Medical network - on February 24, the new directory, proprietary Chinese medicine, western medicine section contains medicine, 2535, from the 2009 version of the directory 339 new, rising by about 15%. Chinese medicines, including western medicine, 1297, 1238. "Health insurance directory is the signpost medical and pharmaceutical industry, its goal is to cover more patients under limited funds."
On 23 February morning, people club department formally issued by the national basic medical insurance, inductrial injury insurance and maternity insurance drug catalogue (2017 edition) ", instantly become an absolute medical circles.
This is the 2009 version of the health care catalogs, after eight years of the new version. The new directory, proprietary Chinese medicine, western medicine section contains medicine, 2535, from 2009, 339 new version catalogue, rising by about 15%. Chinese medicines, including western medicine, 1297, 1238.
Because the discussion time lasting and drug directory for the pharmaceutical market pattern and incremental, the impact of the public opinion of heat does not decrease at the same time, related pharmaceutical stocks also immediately response is presented. Close to February 23, pharmaceutical index rose 1.33%, a pharmaceutical (002728 SZ), sunflower, pharmaceutical industry (002737 SZ) harden, another 111 pharmaceutical stocks only.
23 afternoon, according to the director-general of the department of the ministry of social health insurance Chen Jinfu attend department door website online interview was introduced, in the second half of 2016 people club department launched the drug directory adjustment, the drug directory adjustment is proposed "fill a vacancy, selection, support innovation, encourage competition," the guiding ideology, "the key consideration to existing drugs directory does not cover treatment, mechanism as well as the major disease, mental disease, pediatric gynecological medicines, such as optimizing the directory structure, optimizing varieties of high cost performance and support medical technology innovation, by expanding to promote medical products competition in clinical medicine, etc."
For the drug companies are on the market, whether into the directory matter, but "under the restriction of medicare pay price, most varieties will not appear after the 2009 version of the directory for soaring rare situation." Unicorn studio founder liu said in an interview with the 21st century economic report reporter, "the 2017 version of the directory expansion growth characteristics reflected the pharmaceutical industry, and suggests that the fees means we will continue to implement the structure adjustment and control. Patients with health insurance directory biggest beneficiaries should be instead of medicine."
Drugs increase of 15.4%
2017 the new medical insurance directory has a number of changes, this is the basic medical insurance system in China was founded, for the fourth time to adjust to the drug catalogue.
In 1998, the announcement of the state council set up a health care system; In 1999, seven ministries and commissions such as the ministry of labor and social security health care medicine management measures, on health care drugs directory into conditions, evaluation mechanism, the adjustment mechanism and working procedures such as made specific provision.
, after the former ministry of labor and social security people club department in 2000, 2004, 2009, released Wednesday that the drug directory, directory varieties gradually expanding, the level gradually improve. And the implementation of national health insurance drug catalogue in 2009, contains 2196 kinds of drugs including 1164 kinds of western medicine, 1032 kinds of proprietary Chinese medicine.
Chen Jinfu said: "the 2009 edition covers the most commonly used clinical drugs, can meet the demand of ginseng protect personnel to most of the medicine, but medicine directory for a long time did not adjust to ginseng protect personnel to catalog and drug expenses burden heavier, and the clinical application demand disconnect, innovative drugs cannot access inventory problems gradually appear, these are pressing for we release a new version of the drug directory."
New catalogue of drug into notice, western medicine, proprietary Chinese medicine, Chinese medicine yinpian four parts. Western medicines and proprietary Chinese medicine contains 2535 drugs, compared with 2009, 2191 increased by 339, rising by about 15.4%. Part of western medicine, 1297, proprietary Chinese medicine section 1238 (including ethnic medicine, 88). Chinese medicine yinpian part did not make an adjustment, still continue to use the provisions of the 2009 drugs directory.
"Supplemented by the same way as the past, but a lot of access to medicines is relatively loose, the overall better than expected." Liu qian said, "some thought to access will be more strict.
2009 medicare catalog compared with 2009, varieties increased from 1854 to 2151 (+ 16%), traditional Chinese medicine and western medicine each added 164 (+ 20%) and 133 (+ 13%). After due to delays in the directory of the industry has the strict screening more discussion. Societe generale securities medical team previously published suppose according to the report, health department of stress, compared to the 2009 version adjustment, two is the biggest different backgrounds directory for changes in the medicare payments.
Starting in 2009, China began to practice the "three years reform action", spent more than 850 billion yuan over three years, but also for the pharmaceutical industry in the past few years to achieve accelerated growth provides incremental capital, in 2009 the medical insurance fund income and expenditure growth rate were 27.25% and 38.51%, respectively, the government health expenditure accounts for the proportion of the total health expenses in 2007 from 22% to 30% in the ascent to 2012.
Parts such as Shanghai and since 2011, the government health functions of role transition from open source throttling direction gradually. In 2013, the medical insurance fund has emerged a growth rate of income growth is lower than spending adverse situation, medical insurance fund balance face gradually narrowed even raised do not cover the "closing". To 2015, the medical insurance fund income and expenditure growth fell to 15.55% and 15.55% respectively, at the same time, the bidding price, medical insurance fee will gradually become the norm.
The market is looking forward to
The new medical insurance directory specifies the local medical insurance directory should be released on July 31, 2017, adjust the number of (including transfer into, out, adjust the limit to pay limits) shall not exceed 15% of the national class b drugs quantity, and to do the new within a month after the release of drug directory.
In addition, through expert review synchronous identified 45 to negotiate drug, are of higher clinical value but relatively expensive, exclusive patent drugs. The next step is to confirm whether enterprises have after negotiating intentions, publish to the society plans to negotiate drug list and group negotiation according to related procedure.
Due to the selected directory or not for related enterprise stakeholders, review and adjustment process also.
According to Chen Jinfu, the drug catalogue review experts independent review mechanism, the administrative department in charge of not to participate in the review; Drug directory adjustment plans to solicit opinions from the public, the drug registration and other basic information provided by the competent department in charge of, don't accept enterprise declare; And strengthen the integrity, confidential work, such as selecting experts list randomly generated.
In the review process, to establish the underlying database. According to as of June 30, 2016, the national drug registration database, sorting drug registration information in article 165000, 17000 varieties of Chinese and dosage form. Consulting group experts, including six academicians, 381.
For the directory's highlights and market attention to drug types, one is the 91 new children's medicine varieties, clear are suitable for children's medicines or dosage forms to about 540. 2 it is to 2009 listed on the new drug evaluation object, as the key to the innovation medicine further tilt. Three is the key to consider such as cancer, mental disease, hemophilia, major diseases such as diabetes, cardiovascular treatment commonly used drugs, included in the basic drugs directory or negotiation drugs. Four is to support traditional Chinese medicine and national medicine, 2017 western medicine and traditional medicine directory accounted for 51% and 49%, basically unchanged.
In addition, negotiations with the 2015 national drug cohesion. Tenofovir, ek on behalf of the treatment, such as three drugs are the expert review included drugs directory. It is understood that the new drug in 45 kinds of quasi negotiations, "nearly half for tumor targeted drugs, covers the leukemia, the common tumor such as lung cancer, gastric cancer, colorectal cancer." Chen Jinfu added.
For most drugs into the medical insurance directory of companies, even if the price is also good. But in liu qian, rules change, "that is strictly into wider to wide into severe out. And the consistency evaluation and future medicine separates after putting in place measures, such as directory adjustment is likely to be directly with the foreign community, directory is no longer a corporate guarantee to get rich."
Without entering into the directory of variety, can participate in the local supplementary directory. Drug companies should pay more attention on health care reform, then in addition to tender and the second negotiation, will also have the clinical path, according to head to pay, according to macro-reforms, medicare payment method such as the price standard to regulate into medicare varieties. Liu qian said: "health insurance directory is the signpost medical and pharmaceutical industry, its goal is to cover more patients under limited funds." |
