Medical network - on March 10, since March 6, officially unveiled in fujian province pharmaceutical joint limit sunlight procurement directory (first batch) and health care since the highest selling price and payment and settlement price, disputes arise, poking fun at continuously, the author believed that the practice of fujian in the moment, it is consistent with a big trend: namely so over the years, the cancellation of the simple drug addition, actually in the medicine has no effect, the key to raise the medical benefit chain medical behavior still distortion. Therefore, by sunlight procurement prices, making the hospital income structure optimization, reduce the medicine proportion, improve the medical income, control the growth of the overall revenue, reduce the pressure of health care.
So, faced with a lot of interests, sweeping, fujian province, from the source to the chain block, this is in the right time to do the most is the right thing.
But (everyone helped wall back, I began to pack to force), fujian drug joint limit sunlight procurement in such a hurry, hastily u-turns, behind the heat from the related results, have to make people's anxiety, caused relevant cold thinking:
▍ lower drug prices "A" and "B"
According to the fujian sunshine procurement related spirit, regardless of drug purchase price, the medical institution shall be in accordance with the highest selling price is not higher than health. The difference between the drug purchase price and sale price, medical institutions. Then, can be expected, in order to strive for to maximize the interests of the medical institutions in the next step for negotiation, will all (it is said that xiamen already, ask for solutions).
But we must understand that the value of medical insurance funds, is to maximize the implementation of the indirect management of medical service, improve the efficiency of medical resources, to ease the burden for patients, guarantee medical quality. If constantly demand lower drug prices, on the one hand, although savings the limited medical insurance funds, but we have to consider, on the other hand will strengthen health funds of the concept of savings and dilute the concept of medical quality? !
▍ quantity when purchasing the boots will fall again?
According to the general office of the people's government of fujian province in April 2016 by the fujian province in 2016, we will deepen reform of the medical and health system work main point of notice file spirit, medicare drug payment standards in fujian province to study the rules at the same time, to actively implement the drug amount of purchase. But what the fact gave us?
At the provincial level, not the rules to avoid "bring purchasing", one of the most talked about is the "top health care sales price", "enterprise hang WangJia", "medical insurance payment settlement price", then, is frequently encourage each district medical institutions to purchase a consortium or in area, to bring the net drug purchasing bargaining.
So, it's confusing: on the one hand, actively advocate let market competition in full, on the other hand, set the price at the provincial level; On the one hand, fully understand the medical organizations is purchasing the main body, on the one hand, and lead to drug companies in the first level at the lowest purchase price the price on the basis of the avalanche (reverse).
Bring purchasing boots when fall? Never is "for use and adopt" into "boundless and eventually"? ! Or is involved in the joint procurement of fujian province, are "major"? !
▍ limit "reimbursement ratio" on behalf of the clinical demand right?
According to his club contributing authors Cao Dianjun statistics, fujian 16445 health care product manufacturer rules published in the highest selling price and payment and settlement price 13009 product manufacturers can gauge hundred reimbursement, 1723 product factory rules cannot submit an expense account, 371 product manufacturer gauge pay rate in more than 50% of patients. Patients pay between 30% ~ 50% of product factory rules altogether 1467, pay in 0 ~ 20% product manufacturers a total of 74.
First determined to carry out national health insurance directory relevant documents (note: refer to "file" is not "spirit") of fujian, the author is trying to say is, blindly locked reimbursement proportion, not a flexible adjust measures to local conditions, right?
Fujian province as a star, in the process of advancing the reform of medical field, more should pay attention to the motor effectively promote the reform of medical insurance payment methods, on the basis of strengthening medical insurance fund budget, improve the level of different medical institutions differentiation to pay for health care policy. Especially should be on the premise of specification high drug use indications strictly, to flexibly adjust the medicare drug pay scale, and further tilt to the patients in emergency group. As long as is necessary for clinical as long as it is meet the practical requirements in patients, can dynamically adjust the medicare payment proportion, and why not? ! Not too tight, too dead lock.
Fujian drug joint limit sunlight procurement provincial level draws to a close, for purchasing is coming. The author is an old saying goes: drug pricing reform must connect with other medical reform. Just in order to reduce drug prices solve the problem of expensive, difficult, climb a tree to look for fish. The real reform, is don't forget to beginner's mind, with the public interests above everything else. '! |
