Medical network - March 17th March 16 on the evening of a "chongqing medical insurance directory training course" about people club department meeting minutes file quickly spread in WeChat friends circle, several different sources of information lead to almost the same content - provinces must be completed before July 31 local directory adjustment work, time can't regulate; Provincial adjust quantity control in 291, wide into bat directory adjustment principle.
▍ dynamic adjustment is coming!
Previously published in the new medical insurance directory mentioned dynamic adjustment, again in yesterday's meeting was confirmed.
, according to the relevant information in the meeting, the relevant person in charge of people club department about the national health insurance directory adjustment review, introduces the main technical points to the provinces for the provinces in the directory at the provincial level adjustment process strictly enforce access, bring up the principle.
Though the present scene is - "eight provinces in each group, each province is only five minutes to speak, and answer fully appear without saying", reflect the finish have difficulties, etc., but the central emphasis on the eight years did not move and the pressure of public opinion are forced health-care action as soon as possible, to complete the mission, and to emphasize "in the future and dynamic adjustment to the bottom".
This is medical insurance directory dynamic adjustment once again appear in the presentation of official caliber.
On February 23, after more than a year of public opinion is concerned, people club department issued a "national basic medical insurance, industrial injury insurance and maternity insurance drug catalogue (2017 edition)" (hereinafter referred to as the catalog of medicines).
After three versions, respectively, in 2000, 2004 and 2009, adjustment, has just released the fourth edition of distance to the last eight years have passed, the update is 15%.
Also because of the adjustment for super long 8 years update, published in the new directory, people club department when reading the document made it clear that will dynamically adjust directory access products.
"Early due to various reasons, drug directory adjustment cycle is long, we also attaches great importance to this issue. This directory is released, on the one hand to grasp the talks on access to drugs, guiding the provinces (autonomous regions and municipalities) people club department adjust b drugs; on the other hand, research on improving the pharmaceutical drug management approach, 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 health care medicine the whole process of management, make the security range and clinical medicine, medicine and technology progress to adapt to actually, 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." People club department medical insurance department Chen Jinfu chief priests read medical insurance directory emphasizes dynamic adjustment.
Again and this time, the national health insurance meeting mention dynamic adjustment, release the strong signal to the industry, medical insurance directory of dynamic access will become the norm, the past into the directory is "protect" status in 78 has become history.
Compared at the same time, although the possibility of inlet, drug out relatively lower risk of (the majority of provinces have advance adjustment), but within the health care drugs "protection" will be significantly reduced has become an established fact.
▍ price negotiations, not involved in at the provincial level
As another docking with the health of the new job, in the discussion yesterday, revealed the news show, the provinces have said the price negotiations over national, provincial don't participate in, hope 45 varieties, published by the state as soon as possible in order to adjust the work time for local directory.
On March 11, the national health development planning commission has just announced national drug talks into the latest results of health care: the first batch of national drug price negotiation of three drugs: first-line treatment chronic hepatitis b drug tenofovir ester, non-small cell lung cancer targeted therapy drugs for ek, the treatment and have all docking national coverage.
Li bin, director of the national health and family planning commission, said at a conference in that day this year will be the second round of negotiations health care drugs, several principles include: urgent clinical needs, the practice proved curative effect is better, and the price is quite high, the burden is heavy to choose in this class of drugs.
But as a result of this work is still no timetable, the local medical insurance directory confirmation from July 31 deadline only 4 months, through negotiations into medicare drug firms facing huge pressure.
▍ doubt problem
In addition, including indication adjustment must occupy places the problem such as are in the scope of yesterday.
"Triangle" (" remarks "column marked with" delta "medicines, ginseng protect personnel are hospitalized when used by the unified planning fund of the basic medical insurance by the regulation pay, outpatient service paid by the employee basic medical insurance personal account when using drugs) explicitly by the state policy implementation, there are special reasons such as the provinces needs to be change, should with the local directory dissolution club department health care department at the same time.
But the provinces reaction concentration of the problem is that after the joining together of two warranty and after supplemented varieties, existing varieties have serious beyond the limit of 291, how to deal with, is not a clear train of thought, more difficult in 731 completed before deadline. |
