The medical network on July 28, the control fee, the governance bribery, the combination of the continuous launch and tighten the rope.
Yesterday (27), the Shanghai municipal planning commission, the national development and reform commission, eat the food and drug administration, tax bureau and other nine departments jointly issued "on further strengthening the medical insurance fixed-point medical institutions at drug purchase and use of management notice" (hereinafter referred to as "notice"), to own medicine purchase and use to launch a series of "big".
In fact, in May this year, Shanghai has just issued "on further strengthening the enhancement construction and renovation of drug kickbacks implementation opinion", announced at drug centralized purchasing, it is forbidden to induce, etc., this time specifically for again at his own expense medicine joint department under notice more, the determination of the disciplinary management couldn't help drug firms have to pay attention to it.
▍ bargaining! Price linkage!
The most ferocious price linkage comes, and the reference range is getting bigger and bigger.
"Notice" provisions, the city health care medical establishment that decide a dot purchasing medicines at their own expense shall be in accordance with the "on further do a good job in the city medical institutions and drug" sunshine "procurement related matters notice (Shanghai social medical [2014] no. 787) regulation, by" Shanghai medicine procurement services and regulatory information system "(hereinafter referred to as" sunshine platform ").
Not only such, on through the sun platform purchasing medicines at their own expense, to the "varieties directly network, clinch a deal price agreed" hang net procurement practices, namely the pharmaceutical production enterprise (or entrust enterprise, similarly hereinafter) initiative to the sunlight platform provides drug information and other provinces and cities price information, medical organizations must be through the sun platform agreed price and production enterprises, and will clinch a deal valence platform open rear can purchase in the sunlight.
It is worth noting that, in particular, "the transaction price shall not be higher than the purchase price on the procurement platforms of the provincial pharmaceutical companies in Beijing, tianjin, zhejiang, jiangsu and guangdong."
Pharmaceutical producing enterprises should take the initiative to provide at his own expense and drug basic information and other provinces and cities price information, and regularly updated by the regulation, such as existence misstatement, omission, after verifying the qualifications of suspended within 1 year involving the drug screening, with the enterprise accumulated 3 times within 1 year (including) above, 1 year suspension of the business qualification of all the expenses and drug screening.
In addition, actual procurement will become a regulatory indicator.
"The current sunshine platform has hung drugs at their own expense, such as no purchases in the past, revocation of net information; have purchases, cancel the original enterprise independent declaration price, medical institutions should be within 90 days from the date of this notice issued in accordance with the provisions of this notice and rear can continue to purchase production enterprise agreed price." The notice stressed.
▍ induced used? Monitor!
Although it is self-medicated, actual use is still strictly "monitored".
The notice clearly states that medical institutions and physicians may not induce or compel patients to use self-funded drugs. If it is necessary to use self-funded medicine, it shall strictly perform the written notification system, which can be used after the signature of the patient or his client.
In addition, medical institutions and physicians may not induce or compel patients to purchase self-funded drugs. Medical institutions should be hospitalized with drugs into the hospital internal management, at their own expense for the patient of all medical expenses incurred shall be issued corresponding notes, and management in accordance with the relevant financial regulations, out-of-pocket medical expenses amount shall all be included in the cash column, at the same time in accordance with the provisions, truthfully upload health care, health, family planning and related departments.
▍ scrutiny bribes, medicine generation was bat again
As one of the main objectives of the New Deal, it will be evident that commercial bribery will be enhanced in the inspection of hospital and medical representatives.
In accordance with the "notice", each do medical subject dealing with the medical establishment that decide a dot investment companies, lease space to operate medical devices to rectification, put an end to the medical establishment that decide a dot appear to avoid execution at drug purchase and use of the management of the phenomenon of extracorporeal circulation.
"To examine commercial bribery pharmaceutical producing enterprises, pharmaceutical centralized purchasing department timely notification to suspend involved drug procurement qualification. Jointly with relevant departments to strengthen the food and drug supervision and administration department is responsible for the registration of a medical representative for the record management, medical representative must be strictly implemented only academic promotion, technical consulting and other activities, shall not be responsible for drug sales."
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