Medical network - on November 28, medical consumables suppliers note that since January 1, 2017, yunnan province will execute unified urban and rural residents basic medical insurance policy, and gradually realize the unification of the management of medical insurance fixed-point. Measures include the unity, in order to strengthen the management of drug supplies and the diagnosis and treatment projects, the province unified urban and rural residents health care medicines and chemical reagents, consumables and diagnosis and treatment project scope, and highlight the basic functions, medical insurance fund pays emphasis guarantee domestic medical consumables, control imported high-value consumables!
Early January, the state council has issued advice to the provinces (autonomous regions and municipalities) the integration of urban and rural residents health care as a priority task of deepening the reform, and, at the end of this year, 12 on the jurisdiction specific implementation plan.
Yunnan province in August this year issued "the people's government of yunnan province about the integration of urban and rural residents basic medical insurance system of the implementation opinions", then introduced at the end of September on the unified urban and rural residents basic medical insurance management of the medical establishment that decide a dot notice (cloud people SheFa [2016] no. 308, hereinafter referred to as the "notice").
"Notice" is put forward, in yunnan province will, according to the principle of specification after into, first, to integrate urban residents health care and new farming and the medical establishment that decide a dot, the scope of the medical establishment that decide a dot, dot the unification of the access and exit mechanism.
"Notice" also made clear that yunnan province will establish a mechanism to fixed-point protocol management, strengthening the hospital management, etc. Which the measures of strengthening the management of medical treatment is one of:
(4) strengthen drug supplies and the diagnosis and treatment project management. The province unified urban and rural residents health care medicines and chemical reagents, consumables and diagnosis and treatment project scope, city and county state handling management institutions and the medical establishment that decide a dot, shall not be adjusted, ginseng protect personnel in medical costs into the medical insurance payment within the specified range. Management institutions at the provincial level in accordance with the requirements of management and fund risk timely adjust the project scope of medicines and chemical reagents, consumables and diagnosis and treatment, the national health insurance directory adjustment accordingly.
Highlight the basic functions, the main guarantee health insurance fund pays therapeutic drug use, control of auxiliary medication, guarantee the domestic medical consumables, high value materials imported from control, ensure control outpatient treatment for chronic diseases, chronic diseases in the hospital drug use, according to the regulation of antibiotics abuse, auxiliary medicine, clinical diagnosis and treatment, medication guide and clinical pathway of norms to provide medical services and improve management.
Because of the "notice" is since January 1, 2017 to carry out, so the health control cost measures is going to launch in yunnan province.
The provinces, urban and rural medical insurance system is years up to now, most provinces across the country have already made a plan to deploy, or implement system integration. After the system of urban and rural residents health care will implement the "six", namely uniform coverage, financing policy, to ensure treatment, medical insurance directory and fixed-point management and fund management.
According to the system "width is narrow and high not low" principle, the medical establishment that decide a dot, health care drugs, will expand the scope of consumables catalogue, reimbursement ratio will also be increased accordingly.
Medical consumables catalogue of expanding scope, has yet to get the data directly. But drug catalogue, it is reported, and axle, from more than 2000 different kinds of tianjin rural residents can submit an expense account drugs increased to more than 7300, shandong, guangdong, ningxia and other health care medicine range also increased more than 1 times respectively.
Urban and rural system, expanding the market demand, the industry could be regarded as a good thing. But obviously, after the medical insurance system, medical insurance fee so will strengthen the function of control, and put forward such as yunnan province medical insurance fund pays emphasis to ensure that domestic supplies, control the import consumables, if to seriously implement the, for the industry consumables enterprises, but also means the coming of the shuffle. |
