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    Home > Medical News > Medical World News > Note the . . National supplies with volume procurement These signals come out

    Note the . . National supplies with volume procurement These signals come out

    • Last Update: 2021-01-11
    • Source: Internet
    • Author: User
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    The state issued a coronary bracket collection using supporting policies, see three new ideas.
    On the night of December 17, 2020, the State Health Insurance Administration published the Opinions on the Central Belt Purchase and Use of Supporting Measures for the National Organization's Crown Bracket, in the author's opinion, this is not a long document, the dry goods are full.
    sustainable promotion of the strong base for drug consumption collection and collection.
    This article, we directly skip the "standard hanging network and distribution, the implementation of the fund advance" and other links, mainly concerned with the following three aspects of new ideas: 1, do a good job of health insurance payment standards of the mandatory transition on the evening of December 17, the State Health Insurance Administration opened "on the national organization crown bracket centralized belt procurement and use of supporting measures", in the author's view, this is not a long document, dry goods full.
    sustainable promotion of the strong base for drug consumption collection and collection.
    This article, we skip the "standard hanging network and distribution, the implementation of the fund advance" and other links, mainly concerned with the following three aspects of new ideas: (text quoted from: The National Health Insurance Administration) analysis: a short paragraph, there are several milestones.
    First, marking the first batch of national supplies collection of the winning price is the payment standard, fully included in the scope of medical insurance payment, so that patients, health insurance funds immediately benefit;
    most affected by this policy are pharmaceutical companies, which not only handed over prices in the collection, but also involved the reform of payment standards.
    followed by medical institutions and medical personnel, the price reduction dividend of the selected products was taken away by patients and health insurance funds in the first time.
    , the health-care fund has to come out and make some compensation.
    2, put forward the incentive and restraint of medical institutions drug consumption collection can not be divided.
    in the selection rules, consumables are more complex than drugs.
    the balance is retained, the medicine gives reference to the consumables.
    (text quoted from: National Health Insurance Administration) mentioned earlier that the health care fund should come out to do some compensation.
    compensation procedure is: based on the collection of varieties in the medical insurance funds single budget management, and the hospital is correspondingly single budget management, in order to more clearly calculate the cost of medical insurance funds, medical services cost savings.
    compensation is that the balance is retained in proportion to, not in full, which is equivalent to encouraging local pilot innovations in rationality.
    compensation period is complex: first, the first year for areas where pay-per-sickness is carried out, the payment criteria may not be lowered, provided that the patient's out-of-pays portion fully enjoys the effect of the collection reduction.
    that this is the equivalent of the health care fund out of "real money" to support the "full retention" of the reimbursement part, is temporary.
    second, from the point of view of "various incentives should avoid duplication", the long-term uncertainty of drug consumption collection and its balance retention is also reasonable in the end.
    , the health insurance fund should speed up the construction of compensation mechanism.
    3, low-key proposed the adjustment of the price of surgery on the current dynamic adjustment of the price of medical services, is the four departments of the functional linkage.
    : Health care reform is bigger than health care reform, health care reform is more powerful than health care reform.
    medical insurance departments can try to create an index for the price of medical services, for medical service institutions to create coefficients, but at this level of coverage of the real number, the base also have to the medical departments themselves.
    medical insurance catalogue includes medicines, medical treatment items (supplies), medical service facilities, "three catalogues", after knowledge, after consciousness, after moving is the diagnosis and treatment project.
    this is a battleground between health care and health care.
    medical care and medical insurance on both sides of the diagnosis and treatment programs, but also to adhere to their respective propositions.
    , health care is pushing for health care: faster adjustment, compared to adjustment.
    there is a contradiction between these two methods of adjustment.
    fast adjustment of course can, but no adjustment space or adjustable space small how to solve? Where to find space? Look straight, the most suitable from the collection behavior of the balance, but this balance was first taken away by the health insurance fund and patients, although temporarily by the health care fund in a certain proportion of compensation back.
    because it's so fragmented, the health department can't be transferred here, because it's so unstable, the health department is so edgy today and there's no compensation.
    long-term, you have to look for it from the balance of your payment method, so that health insurance and medical care are good for me.
    health insurance does not understand medical information know-how from the past to the future, only know strategic purchases, data analysis, performance evaluation and so on.
    because health care needs to be motivated to be willing to participate in a full-faced reform of payment methods.
    4, the core of medical price adjustment lies in the "cage for bird" finally, the author would like to say: the core of medical price adjustment lies in "teng cage for bird", the water consumption squeeze, how to really do "Teng cage for bird"? First, the right direction of things to do, hospital pay distribution and doctors sunshine income reform should be launched, if the conditions are insufficient, should gradually transition, emphasizing the phase objectives and overall expectations of coordination.
    needs the support of the health care and health care sectors for ideas, the environment, and policies.
    is the direction of efficiency to do things at the same time, adhere to the patient according to the disease, disease, illness, case distinction, take a clinically reasonable judgment to receive outpatient or inpatient treatment.
    quality of service, efficiency output, pay attention to medical cost control, and build a foundation for the sustainable operation of long-term mechanism.
    is the professional direction of things to do fully, adhere to the technical labor value pricing for medical services, and gradually return to adapt to social conditions, the market on the right track.
    such as taking into account the development of special needs medical care, nursing services and so on, and to the development of universal benefits.
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