Zhejiang ushered in a new era of "medicating payment standards", the Health Insurance Bureau to enlarge the trick!

Guide: the original does not move, good for the original large varieties, the new hanging network conditions are harshZhejiang Province since the 2014 tender after no large-scale access, bidding, hanging net action, this time out of the "access to the network big move" full of "new goods", involving a very large number of content, the impact of the public hospitals, chain pharmacies have a significant impact, Fengyun drug talk on this document to be interpreted!the principle of document
all public medical institutions, private medical insurance medical institutions and medical insurance fixed-point retail pharmacies in the provinceDynamic adjustment of the provincial pharmaceutical procurement platform online trading products, to achieve the medical insurance drug under the generic name of online trading products full coveragePromote full coverage of the standard of payment of medical insurance drugs2 Zhejiang "health insurance catalog"category: the latest "health insurance directory", the original "province increase health insurance", the latest "base medicine catalog" in the three directories of the same generic name is not traded on the Zhejiang line (hanging network);(source of information: official documents, drug talk and finishing)this information is said: "In the three directories, Zhejiang Province no net / no transactions of products can be hung up, but the net you have to follow the principle of limit price, and dosage form merger, after no record hanging network, door closed."three "no online transactions" of the hanging networkno online trading products hanging line principle: (may not include Guangdong, Fujian, Chongqing and military regions, the same below)1, 10 and above: in the province sits on the centralized procurement of the hanging network (winning bid) and the actual online transactions of the province up to 10 or more, not higher than its national minimum price;(source of information: official documents, drug talk and finishing)these pieces of information is said: "1 a class of new drugs (chemical drugs, Chinese medicine, biology, natural), (2) new products reviewed, (3) the existing online products corresponding to the reference and original research these three categories can be in accordance with the above "no online transactions of the hanging net principle to hang the net."four "original hanging network" of non-evaluation of the same product (source: official documents, the drug talk and finishing) these pieces of information is to say: "(1) there are already in the hanging network of products, with the generic name of the product is not higher than the existing price of 70%, the original research of 49% ;(2) with the original research is not higher than the existing original research price 70% (3) this round of missed to hang the net, according to the current lowest price in Zhejiang Province." Note: This article is about products that have not had a consistent evaluation Later refers to the last round of access did not agree to reduce the price of the unsuccessfully hung up the net the above situation want to hang the network enterprises to apply, go to Zhejiang Province's hanging network process V Allows exit two exit mechanisms: passive (three): to the platform online trading products, through (1) carry out the volume procurement, (2) the implementation of small unit with the standard of bidding, (3) the formulation of the same common list of one medical insurance payment standards and other ways to withdraw initiative: for various reasons caused by the inavailability of supply and no trade for more than 1 year, there are other drug substituteproduct products, after the application of enterprises, the provincial pharmaceutical procurement center assessment and audit, does not affect the clinical use of drugs, to be withdrawn Within two years of exit, the product will not be added to the net again 6 not attached to the net, also want to sell a principle: allow public medical institutions in the previous year within the 1% limit of drug settlement amount, and enterprises in accordance with the principle of fairness to determine the purchase price, through the provincial drug procurement platform self-procurement this 1%, for the total amount of drug spending in Zhejiang Province, it is really a cup of water car salary, the competition is extremely fierce but can not come: focus on monitoring high unit price, large purchase amount and medical institutions to purchase more products Inform medical institutions that have submitted their own procurement needs but have not procured them this is mainly to prevent malicious occupation of places and waste administrative resources 7 The impact of this article on the of pharmacies and medical insurance is quite large; 1, medical insurance private: the same payment standards as the medical insurance drugs in designated public medical institutions 2, chain pharmacies: unified according to the standard of medical institutions to float 15% (excluding the state and provincial negotiated drugs) to implement, floating amount in the minimum packaging up to no more than 200 yuan here is a problem: Zhejiang Province unconnected health insurance products, is reimbursed according to the proportion of health insurance; these two medical insurance payment restrictions, the impact on private hospitals and chain pharmacies is very large, from the purchase channels, credit cards, patient education needs to be repeated eight immobilized catalogues the same products in these catalogs do not increase: low-cost drugs, supply of tight drugs, the original cheap drugs, ordinary large infusions, volume procurement of drugs involving generic names
Zhejiang Province, most of the product pattern is stable, the impact is mainly national mining and provincial belt collection, later some of the new additions included in the products, this document also highlights the importance of "consistency evaluation", good evaluation! the original does not move, good for the original large varieties, the new hanging network conditions are harsh .