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    Home > Active Ingredient News > Drugs Articles > With the expansion of volume procurement, another large province is about to implement

    With the expansion of volume procurement, another large province is about to implement

    • Last Update: 2019-10-12
    • Source: Internet
    • Author: User
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    [industry trends of pharmaceutical network] recently, the relevant departments of Hubei Province issued the implementation plan for Hubei Province to fully implement the pilot expansion of centralized drug procurement and use organized by the state (Draft for comments) (hereinafter referred to as the plan) For the 25 selected varieties and prices in the results of centralized drug procurement in the alliance region (Hubei), the preparation work of checking and confirming the distribution relationship of the selected drug procurement platform and signing the purchase agreement of the manufacturing enterprises, distribution enterprises and medical institutions will be completed by the end of November 2019 It is expected that the relevant work will be implemented in accordance with the implementation plan and relevant supporting policies from December 2019 to December 2020 It is worth noting that the plan of Hubei Province has made a lot of adjustment and Reform on medical insurance payment Among them, the use of selected drugs shall be included in the management of medical insurance agreement, the liability for breach of contract shall be clarified, the behaviors such as the agreed purchase quantity of selected drugs not completed and the payment not made in time shall be punished, and the medical institutions shall be encouraged to use selected drugs For the medical institutions that reduce the expenditure of medical insurance fund due to the standardized use of selected drugs, the total budget amount of medical insurance in the current year shall not be reduced For the balance of medical service revenue and expenditure in the use of selected drugs by medical institutions, it can be used as a whole for personnel salary expenditure in accordance with the requirements of "two permits" (allowing medical and health institutions to break through the current wage control level of public institutions, allowing medical service revenue to deduct costs and withdraw funds according to regulations, which are mainly used for personnel rewards) As we all know, medical insurance payment is an important part of basic medical insurance management and deepening medical reform, and an important lever to regulate medical service behavior and guide the allocation of medical resources This time, Hubei will explore the reform of adjusting the payment method of medical insurance, which will better protect the rights and interests of the insured, standardize the medical service behavior, control the unreasonable growth of medical expenses, or give full play to the basic role of medical insurance in the medical reform In addition to improving the payment method of medical insurance, the plan also states that it will improve the dynamic adjustment mechanism of the payment standard of the national centralized purchase of drugs for medical insurance, and gradually unify the payment standard of the same drugs for all kinds of designated medical institutions at all levels and for all kinds of designated medical institutions that coordinate fund payment in the region For the drugs whose price is higher than the payment standard, the part exceeding the payment standard shall be paid by the patients themselves, and the part within the payment standard shall be shared by the patients and the medical insurance according to the proportion For the drugs whose purchase price is quite different from the price of the selected drugs, the payment standard shall be gradually adjusted and adjusted in place within two years In this step-by-step, classified and guided adjustment of payment method, in terms of payment standard, the original research drug, reference drug and generic drug under the same generic name that pass the consistency evaluation will, in principle, take the middle price of centralized purchase as the payment standard of the generic drug, and the medical insurance fund will settle according to the same payment standard Its main purpose should be to protect the basic drug use of patients, reduce the cost of medicine, and promote hierarchical diagnosis and treatment In addition, Anhui Province, which has previously disclosed that it will ensure the implementation of belt procurement expansion in December this year, has recently made it clear that two provinces will start the implementation of belt procurement expansion in December According to the relevant policies and results of the previous national unified deployment, comprehensive implementation and steady promotion of the pilot expansion of centralized volume procurement and use of drugs organized by the state, there may be more than one provinces implementing the expansion results of volume procurement by the end of the year.
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