The National Medical Insurance Administration is set, and the next step is to do this

Author:China Medical Insurance Time:2022.09.08

On the morning of September 6, 2022, the National Organization of Medical Pharmaceutical Procurement Work Conference and Pharmaceutical and Consumer Microexation Conference were held in a video manner. Deputy Director Chen Jinfu attended the meeting and delivered a speech.

Chen Jinfu emphasized that it is necessary to conscientiously implement the executive meeting of the State Council, actively promote the purchase of centralized band in orthopedic spine consumables, accelerate the special treatment of oral planting medical services and centralized procurement of dental implant consumables, and promptly promote the coronary stent collection and mining agreement After the expiration of the period, standardize the continuous work of drug collection, focus on reform, management, continue to deepen reform, comprehensively build a scientific, fine and standardized operation management system, ensure the people enjoy the results of reform, and promote the high -quality development of the pharmaceutical industry.

The responsible comrades of the relevant units of the State Medical Insurance Bureau attended the meeting at the main venue. The responsible comrades of the provincial medical insurance departments and the centralized procurement institutions of the medical and pharmaceuticals, the responsible comrades of the Drugs and High -value Medical Consumption Organization Office attended the meeting in various places.

In this collection work meeting, the medical insurance department once again emphasizes that the medical insurance department will conscientiously implement the National Assembly deployment, and normalize and institutionalize the purchase of drugs and high -value medical consumables to further reduce the medical burden of patients; Key work to ensure that the masses enjoy the results of reform and promote the high -quality development of the pharmaceutical industry.

Actively promote concentrated consumables to procurement

Since its establishment in 2018, the State Medical Insurance Bureau has continuously promoted the reform of drugs and high -value medical consumables. It has carried out seven batches of drug collection and cardiac stents, and arthric joints. Yuan. The price of drug consumables returns to a reasonable level, and the masses have benefited obviously.

At the routine briefing of the State Council's policy held in February this year, Deputy Director Chen Jinfu pointed out that when the collection of high -value medical consumables was carried out, the state focused on the areas of the two people of Cardiology and Orthopedics. In addition, the two varieties of coronary ball pockets and ophthalmology artificial crystals have also achieved full coverage of the province.

After the collection, the situation of "price drop, volume, quality". From the perspective of price, the average decrease in cardiac stents was 93%, the average price of artificial hip and knee joint was reduced by 82%, and the price of consumables decreased significantly, which effectively squeezed the virtual high space. From the perspective of the number, the first year of the cardiac stent collection, the total procurement of the selection support reached 1.69 million units, which was 1.6 times that of the annual agreement procurement, and the number of selected varieties increased. From a quality point of view, the chromium alloy used in the heart bracket reached 95%, and the stainless steel bracket, which accounted for 1/3 of the market, was basically eliminated.

At this collective collection work meeting, the focus of high -value medical consumables also clarified, mainly two aspects -orthopedic spine consumables collection and dental implant consumables.

In terms of the collection of orthopedic spine consumables, the state has completed basic work such as research and information standardization. On July 11, the National Organization High -value Medical Consumption Co -Purchasing Office issued the "National Orthopedic Spinal Consumption of Orthopedics," "No. 1), which marks the official launch of the national collection of orthopedic spine consumables. This collection covers 14 product system categories with a procurement cycle of 3 years.

In terms of dental implants, the National Medical Insurance Bureau made it clear that the Sichuan Provincial Medical Security Bureau led the establishment of inter -provincial procurement alliances of dental implants, and all provinces should participate. Ji Cai adheres to the basic principles of recruiting and recruitment, linked and price linked, and in accordance with the overall ideas of government organizations, alliance procurement, and platform operations, we will fully consider the characteristics of dental implants production, supply and clinical use, and guide enterprises to competition.

Accelerate the special governance in the field of oral planting

For a long time, problems such as irregular fees and heavy cost burdens in the field of oral planting in my country have been in the field of oral cavity. With the improvement of national living standards and deepening the aging of the population, the price of oral planting medical services has become a pain point for people's livelihood that plagues the people. The voices of all parties on rectify order and reduce price reduction and burden are very strong.

On August 18, the website of the National Medical Security Bureau issued the "Notice on the Price Governance of Oral Planting Medical Service and Consumption Price (Draft for Solicitation)" (hereinafter referred to as "Draft for Solicitation of Opinions"), and publicly solicited opinions on the society. Essence

There are 12 parts of the "Draft for Soliciting Opinions", which focuses on regulating the method of oral planting and charging, integrating the corresponding medical service price items such as implant implantation and crowning; Institutional oral planting medical services have a high price, strengthen the supervision and guidance of oral planting prices for private medical institutions; organize and implement implant centralized band procurement, and widely launch various medical institutions at all levels to participate in collecting collection and accurate reports.

Once the "Draft for Soliciting Opinions" was released, it immediately attracted widespread attention. On September 2nd, the National Medical Insurance Bureau issued a public solicitation. During this solid opinion, the public public through various forms of feedback and suggestions, of which about 60 % of the feedback expressed support for the national special governance of the country's oral planting. And about 30 % of the feedback will put forward constructive opinions while expressing support. A total of about 90 % of the opinions expressed the support of the special governance of the oral cavity, and further showed that the governance plan has captured the focus of governance and lay a firm foundation for regulating oral planting services.

At the end of the announcement of the opinion of the opinions, the State Medical Insurance Bureau clearly considers the opinions and suggestions of all parties, revise and improve the "Draft for Soliciting Opinions" as soon as possible; just 4 days later, the National Medical Insurance Bureau once again emphasized at the national work meeting that it must speed up to speed up that it must be accelerated to accelerate Carry out the special treatment of oral planting medical services and centralized procurement of dental implants consumables. Both words "fast" show the urgency of this special governance. The State Medical Insurance Bureau is determined to solve the problem of oral planting that has troubled the masses for a long time as soon as possible, and respond to the people's appeal to the "special treatment plan for oral planting as soon as possible". Stise and standardized to carry out collection and collection of collection and connection work

At present, the national collection has reached the seventh batch, and the cumulative purchase of 294 varieties has been successfully purchased. With the procurement cycle of some countries' collection of drugs, the consensus on the national collection of varieties has begun to rise.

The continuous work after the expiration of the national organizational drug concentrated band procurement agreement is an important part of promoting the normalized institutional operation of centralized band procurement.

On November 4, 2021, the State Medical Insurance Administration issued the "Notice on Doing a Better Organic Organizing Pharmaceutical Rebirth Procurement Agreement Period" (hereinafter referred to as the "Notice"), which made a clear deployment on how the continuous work was carried out.

In accordance with the requirements of the "Notice", when the provinces are carried out, they must adhere to the purchase of volume, and they must not "only negotiate bargaining and without quantity." Drug -listed license holders who have clarified the original drug research drugs, reference preparations, and the consistency evaluation of the quality and efficacy of the efficacy can participate.

In terms of how to carry out continuity, all provinces should focus on maintaining market and clinical drug stability, comprehensively considering the various factors of enterprises and products, and determine the selection of Chinese enterprises and high prices through inquiry, bidding, and comprehensive evaluation. For provinces with large demand or high supply guarantee, the same variety is encouraged to be selected by multiple enterprises.

Looking at the entire country's renewal, it is more of a stable idea: stabilize the market, stabilize hospitals, stabilize patients, stabilize the demands of both supply and demand, and then stabilize. Good situation.

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