National Health Insurance Administration: centralized procurement will become public hospital procurement……

2022-06-23 0 By

People’s Net Beijing on September 29 (reporter Cui Yuan yuan) “14 five” period, medical insurance benefit people will achieve what goals?What good will the public get when they see a doctor?Today, The State Council Information Office held a regular state Council policy briefing on the 14th Five-year Plan for Universal Medical Insurance (hereinafter referred to as the Plan)., director-general of the department of finance and the national health insurance bureau planning regulations wen-jun wang introduced at the meeting, in order to better meet the needs of the masses, during the period of “difference”, will continue to focus on clinical usage, purchase amount higher, market competition is more sufficient, suitable for in varieties, promoting drugs and medical consumables concentration belt quantity purchases.It is clearly stated in the Plan that by the end of the 14th Five-year Plan, each province should purchase more than 500 kinds of drugs through national and provincial centralized procurement, and the varieties of high-value medical consumables should reach more than 5 categories. Centralized procurement will become the leading mode of public hospital procurement, benefiting the masses of people.In order to achieve this goal, Wang Wenjun said that the next step will draw lessons from the previous successful experience of collective procurement, further strengthen the organization and implementation, unswervingly promote the normalization and institutionalization of centralized procurement with quantity, specifically speaking, there are four measures: first, to improve the rules.We will continue to adhere to the pricing mechanism of “integrating recruitment and procurement, linking quantity and price”, and timely and iteratively optimize procurement rules and policies based on the characteristics of intensively purchased drugs and medical supplies.Second, we need to ensure supply.We can guarantee the supply of selected products by compacting the liability of selected enterprises and guiding medical institutions to improve the procurement process.Three to smooth continuity.In accordance with the principle of “three stabilizations”, namely, focusing on stabilizing the market, stabilizing the price level and stabilizing the clinical use, the continuation work after the expiration of the purchase agreement will be carried out steadily.Fourth, supporting implementation.We will continue to implement supporting measures such as prepayment of medical insurance funds and retention of surplus funds, further guide the public to form long-term and stable expectations, and promote the steady and long-term progress of the reform of centralized and quantitative procurement.Shi Zihai, deputy head of the National Healthcare Security Administration, said the public will benefit from four aspects in the next five years.The National Medical Insurance Administration has adjusted the list of insured drugs for three consecutive years, and now 2,800 drugs have been included in the list.During the 14th Five-Year Plan period, we will continue to adjust and optimize the list of insured drugs dynamically based on the fund’s capacity to meet the needs of basic medical needs and clinical technological progress, and timely include drugs with high clinical value, obvious benefits for patients, excellent economic evaluation and qualified Chinese medicines into the scope of payment.Since 2018, the collective procurement of five batches of drugs has significantly reduced the personal burden of patients, and a large number of patients who could not afford expensive drugs have used high-quality drugs.In terms of the intensive procurement of high-value medical consumables, the price of the selected coronary stents decreased by 93%.With the recent implementation of centralized procurement of artificial joints, the average price of hips and knees dropped from 35,000 yuan and 32,000 yuan to 7,000 yuan and 5,000 yuan respectively, an average reduction of 82%.During the 14th Five-Year Plan period, we will further expand the scope of centralized procurement of drugs and high-value medical supplies, so that more new and good drugs will be available to the public.Second, greater protection against major diseases.First of all, it is necessary to establish a mechanism for timely and accurate identification of medical assistance objects, strengthen coordination among departments, share the identity information of all kinds of people in need, and include eligible people in need into the scope of medical assistance in a timely manner.Secondly, different types of difficulties should be classified to implement hierarchical relief, different people enjoy different ways of relief.The third is to standardize the scope of salvage expenses and reasonably determine the salvage standards. Different difficulties have different standards.Fourth, we will actively guide social forces to participate in relief and security.Through the work in the above four areas, the level of security for patients with serious diseases has been steadily improved, the medical burden of insured persons has been reduced, and illness has been prevented from causing poverty or returning to poverty.Third, the level of inpatient and outpatient services is more balanced.In the next five years, we will give full play to the comprehensive security function of the “triple system” based on the level of economic and social development and the affordability of medical insurance funds.First, on the basis of consolidating and stabilizing the level of inpatient security, promote the improvement of outpatient treatment security level;Second, we will establish and improve the mutual aid mechanism for medical insurance for employees, reform individual medical insurance accounts for employees, and carry out overall planning for general medical insurance for employees.Third, we will improve the outpatient medical insurance policy for urban and rural residents, and improve the level of outpatient medication for hypertension and diabetes for urban and rural residents.Fourth, public medical insurance services will become more convenient, high-quality, efficient and sophisticated.During the 14th Five-Year Plan period, the medical insurance service network was further improved, and a five-level medical insurance service network at provincial, city, county, township (town) and village levels was established. Service outlets were rationally arranged, and services were vigorously promoted to reach towns and villages.On the basis of improving the service network, we will promote the common development of both traditional and new services.While actively promoting one-stop on-site services in the office halls, we will accelerate the construction of intelligent public service platforms for medical insurance, such as the Internet and electronic medical insurance certificates, and promote online, code-based and video-based medical insurance public services.With the support of a more intelligent and convenient network, we will further expand the scope of direct settlement of out-of-place medical expenses across provinces, and gradually realize the integrated online and offline settlement of inpatient and outpatient expenses in out-of-place medical expenses.Edit: Declaration: this article copyright belongs to the original author, if there is a source error or infringement of your legitimate rights and interests, you can contact us through the mailbox, we will promptly deal with.Email address: jpbl@jp.jiupainews.com