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    Home > Active Ingredient News > Drugs Articles > Medical insurance integration and speed up grass-roots medicine

    Medical insurance integration and speed up grass-roots medicine

    • Last Update: 2015-03-13
    • Source: Internet
    • Author: User
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    Source: Medical Network March 13, 2015 March 10 Hu Xiaoyi, Vice Minister of the Ministry of human resources and social security, answered questions about medical insurance at the press conference of the third session of the 12th National People's Congress, introduced the progress of the integration of three insurances in different regions, explained in detail the current process of promoting medical insurance in different regions, explained the obstacles existing in medical insurance in different regions and the key work of the Ministry of human resources and social security in the next step Medical insurance is the key factor to stimulate the development of the whole pharmaceutical industry In the context of the continuous tightening of medical insurance funds, the Ministry of human resources and social security and local governments are trying to promote the integration of fund management system and operation system The acceleration of medical insurance integration is gradually on the right track on the basis of various local pilot projects in the past two years For the pharmaceutical industry, an important impact of the integration of medical insurance is that the fund inclines to the grass-roots level, and the national and local governments coordinate the medical resources to the grass-roots level, which will inevitably drive the scale of the drug market to a higher level According to the data of medical insurance integration and re acceleration, at present, the number of people covered by three basic medical insurance systems in China has exceeded 1.3 billion, among which the total number of employees and urban residents covered by medical insurance has exceeded 590 million by the end of 2014, and the national medical insurance system has basically formed Hu Xiaoyi pointed out that by the end of 2014, there were eight provincial areas, 35 prefecture level areas and dozens of counties in other provinces and regions, which had achieved the unification of employee medical insurance, resident medical insurance and new rural cooperative medical insurance Next, the Ministry of human resources and social security will focus on promoting the integration of urban and rural systems and standards Another important aspect of the integration of medical insurance is the realization of remote medical insurance, which has attracted much attention The heads of relevant departments pointed out that to solve the obstacles of remote medical treatment, from the perspective of supply, the first is the convergence of household registration management system The second is to overcome the technical problems of management, mainly the consistency of policies, standards and scope Third, we should allocate medical and health resources in a balanced way In terms of specific measures, Hu said that we should adhere to the principle of gradual progress and solve the most needed problems first Compared with the previous papers issued by the Ministry of social security, the settlement of medical treatment for the retirees in different places should be given priority, and the reform of household registration system should be followed closely We need to strengthen technical management At present, 730 million social security cards have been issued nationwide, laying a good technical foundation for medical settlement in different places In addition, the realization of medical treatment in different places is to make the allocation of medical and health resources more balanced, especially the high-quality resources sink to the grass-roots level, which is of great significance to reduce the cost of medical treatment in different places and social costs In the overall framework, in 2015, the Ministry of human resources and social security required that 60% of the medical treatment in different places could achieve "no different places in the same city", and 30% of the medical treatment in different places could achieve settlement in different cities in the province Whether it's "Three Guarantees in one" or remote medical insurance settlement, it seems to be good news for the pharmaceutical industry On the one hand, the integration of medical insurance is more equitable for the insured to enjoy the security benefits Under the default rule of "can we go up or not go down", the insured level of nearly 740 million new rural cooperative insurance employees may be improved as a whole With the increase of financial investment, all the insured will share resources in the designated hospital, drug catalog, diagnosis and treatment project catalog and service facility catalog, so as to boost the grass-roots drug and medical service market " Experts on medical insurance research point out that, on the other hand, no matter which department the operation of medical insurance fund ultimately belongs to, the scale of unified operation of medical insurance fund may be larger, which will adopt a higher fund operation efficiency model for the competent departments, such as in the adjustment of medical insurance reimbursement system, fund-oriented, balanced allocation of medical resources and enterprise R & D and production, etc Will have a catalytic effect The reporter noted that in terms of local exploration, compared with the list of basic drugs for provincial public medical institutions (2014 version) formulated by Anhui Province before, there are 1118 kinds of products, 520 The list of basic drugs, Anhui new rural cooperative medical system and urban medical insurance drugs are all included in the list, and the list is applicable to all kinds of public medical institutions in Anhui Province, which greatly improves the quantity and level of available drugs in basic medical institutions in Anhui Province "Whether it's remote medical insurance, hierarchical diagnosis and treatment or classified procurement, the common idea of all competent departments to promote the current measures is to incline resources to primary medical care After several years of construction, we feel that grass-roots medical treatment has entered a new period of system supporting construction " So says the head of a Shenzhen pharmaceutical company According to the above-mentioned person in charge, when the state and local governments issue more detailed supporting policies on specific issues, all kinds of drug catalogs may be gradually formed in different regions, which may become the focus that drug companies need to pay attention to in the future.
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