance, 249 medical institutions for primary services, accounting for 89.2% of the total number of new, of which it is particularly noteworthy, of which 216 social-run medical institutions, accounting for 77.4% of the new.
view is that "clinics and out-patient clinics will receive more attention from health insurance, while oral clinics, women's and children's clinics and Chinese medicine clinics will account for a larger proportion."
, as a payer, every small change and innovation will lead to a re-structure of the drug market, " he said.
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