Medical website August 29
The provinces announced plans to adjust their health care catalogue
A total of 20 provinces and municipalities have announced plans for a new version of the health care program or the implementation of the country's version of the health insurance program, according to a preliminary report.
In the 20 provinces and municipalities, 12 regions, including shanxi, qinghai, ningxia, hubei, sichuan, guizhou, hainan, Beijing, hunan, shaanxi, jilin and shandong, have issued supplementary adjustment programmes., anhui, jiangsu, liaoning, jilin, xinjiang, henan, fujian, and other seven regions, in addition to fujian to the directory, six other areas are clear, in the new catalogue out before the window period, the national version of the directory to perform together with the old directory.One region (guangdong) has solved the problem of health insurance supplement.
After the introduction of the national health care catalogue, the supplement of the provincial health care catalogue is left to the best imagination of medical enterprises and patients.According to the regulations, the provinces have to adjust their powers to 15 percent of the number of countries in the country.Supplement plan unveiled the personage inside course of study says, province, provincial drug directory to generally consider version before the province medical insurance directory existing varieties, bring up the drugs mainly consider security problems, not adapt to clinical demand, nutrition tonic medicines and so on.Specific, but all the supplementary amount and also have different ideas, such as Beijing plan put forward "the city's current drug reimbursement directory in the range 2010 drug varieties, in principle, be maintained".
Of the countries that had previously been in the field of access to health care, 36 of the 44 varieties that entered the drug price negotiations have made the shortlist, eight out of eight.The social insurance department of the provinces (district and city) shall not adjust the contents of the medical insurance medical insurance and limit the scope of payment.But the results of successful negotiations have been announced since the results of the negotiations were announced, and some provinces had already introduced a supplemental plan for their health care catalogs or soliciting submissions.
Released by the jilin province medical insurance directory adjustment plan deleted the official version of the previous draft of the "national medicines when negotiating with people club department talks agreed drugs shall not be considered" a, the personage inside course of study thinks, this means that the participating countries negotiations failed drug is expected to enter local health care.However, for the national price negotiations failed 8 varieties, there are in qinghai, shanxi, hainan, jilin, hubei five provinces in the provincial clear stoppage time into consideration, namely no and club negotiations successful drugs, not local supplement list.
At the same time, there are several provinces that have clarified the standard of medical care payment for drug price negotiations.Such as clear, in henan province contains 36 countries negotiate all varieties of new type b drugs into henan health care, and to determine the 36 species of person pays 20%, this is the first clear national drug proportion pay negotiations.Recently, xinjiang also introduced the national negotiation medicine to cover the scope of medical insurance payment, all by the class b drug payment.
Health deputy director of the xinjiang uygur autonomous region people's hospital, thriving in treatment of breast cancer by bead sheet resistance (herceptin), for example, before a 440 mg by bead sheet resistance to the average selling price is 24500 yuan, mammary gland cancer patients need at least a treatment cycle injection 14, all pay cost.After the drug price negotiations success and in health, to determine the payment standard is 7600 yuan, a treatment cycle costs by more than 343000 yuan to 343000 yuan, this 106000 yuan will be according to certain proportion of medicare payments to submit an expense account, such as the urumqi city worker health b drug reimbursement ratio was 90%, the highest then spend more than 340000 yuan, now the patient need to spend more than 10000 yuan.
Experts believe that the new drug directory embodies the "fill a vacancy, selection, support innovation, encourage competition policy thinking, for medicine, children's medicine, innovative medicine of inductrial injury insurance, major disease treatment medicine and national medicine to give priority and support.A new version of a significant increase in the basic medical insurance drug catalogue drug coverage, improve the medical security level, is conducive to easing the burden on the ginseng protect personnel to catalog and drug expenses, is beneficial to support clinical medication technology progress, and conducive to promote the development of China's pharmaceutical industry innovation.
According to experts interviewed by reporters, the adjustment of the new health care catalog is no doubt a major policy move for pharmaceutical companies.Some pharmaceutical companies' products have access to the health care directory, to a certain extent positive for pharmaceutical companies.Medical insurance directory expansion in recent years, however, large capacity, but the medical insurance fund is limited, the directory cannot be infinite expansion, a large number of drugs need to supplement and the contradiction between the limited quota adjustment, is currently the biggest exhibition open directory adjustment work around the difficulty.
In addition, the next step of the health care directory dynamic adjustment will come true.The first three catalogues of the 2017 edition were released in 2000, 2004 and 2009, respectively.The adjustment lasted eight years and the cycle was longer.In this regard, the relevant person in charge of the department of human society said that, on the one hand, we will promptly carry out negotiations on drug access, and guide the adjustment of pharmaceutical products in the provincial (regional and municipal) social sectors.On the other hand, research on improving the health care administration measures for the management, establish a permanent basis, dynamic mechanism of access to health care medicine, completes the directory entry, payment standard, use the management of organic link, gradually achieve full process management, health care medicine makes insurance range adapted to actual clinical application, medical technology, for the vast number of ginseng protect personnel to provide better care at the same time, further play to the role of the medical insurance to support innovation, promote development.
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