The health insurance bureau pushes the whole process of drug procurement monitoring alert! Strictly grasp the 30-day repayment rate.

Medicine Network October 12th, Hainan Provincial Medical Security Bureau issued the "Hainan Province Pharmaceutical Price Comprehensive Regulatory Evaluation Service Work Programme" (hereinafter referred to as the "Work Programme"), pointed out that through the introduction of third-party services, improve the pharmaceutical price monitoring system, and achieve connectivity with the pharmaceutical centralized procurement service platform.
The Work Programme clearly states that drugs (medical supplies) purchased from the centralized procurement platform of medicines in Hainan Province will be included in the monitoring content, and monitoring and early warning will be implemented for the whole process of the networking, withdrawal, procurement, distribution, use and return of medicines (medical supplies).
for the centralized procurement assessment of medicines in medical institutions, the Work Programme has set up a score of 100 points on the Comprehensive Regulatory Evaluation Service Score Table for Pharmaceutical Prices in Hainan Province (Trial) (hereinafter referred to as the "Score Table").
the key scoring provisions are made for the completion rate of the agreement, the 30-day return rate, the proportion of drug expenses, the proportion of non-selected product purchases/amounts, and the illegal procurement behavior.
Focus on assessing the return rate and the proportion of drug costs The Work Programme points out that the results of third-party monitoring are objective data for evaluating the procurement of medicines (medical supplies) by medical institutions, production enterprises and distribution enterprises, which will serve as an important reference basis for joint disciplinary and completion of the task of medical reform objectives.
Third-party monitoring companies will monitor the results and analysis of the evaluation report to the provincial health care security bureau, the provincial medical security bureau through third-party monitoring results, procurement platform monitoring data and on-site verification of the combination of the way to carry out regular supervision and punishment, and the monitoring results to the relevant functional units to deal with.
From the scoring table, in a scoring cycle, the timely completion of centralized procurement of drugs agreement procurement rate of more than 85%, medical institutions through the provincial drug and medical supplies centralized procurement platform for drug payment, 30 days to pay the proportion of 95%, to give points reward.
shall sell centralized with the purchase of medicines at the selected price, violate them once in a scoring cycle and deduct 5 points.
With regard to the proportion of drug costs at this stage of the designated medical institutions (stage drug expenditure / drug expenditure at the same stage of the previous year), the score table provides that the proportion of drug costs within 110% of the time period from the date of centralized procurement to the date of monitoring data push is not deducted, and 2 points are deducted for each 5 percentage points until the deduction is completed (total score 20).
addition, the score table also provides for the proportion of non-selected product purchases and the proportion of purchase amount.
addition, Hainan Provincial Health Insurance Bureau will monitor and deduct points for illegal procurement practices and other bad behavior, offline procurement, price violations or procurement of drugs from non-prescribed channels, a deduction of 10 points once in the past year.
a product of 10 points for non-related behavior over a scoring period.
credit information that has been punished by the departments of taxation, market supervision, drug supervision and management, a deduction of 10 points has occurred once in the past year.
the third batch of national mining landing in that is, with the collection of refinement work standards gradually out, the third batch of national mining landing also arrow on the string.
according to combing, as of the end of September, Shanghai, Beijing, Shanxi, Jiangsu, Liaoning, Inner Mongolia, Chongqing, Hebei, Heilongjiang, Qinghai, Jiangxi, Hubei, Yunnan, Guangdong, Fujian, Hainan and other provinces and cities have started the third batch of national selection of varieties of hanging network work.
Among them, some provinces stipulate that other selected enterprises not selected in the province can also hang up the net;
e.g. Jiangxi Province requires non-selected drugs to declare the lowest provincial winning bid, the scope of the drug catalog is "included in the third batch of state-organized drugs centralized procurement of drugs scope, selected but not selected Jiangxi Province as the supply province of drugs and other non-selected drugs, including the same medical insurance drug name and medical insurance under the combined classified dosage form of all enterprises of various specifications."
And Yunnan Province pointed out that the third batch of selected drugs listed for the third batch of state-organized drugs centralized procurement of Yunnan selected results corresponding to the list of supply varieties of drugs, involving 55 drugs.
the same factory corresponding to the catalog of the same product regulations of the old winning drugs, will be in the catalog of drugs after the online trading to stop the registration of the network trading qualifications, involving 42 drugs.
It can be seen that in the third batch of national mining, different provinces around the results of the election network policy there are some differences, but it can be said that nearly half of the provinces and cities nationwide have opened the third batch of national selection results of the hanging network, and most provinces and cities will be completed in September and October to register the network declaration, including Liaoning Province and other parts of the third batch of national election results have been clearly implemented on November 1st, landing into the countdown stage.
And previously held on September 10, drugs and high-value medical supplies centralized belt procurement symposium stressed that to promote the national organization of drug collection and collection of normal institutionalization, to speed up the expansion of the scope of collection.
with the normal institutionalization of national mining, a number of pharmaceutical companies will withdraw, a number of pharmaceutical companies will increase market share.
and with the volume of procurement compression intermediate links and marketing moisture, pharmaceutical enterprises and related circulation enterprises profit margins are further compressed, transformation has become inevitable.
.