Super Medical Insurance Bureau has taken the shot, you must first control high-value consumables!
Medical Network August 13th 'Super Medical Insurance Bureau' began to shoot, high-value consumables will become the first target.
According to the official website of Shaanxi Provincial People's Hospital, on August 10, Xiong Xianjun, a leader of the Medical Insurance Group of the National Medical Insurance Bureau, accompanied by several officials from the Shaanxi Provincial Health Planning Commission, went to the Shaanxi Provincial People's Hospital to investigate the management of high-value medical consumables. And held a symposium.
At the symposium, Xiong Xianjun explained the purpose of this survey: To introduce relevant policies from the national level, propose a high-value medical consumables management reform program, and control drug , consumables costs, fully reflect the doctor's labor value. Research hospitals to control the good practices, while understanding the problems in the national policy.
The meaning is very clear, for the control of high-value consumables, the national level will introduce relevant policies, the lead will be the National Medical Insurance Bureau.
In addition, 'understanding the problems in national policies' is very real. There is no country in the world whose policies and laws are predictive. They must find problems and loopholes in practice, and wait for the later improvement. It is very likely that some of the policies have been put on the ground, that is, in theory, some policies are feasible, but it is difficult to land.
The 'study of good hospital control fees' has a point of view. In 2018, the central government issued 17.11 million yuan of performance evaluation and evaluation funds for the comprehensive reform of public hospitals in Shaanxi Province. The number of funds ranks sixth in the country, and the comprehensive reform of public hospitals in Xi'an It was approved by the State Council. This is naturally the first two-vote system implemented in Shaanxi Province and 10 in the province. purchase Consortium.
From the feedback of the person in charge of the hospital, two points will become the key content of the next high-value consumables field. One is the price difference of high-value consumables caused by the geographical difference between the east and the west, and the other is the construction of the hospital's consumable information platform. The former is a procurement problem, and the latter is a hospital management problem for consumables.
Medical consumables, especially high-value consumables, are the hardest hit areas of 'excessive medical care'. The medical corruption cases that have been exposed in recent years are mostly related to this.
As early as July 10 this year, Vice Premier Han Zheng went to the National Medical Insurance Bureau for research, focusing on the price reduction of anticancer drugs, the reform of medical insurance payment methods, and the over-use of high-value medical consumables.
In October 2017, the National Development and Reform Commission released the 18th National Congress. medicine The special report on price reform, which clearly pointed out that in the future, the focus will be on the acquisition of consumables, the investigation of cost price, ex-factory, port and origin, the surrounding retail price is open, and the package price reduction strengthens the supervision of high-value medical consumables.
It can be said that in the field of medical consumables, the 'super medical insurance bureau' is first fixed from high-value consumables.
In addition, whether it is a two-vote system or joint procurement, Shaanxi Province has a demonstration effect.
In 2017, Shaanxi Province has completed the national minimum price limit purchase of 13 categories of high-value medical consumables in three batches, with the highest price drop of 98.7%, with an average decrease of 18.37%. In order to expand the effect, it also proposed cross-provincial medical consumables procurement data. The establishment of sharing, and the formation of an inter-provincial medical consumables procurement alliance including 10 provinces and regions, based on data, joint bargaining with the provinces and regions, the price of high-value medical consumables purchased from the network, a major adjustment every six months.
These 10 provinces and autonomous regions are members of the provincial medical consumables procurement alliance, also known as the largest number of domestic medical consumables, the largest procurement procurement alliance.
Of course, the investigation cannot be just the people of Shaanxi Province. hospital This hospital, three 'national team' hospitals in Xi'an, and hospitals in Baoji City, Shaanxi Province may also have to go. If the Super Medical Insurance Bureau's policy on high-value consumables management is to be piloted from Shaanxi Province, then there is more Look at it.
