On April 12, Beijing issued several measures on deepening the reform of the medical security system (hereinafter referred to as the measures). The measures cover 27 aspects, including improving the fair and appropriate treatment guarantee mechanism, improving the steady and sustainable financing operation mechanism, and establishing a functional and efficient medical insurance payment mechanism.
The reporter of the daily economic news noted that Article 15 of the measures mentioned to deepen the reform of the centralized procurement system of drugs and medical consumables. Continue to expand the scope of centralized procurement of high-value medical consumables.
Article 9 proposes to improve the dynamic adjustment mechanism of medical insurance catalogue. Adjust and optimize the catalogue of diagnosis and treatment projects, standardize the payment scope of medical service facilities, support the innovation and development of medical technology, and include the qualified Innovation Medical Management Co.Ltd(002173) technologies and devices into the payment scope of medical insurance.
What does the above provisions mean to hospitals, patients and enterprises and what impact does it have? In response to these problems, the reporter of the daily economic news interviewed Wei zining, the chief editor of the medical reform circle and the president of the management and Development Research Institute of Beijing Sanyi Zhiku hospital.
deepen the reform of centralized purchase system
Article 15 of the measures points out that we should deepen the reform of the centralized procurement system of drugs and medical consumables. Steadily implement centralized procurement of drugs and medical consumables. Continue to expand the scope of centralized procurement of high-value medical consumables. Strengthen the construction of centralized procurement platform for drugs and medical consumables in the city, and optimize the bidding, procurement, trading and supervision functions of the existing platform.
In an interview with the reporter of the daily economic news, Wei zining said that since the promotion of centralized purchase in 2018, more than 200 billion yuan has been saved, allowing drugs and medical devices to return to a reasonable price range, and patients really enjoy the price reduction benefits.
The reporter learned that at the regular policy briefing of the State Council held by the State Council Information Office on February 11, Chen Jinfu, deputy director of the state medical security administration, pointed out that since 2018, the state medical insurance administration, together with relevant national departments, has promoted the reform of drug and high-value medical consumables with volume procurement as the core. After three years of efforts, the reform of centralized volume procurement has entered a new stage of normalization and institutionalization, So far, six batches of drugs have been purchased with a total of 234 drugs, accounting for 30% of the total annual drug purchases of public medical institutions. Judging from the cumulative results of the three-year reform, the state has saved more than 260 billion yuan in organizing centralized procurement.
For enterprises, Wei zining believes that promoting centralized mining is “painful” for enterprises. He pointed out that centralized mining has brought pressure to enterprises, including pressure on technology and innovation, but in the long run, the advantages outweigh the disadvantages. After carrying out centralized procurement, many enterprises have cancelled medical representatives, which not only saves labor costs, but also makes enterprises more standardized and transparent.
However, he also proposed that medical staff should enjoy dividends, which will mobilize the enthusiasm of medical staff. “The real value of medical services, such as adjusting the price and technology of medical personnel.”
The reporter noted that the measures also made it clear that in accordance with the idea of “paying equal attention to total amount control, strengthening regulation, clarifying adjustment rules and paying attention to balanced connection”, we should scientifically take into account the tripartite balance between medical institutions, medical insurance departments and patients, do a good job in the standardized adjustment of medical service price items, constantly improve the adjustment rules, and promote the establishment of a standardized and normalized dynamic adjustment mechanism for medical service prices, Continuously optimize the price structure of medical services.
Innovation Medical Management Co.Ltd(002173) technology included in medical insurance
Article 9 of the measures proposes to improve the dynamic adjustment mechanism of medical insurance catalogue. Strictly implement the national medical insurance drug catalogue, clean up and standardize the varieties of non-national medical insurance drugs in this city, and realize the unification of the scope of medical insurance drugs in this city and the scope of national medical insurance drugs. Optimize and adjust the payment scope of hospital preparations and traditional Chinese medicine decoction pieces in this city, and formulate medical insurance drug management measures. Adjust and optimize the catalogue of diagnosis and treatment projects, standardize the payment scope of medical service facilities, support the innovation and development of medical technology, and include the qualified Innovation Medical Management Co.Ltd(002173) technologies and devices into the payment scope of medical insurance.
Wei zining said that this is good for enterprises, hospitals and patients.
He pointed out that for enterprises, the inclusion of qualified Innovation Medical Management Co.Ltd(002173) technologies and devices into the scope of medical insurance payment has shortened the “waiting” time of enterprises and undoubtedly reduced the time cost.
For hospitals, bringing qualified Innovation Medical Management Co.Ltd(002173) technologies and devices into the scope of medical insurance payment can greatly optimize the development of medical services and effectively prevent violations. “For example, some new technologies have been carried out in hospitals for a long time, but because they have been unable to be included in medical insurance for a long time, individual hospitals will ‘swap’ items to charge. But the swap items themselves are illegal. If they can be included in medical insurance in time, it will greatly improve the service efficiency and effect of hospitals.”
For patients, they can also get good and new medical services in time, and reduce the economic burden.
The reporter noted that Wang Xuetao, head of the drug administration department of the National Health Commission, once said that the centralized purchase of drugs and consumables has entered the stage of normalization and institutionalization. In the next step, we will actively cooperate with relevant departments to further improve the relevant system of centralized purchase, further standardize the catalogue of centralized purchase of drugs and consumables, strengthen performance evaluation, and formulate and revise some clinical medication guidelines, Further promote the priority and rational use of centralized procurement of drugs and consumables, and better serve the health needs of the people.
