Shandong improves the basic drug system, enterprises deliberately raise the drug price will be exposed

Source: on September 2, 2014, Shandong health and Family Planning Commission, Shandong provincial government published the opinions on implementing GBF [2013] No 14 document, consolidating and improving the basic drug system and the new mechanism of grass-roots operation (hereinafter referred to as the opinions) According to the opinion, the list of enterprises that provide false documents, deliberately raise prices or bid maliciously in the procurement process will be exposed It is pointed out in the opinion that Shandong will expand the scope of the implementation of the basic drug system The basic medical and health institutions run by the government should continue to consolidate and implement the system of basic drugs, and conscientiously implement policies such as the allocation and use of basic drugs, zero margin sales and basic medical insurance reimbursement It is necessary to include the national essential drugs and provincial supplementary drugs of 2012 version into the reimbursement catalogue of essential medical insurance drugs, and the reimbursement proportion is significantly higher than that of non essential drugs In towns and communities where there is no grass-roots medical and health institutions run by the government, the government should purchase services, implement the basic drug system, and ensure that every township and community has grass-roots medical and health institutions that implement the basic drug system It is strictly prohibited to purchase offline or over proportion non essential drugs On the basis of basic medical and health institutions equipped with national basic drugs and provincial supplementary drugs, the health and family planning departments of each city are allowed to select and determine a certain amount of supplementary drugs applicable to basic medical and health institutions from the reimbursement catalogue of basic medical insurance drugs of our province, which are equipped and used by basic medical and health institutions, and centralized purchase and zero margin sales are implemented on the provincial-level network Each city shall give priority to selecting supplementary drugs from the list of winning products and low-cost drugs of common drugs in pilot hospitals of comprehensive reform of county-level public hospitals, and report to the provincial health and Family Planning Commission for filing before implementation The proportion of the types of supplementary drugs provided and the purchase amount of the basic medical and health institutions in all the types of drugs provided and the purchase amount should not be higher than 20% Strengthen the supervision measures, prohibit offline purchase and over proportion purchase of non essential drugs Deliberately raising the price of the list of enterprises will be exposed, "the opinion" also pointed out that the strict implementation of integrity records and market clearance system Enterprises that provide false documents, deliberately raise prices or bid maliciously, refuse to sign a contract after winning the bid, do not timely distribute or supply medicines of substandard quality according to the contract, and bribe purchasing institutions, medical institutions or individuals in disguised form shall be recorded The provincial health and family planning department will list the illegal enterprises and legal representatives The violation of laws and regulations shall be announced to the public in a timely manner and reported to the relevant departments of the state For an enterprise that violates laws and regulations and is investigated and punished by judicial and administrative organs, the enterprise and its legal representative shall not participate in the bidding and purchase of any medicine in our province within two years It is strictly prohibited to link the income of medical staff with the income of drugs in the treatment of the staff of the basic medical and health institutions The basic medical and health institutions shall withdraw the staff welfare fund and reward fund in the proportion of no more than 40% of the approved balance of income and expenditure, and the reward salary shall be included in the total management of performance salary On the basis of the implementation of performance-based pay, the implementation of classified assessment, combined with the characteristics of different posts, appropriately improve the proportion of incentive performance-based pay, reflecting more work, merit pay The income distribution is inclined to the front line of work, key positions, business backbones and people with outstanding contributions It is strictly forbidden to link the income of medical staff with that of drugs and medical examination For the counterpart medical personnel working in the primary medical and health institutions, the local government shall provide living security such as turnover rooms, and give preference in terms of promotion of professional titles and social honors; for the medical personnel who have long-term medical experience and made outstanding contributions in rural areas, rewards shall be given according to the provisions of the state The general diagnosis and treatment fee standard of village health room shall not exceed 6 yuan / person time The reporter learned that the general diagnosis and treatment fee standard of grass-roots medical and health institutions shall not exceed 10 yuan / person time, which shall be included in the payment scope of basic medical insurance outpatient co-ordination fund, and the individual payment shall not exceed 2 yuan / person time The general diagnosis and treatment fee standard of village health room shall not exceed 6 yuan / person time, and the individual payment shall not exceed 1 yuan / person time The formulation of general diagnosis and treatment fee shall strictly verify the service fee of treatment course, and the general diagnosis and treatment fee will not be charged for the patients who come back within the treatment course The total amount of general diagnosis and treatment fees shall be controlled according to the number of person times In combination with the bearing capacity of basic medical insurance fund, the total amount index shall be determined scientifically to prevent the occurrence of basic medical insurance fund arbitrage