The draft of the 10-word speech of the director of the State Administration of Health Insurance directly penetrates the county-level health insurance system.

Medical Network June 19 - June 15, the State Medical Security Bureau Director Hu Jinglin on "let reform become the most distinctive background color of the health care flag" speech in the industryThis is his speech at the training course on deepening the reform of the medical security system, which was extended to the three-level medical insurance system in the provinces, cities and counties for the first time since the establishment of the National Health Insurance Administration, and deployed the task of medical security reform and development in this year and beyond.The direction of this tens of thousands of words of speech is significant, it penetrates directly into the county health insurance system, confronts the problems in the field of health care, and indicates the direction of the reform of the national health care system for a long time to come, as well as a declaration of the NATIONAL Health Insurance Administration's reform.As recently as March 5 this year, the Chinese government published the Opinions of the Central Committee of the Communist Party of China and the State Council on Deepening the Reform of the Health Care SystemThis top-sized document has been carefully deployed in the areas of health-care reform over the next five years and even over the next decade.In his speech, Hu Jinglin again stressed the significance of the document: This is the first reform document ever issued in the name of the CPC Central Committee and the State Council, which is of great significance and far-reaching impactHu Jinglin said that at present, China is facing a century-old situation, is in the realization of the first century of the goal of the key node, economic and social development of new opportunities, new challenges intertwined, medical security work old problems, new risks superimposedThe introduction of reform opinions is conducive to grasping the window period of deepening the reform of medical insurance and pushing the cause of medical security in China to a new stage.At the same time as the construction of the high house, the speech also set out the work targets for the next five to ten yearsSpecifically, by 2020, the National Health Insurance Administration will also have several key tasks, including the introduction of the Interim Measures for the Administration of Basic Medical Insurance, the establishment of a catalogue of high-value medical supplies and medical treatment projects, and the launch of a third batch of centralized procurement of state-organized drugs in the near future.Hu Jinglin,of the reform of the health care system into the deep water area, said that implementing the reform opinions needs to be deeply aware of the importance of deepening the reform of the medical security system, and to fully and accurately grasp the essence and main content of the reform ideas.Medical security is an important institutional arrangement to reduce the burden of medical treatment, improve people's well-being and maintain social harmony and stability, and it is an important part of the national governance systemDeepening the reform of the medical insurance system to realize the modernization of the system and governance ability in the field of medical insurance, and effectively transforming the advantages of the system into governance effectiveness, is also conducive to solving the problem of inadequate imbalance in the development of medical insurance and promoting the sustainable development of the medical insurance system.The speech pointed out that with the reform into the deep water area, the unbalanced, inadequate and irregular problems in the field of medical insurance have become an important factor restricting the reform and development of medical insuranceAnd since this year, the impact of the social and economic development epidemic is serious, the high-quality development of medical insurance is facing a more complex situation.For example, the balance-of-payments pressure continues to increaseIn the first quarter of this year, the income of staff and medical services decreased by 13.1% year-on-year, while the health insurance of residents fell by 4.3%In the longer term, the incidence of various types of chronic diseases in China remains highThe total number of patients with high blood pressure, high blood sugar and hyperlipidemia exceeds 400 million, more than 3.8 million new cancer cases occur each year, and the social burden on the cost of chronic diseases is heavyNew equipment, new technologies and new drugs are being applied to clinical medicine, which will also greatly stimulate the growth of medical consumption.Second, the fund supervision situation is seriousFor a long time, the supervision of the health insurance fund "lost to the wide, lost to the soft", fraud insurance, drug supplies prices devoured the health insurance fund, over-treatment caused by the "micro-waste", these seemingly ordinary, "ant move"-style behavior accumulated into more, causing serious erosion of the health insurance fund.　　In addition, the interests of all parties are complex Medical reform is a worldwide problem, the current reform into the deep water area, resistance and risk coefficients are growing geometrically Two years of practice have shown that every step forward in reform may offend a group of interest groups For example, catalog adjustment to eliminate the "God medicine", the volume of procurement forced the transformation of the industry, the fight against fraud so that some people can not eat "Dang monk meat" and so on .　　What will be done in the next 5 to 10 ? .　　Hu Jinglin's speech not only faced up to the various problems in the field of health care, but also proposed practical solutions to these problems The Opinions issued by the Central Committee of the Communist Party of China and the State Council on deepening the reform of the medical security system are the framework documents for guiding the development of medical insurance over the five to ten years A comprehensive and accurate understanding of the reform ideas can be grasped from three aspects: the principle of reform is summarized as "basic, sustainable and full coverage" The basic protection, that is, financing and treatment can not be separated from the current reality, must do their best, measure and do, realistically is to determine the scope and standards of protection, resolutely prevent excessive protection, excessive commitment Sustainable, is to emphasize the level of scientific determination of financing according to factors such as the level of economic and social development, balance the responsibility of financing contributions of all parties, and strengthen the overall co-ordination Full coverage, that is, all the population system full coverage, weaving security network, in the policy can not miss a group .　　The reform proposal also defines the policy framework of "1 plus 4 plus 2", that is, to define one goal, to improve the four major mechanisms (fair and moderate treatment guarantee mechanism, sound and sustainable financing mechanism, effective and efficient medical insurance payment mechanism, strict and powerful fund supervision mechanism), and strengthen two supports .　　It is worth noting that the draft mentions the current problems in the health care catalog The adjustment period is long, the time is not fixed, the normalization and dynamicization are not realized In addition, the management level needs to be improved, some clinical value is not high, the efficacy is not accurate, the international application is less, but in our country is the abuse of the obvious "god medicine" into more, out of less, devoura a large number of health insurance funds There are also different regions of their own supplementary drugs are highly dispersed, many "god medicine" or cost-effective "real estate" drugs into the provincial directory .　　There are also medical items and supplies catalog management is missing Each year, the cost of separate medical supplies used by public medical institutions alone exceeds 370 billion yuan .　　For directory management, Hu Jinglin stressed the focus on the following work: improve the policy system The Interim Measures for the Administration of Drug Use in Basic Medical Insurance are to be issued in the near future, and will be scientifically evaluated, advanced and out-of-the-way, and regularly adjusted, while using negotiations, collection and other means to guide drug prices back to reasonable Set up a perfect high-value medical supplies, diagnosis and treatment project catalog .　　In terms of catalog landing, Hu Jinglin stressed that all regions should do a good job in the implementation of the new national directory, especially the negotiation of drug landing work We will speed up the formulation of a three-year digestion plan for provincial-level supplementary varieties, and remove the state-focused surveillance varieties from the catalogue by the end of June this year to ensure that the first year of at least 40% of the digestion target is met For a few provinces still break through the policy to adjust the list of self-adjustment, the National Health Insurance Administration will take seriously .　　In addition, sound and sustainable fund operation mechanism, sound and strong supervision mechanism, will also become the top priority of the National Health Insurance Administration .　　In 2020
focus on five tasks
specifically by 2020, Hu Jinglin put forward in-depth implementation of the reform ideas, we should focus on five tasks: including grasping the normalization of epidemic prevention and control work, comprehensively promoting the procurement of belt volume, and promoting the reform of the price of medical services And that's closely related to the upcoming action of the Health Care Board .　　Hu Jinglin said that in the past two years, the State Health Insurance Administration launched the "4 plus 7" pilot and expanded the national siege, to carry out the second batch of national collection, has gradually achieved institutionalization All over in accordance with the basic principles of centralized band procurement actively explore, in the non-reviewed drug and high-value medical supplies to carry out the volume of procurement, forming a up-down linkage, sparkfire original situation .　　The unexpected outbreak of new crown pneumonia has also highlighted the effectiveness of centralized band procurement On the one hand, the collection of varieties on the one hand to benefit patients, on the other hand, also make the chinese pharmaceutical companies benefit Although the flow of personnel during the outbreak has been affected, but the enterprises no longer need additional marketing, not to go to major hospitals public relations, just according to the promised purchase volume to produce qualified products At present, all the selected products are normal production and supply, normal procurement and use, price stability, highlighting the role of band procurement in the protection of stable prices .　　In the future, centralized volume procurement will gradually realize the normal operation, policy standardization, operation standardization, team specialization .　　2020 focus on doing the following work: first, the implementation of the second batch of national collection results, continue to collect orders to promote the resumption of production All regions should continue to strengthen the organization and do a good job of monitoring .　　Second, to carry out the national organization of high-value medical supplies centralized procurement This year, the State Medical Insurance Administration will summarize the previous local procurement experience on the basis of the nationwide organization of coronary bracket and other high-value medical supplies centralized band procurement pilot .　　Third, according to the normalization of the trigger mechanism, recently launched the third batch of national organizations of drug centralized procurement .　　Fourth, to guide all regions, especially the pilot provinces of comprehensive medical reform, more non-rated drugs and high-value medical supplies into the scope of collection, to form an irreversible reform situation and comprehensive promotion of the situation .　　According to E drug manager exclusive lying, as early as May 15, 2020, the State Health Insurance Administration on the Shanghai Pharmaceutical Institute held a meeting, the content of the meeting on the second batch of national band procurement landing and the third batch of volume procurement start." According to the schedule of the second round of centralized procurement of drugs, from the first enterprise symposium to the final tender work landing in less than two months And it is said that the third batch of collection of drug catalog statistics time as of the end of June 2020, the fast progress of the July start of collection .　　At the same time, there is also news out, in the third batch of drug national mining, may be done first three high-value supplies of national collection .　　At the same time, the State Medical Insurance Administration in the establishment of pharmaceutical price and credit evaluation system, through credit evaluation and supporting measures to promote the promotion of integrity, sunshine procurement, further curb commercial bribery, continue to squeeze out the price of medicine water According to incomplete statistics, the annual cost of drugs used for commercial bribery of the part of 200 to 250 billion yuan, these are ultimately paid by the people and the pharmaceutical fund .　　Original title: State Health Insurance Bureau Hu Jinglin wan word speech outflow! The third batch of collection recently started, high-value consumables collection began to pilot, medical insurance catalog adjustment program out of the .