National Committee of the Chinese People's Political Consultative Conference: Speed ​​up online payment of medical insurance!

Medical Network News, March 8th, the National Committee of the Chinese People's Political Consultative Conference suggested that the advancement of online medical insurance payment should be accelerated, and 39 pharmacies will usher in a favorable prescription outflow
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CPPCC member’s suggestion: Accelerate the advancement of online medical insurance payment
On March 5, Yang Wenlong, member of the National Committee of the Chinese People’s Political Consultative Conference and member of the Central Committee of the China Democratic National Construction Association, proposed "Proposal on accelerating the advancement of online medical insurance payment and improving the closed loop of medical, pharmaceutical and insurance Internet services" (hereinafter referred to as the "Proposal" )
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The proposal is clear that there are still four major problems with online medical insurance payment.
First, designated medical institutions and pharmacies across the country generally do not open the "online consultation and purchase of drugs and medical insurance payment" function; second, the inclusion of Internet hospitals in designated medical insurance institutions is only testing the waters Stage; Third, the data information of medical care, medicine , and medical insurance has not been interconnected, which is not conducive to the advancement of medical insurance online payment; Fourth, the digital construction of medical insurance is lagging behind and the supervision is difficult
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In response to the above problems, he suggested implementing it in four aspects.
First, speed up the interconnection of Internet medical and medical platforms and the local medical insurance system to realize online medical insurance payment; second, accelerate the implementation of medical insurance policies and include qualified Internet hospitals in medical insurance.
Scope; third, accelerate the construction of the national medical security information platform to realize the "integration" of Internet medical, pharmaceutical, and medical insurance service information; fourth, strengthen the application of big data Internet technology, and promote medical insurance regulatory innovation
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Hospital prescription information must be exchanged with pharmacies.

On November 2 last year, the National Medical Insurance Administration's "Guiding Opinions on Actively Promoting "Internet +" Medical Service Medical Insurance Payments" clarified, exploring the interconnection of prescription information purchased by designated medical institutions and designated retail pharmacies Qualified areas can rely on the national unified medical insurance information platform to accelerate the application of functional modules related to the circulation of outsourcing prescriptions to facilitate the circulation of "Internet +" medical service re-examination prescriptions
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At the same time, the opinion also pointed out that the "Internet +" medical follow-up prescriptions were transferred to designated retail pharmacies in the coordinated area.
For the cost of medicines , the part that should be paid by the medical insurance fund according to the regulations shall be settled by the medical insurance agency in the overall planning area and the designated retail pharmacies
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Later, the "Notice on Deepening the Promotion of "Internet + Medical and Health " and "Five Ones" Service Actions"issued by the National Medical Insurance Administrationalso talked about promoting "one-stop" settlement services and improving the "Internet +" medical online payment work.

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The notice pointed out that it supports the circulation of "Internet+" medical follow-up prescriptions, and explores the interconnection and interoperability of prescription information purchased by designated medical institutions and designated retail pharmacies
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Implement the "long-term prescription" medical insurance reimbursement policy, and realize online medical insurance settlement for online prescription drug fees for "Internet +" medical services that meet the requirements
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To sum up, the policy has clarified that hospital prescription information should be communicated with retail pharmacies, and the cost of prescription drugs that meet the regulations should be settled online
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　　Accelerating the outflow of prescriptions will benefit 390,000 pharmacies.

There is no doubt that prescription information is interconnected with designated retail pharmacies, and policies such as medical insurance online payment will accelerate the outflow of prescriptions, and retail pharmacies will also usher in dividends
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According to reports, since the National Medical Insurance Administration announced on January 11 the "Interim Measures for the Management of Medical Security in Retail Pharmacies", the chain of listed pharmacies has been popular for two consecutive days
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The analysis believes that this is due to the significant benefits of prescription outflow released in the "two-decision method", and the importance of the terminal channels outside the hospital is sought after by capital
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The Measures mentioned that “designated retail pharmacies should sell prescription drugs in the medical insurance catalog with prescriptions, and pharmacists should review the prescriptions and dispense drugs after signing
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Designated retail pharmacies can sell drugs with electronic prescriptions issued by designated medical institutions”, Further clarified the path of prescription outflow
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It is reported that as of the end of 2019, there were 389,000 designated retail pharmacies nationwide
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In 2019, employee medical insurance personal accounts spent 202.
9 billion yuan on drug purchases in pharmacies, accounting for 43% of the current personal account expenditures.
It is one of the main sources of income for designated retail pharmacies
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It can be said that a series of medical insurance policies have a very large impact on retail pharmacies.
Once prescription information is fully interconnected and medical insurance online payment is realized, it will inevitably accelerate the prescription outflow.
However, as for the prescription outflow bonus, it depends on each party.
The big pharmacy is ready
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