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    Home > Active Ingredient News > Digestive System Information > What's new! Perspective on the logic behind the adjustment of access to the national health insurance directory!

    What's new! Perspective on the logic behind the adjustment of access to the national health insurance directory!

    • Last Update: 2021-01-06
    • Source: Internet
    • Author: User
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    Source: Pharmaceutical Intelligence Network/Youth 10 December 14th, the first day of the adjustment of access to the National Health Insurance Directory.
    From the current unofficial news, because the previous paved link is more successful (repeated organization of enterprises to hold symposiums, material preparation, briefing), therefore, the enterprises involved in the adjustment of access, generally have the bottom of their hearts, there is no great joy and sorrow, people somewhat Astonishingly, according to anecdotal rumors, the standard of health insurance payments for individual companies that ended the adjustment on the morning of December 14th fell by only a third, while in the eyes of many in the industry, the average 50 percent drop in health care payments was routine. ... In accordance with the "442" principle of local medical insurance adjustment proposed by the State Health Insurance Administration, that is, in three years in accordance with the ratio of 40%, 40%, 20% of the transfer of additional drugs, Chongqing, Guangxi, Beijing, Guangdong, Tianjin, Hebei, Hunan, Anhui and other provinces have begun to adjust, phased out the supplement catalog.
    but cold-eyed observation, quite a number of places, in the process of 442 out of the Qing, is left a hand, especially the real estate varieties.
    For this, the idea of the relevant enterprises is basically to strive for "can be late not early transfer" to time for space, there are many enterprises on the local government affairs personnel under the death order: if the first batch of transfer, directly laid off.
    a second batch of transfers, a 50 per cent pay cut.
    the third batch transferred out, no penalty... A business marketing person has communicated with the author, he said very simple but very firm attitude: medical administrative staff dedicated to this, specifically designed to solve the problem, this is the key moment when they play their expertise.
    is the right question.
    The author speculates that it is precisely because the local 442 out of the clear still have some vague taste, therefore, the upper layer on the one hand requires the local to grasp the rhythm of 442 out of the clear, on the other hand, the use of the new version of the national health insurance catalog adjustment, the original provincial supplement health insurance varieties to differentiate the trend: valuable, into the catalog to bring down the standard;
    there is no sense that I have seen each other: not long ago, anecdotal meeting, the upper level asked the local volume of procurement varieties must not be less than 50 ... The author has always adhered to three points of view, the new version of the health insurance catalog, must be a relatively large number of catalog varieties, must be relatively low standards of health insurance payment, there must be a relatively stricter scope of health insurance payment.
    "all measures in the current reform of the health care system are to eliminate the sale of gold.
    And after the adjustment of the health insurance catalog, whether it is the survival of rebate marketing, or the way out of the booming "academic promotion" will be blocked, with gold sales will be the end of the road."
    health care directory access adjustment, such a good opportunity to clean up the environment, how can the health insurance bureau miss?! Therefore, from this point of view, the health insurance bureau in the adjustment of the health insurance directory at the same time, unannouingly quick horse whipping initiative for the local health insurance bureau to speed up the health insurance directory.
    once the new national catalog is published, if the local 442's regular rhythm adjustment, it is really can not see the direction, can not understand the idea, can not eat the spirit.
    is the biggest possibility is that the national version of the catalog issued, do not rule out that some places will be turned into two years for one year, within a year, self-digestion and adjustment completed.
    the national health insurance catalog access adjustment is expected to last three to four days, while at the same time, is the beginning of the four batch of procurement list reporting work.
    In the face of the vast number of patients the most eager hope, in the face of the industry's most intense pressure, in the face of drug reform on the road to the most difficult Pokan, in the face of the most complex medical environment of the turbulent environment, for the Health Insurance Bureau - in order to the source of the origin, can only go forward forever.
    According to Sina Pharmaceuticals, a total of 378 exclusive products in the "2020 National Health Insurance Drug Catalog adjustment through formal review of the list of declared drugs", of which 280 Western medicine, 98 traditional Chinese medicine;
    the three-day health care negotiations for Health Care 2020 are under way, it remains to be seen what the outcome of the negotiations will be, and which varieties will be able to get tickets to the health care catalog. Photo credit: Sina Pharmaceuticals
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