National Health Insurance Bureau: promote the Internet plus medical insurance slow disease market usher in a new blue ocean!

The State Medical Insurance Bureau frequently stated that the construction of a national medical insurance catalog and unified payment standard is on the way When internet medical treatment is implemented, chronic disease will be the first area to be attacked On September 20, the state health insurance bureau issued a notice on strengthening the construction of the style of medical security system In the positive innovation of government service, we mentioned that we should speed up the construction of a unified national medical insurance information system, actively promote "Internet plus medical insurance", push all the government service matters of medical security to the Internet and mobile terminals, and achieve "online operation" and "palm management" All kinds of signs show that online medical treatment and drug purchase reimbursement are close to us At present, China's basic medical insurance drugs, diagnosis and treatment project directory, and medical service facilities are not unified In its reply to the proposal No 3015 (medical and sports No 327) of the second session of the 13th National Committee of the CPPCC, the state health insurance bureau said that the three catalogues were not unified at the beginning of their design, and were based on different considerations of the economic development level, medical service technology and fund operation of different regions Combined with the current situation of medical development, the State Medical Insurance Bureau said that it would establish a unified national medical insurance catalog and payment standards, revise the measures for the management of the scope of national basic medical insurance diagnosis and treatment projects and medical service facilities, and establish the standards of basic medical insurance diagnosis and treatment projects and medical service facilities that are in line with the national conditions and affordable by the fund At the same time, in order to lay a foundation for the unified work of the national medical insurance catalogue, the national codes of drugs, diagnosis and treatment projects are also being unified In the aspect of unifying the medical insurance catalogue, the state medical insurance bureau also made relevant provisions in the opinions on establishing the management system of medical insurance treatment list (Draft for comments) issued on July 22, and cancelled the authority of each region to supplement the medical insurance catalogue, marking the beginning of the work of unifying the national medical insurance catalogue It can be seen from the policy signal that in addition to unifying the offline medical insurance payment standard, the online payment standard is also expected to come out and enjoy the due "treatment" In August 30th, the National Health Insurance Bureau issued the guidance on improving the policy of "Internet plus" medical service prices and medical insurance payment policy (Medicare [2019]] 47), referring to the unified pricing of internet medical treatment to the provincial health insurance department, and making clear the implementation of the equal payment policy for online and offline projects, requiring all localities to improve the total control, payment methods and cooperation according to the characteristics of new formats Discuss management and settlement process In recent years, with the opening of internet medical service, the slow disease market has ushered in a new blue ocean In China, internet medical service develops rapidly, and the market scale is also expanding Data shows that the scale of internet medical market in China is expected to exceed 90 billion in 2020 Internet medicine can provide patients with appointment registration, consultation, disease management and online pharmacy These places are also the key areas targeted by Internet enterprises With the development of internet medical treatment, the boundary of online medical treatment is gradually clear For example, the state issued a document last year saying that Internet hospitals can rely on offline physical medical institutions to carry out further consultation and other businesses In the process of contacting with hospital doctors, Sina Medicine found that many doctors are also optimistic about the future consultation business of Internet medicine In the future consultation, most of them are patients with chronic diseases Because of the characteristics of chronic diseases, patients need to go back and forth to the hospital Some patients just need to take medicine and go to the hospital in line for registration From a group of data, we can see that there are 7 billion general outpatient clinics in China every year Four billion of them are continuation And the patients with chronic diseases are mostly middle-aged and elderly people, how to easily re visit and purchase drugs is their most concern In recent years, a number of Internet hospitals have sprung up, including micro medical Internet hospitals dominated by Internet enterprises, Internet hospitals with online platforms built by public hospitals themselves, slow disease Internet hospitals specialized in the field of chronic diseases, and even chain drugstores are investing in Internet hospitals Yifeng pharmacy recently announced that it has established a joint venture with Hainan Huayi Hainan Yifeng Medical Technology Co., Ltd has built Internet hospital, prescription circulation platform, etc In the prescription circulation platform, we have to mention the recently launched "electronic prescription information sharing platform" in Gansu Province With the help of the third-party prescription sharing platform technology, patients can make an appointment with doctors for online follow-up, doctors can issue prescriptions for some common chronic diseases to patients, and patients can choose their own way to purchase drugs by virtue of the electronic prescriptions pushed by the platform In addition, it is worth noting that just a few days ago, Yinchuan city officially launched the "Yinchuan City medical insurance outpatient Internet hospital management service measures for serious illness (Trial)", which expanded the original outpatient treatment mode of serious illness which can only be treated in physical medical institutions (offline) to Internet hospitals (online), to solve the problem of convenient medical treatment for patients It is also clearly mentioned that it will take the lead in the pilot promotion of contracted diagnosis and treatment services for patients with hypertension and diabetes since October 1, with a trial period of one year It is not difficult to predict that hypertension and diabetes, led by chronic diseases, are expected to become the first breakthrough for online medical treatment and medical insurance reimbursement Under the leadership of the government and the promotion of various forces, once the online and offline communication of chronic disease follow-up, the new channel is undoubtedly a blue ocean On September 11, the executive meeting of the State Council revealed that for more than 300 million patients with hypertension and diabetes who participated in the basic medical insurance for urban and rural residents, their outpatient drugs within the scope of the national basic medical insurance drug catalog were uniformly included in the medical insurance payment, and the reimbursement rate was increased to more than 50% With the further expansion of the reimbursement scope, the online medical market for hypertension and diabetes will show a blowout growth This article is reprinted by yaozhi.com The copyright belongs to the original author The purpose of reprint is to transmit more information, which does not represent the view of this platform If the content of the work, copyright and other issues are involved, please contact our website message, we will delete the content in the first time.