Shanghai Medical Insurance Bureau of Health to replace 15% plus unchanged drug prices down – rolling
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charge paid by the tender sense of the word
According to media reports, from the Shanghai Health Bureau, People’s Insurance Bureau of transmission the news center of the current pharmaceutical bidding agency transfer is in progress. Shanghai municipal government idea, the basic Medicare drug won the tender only the first step in the future may also be further extended to the Medicare drug bidding directory.
Insurance Bureau of drugs as the main payers, Shanghai, the Reform the concept of power and pressure, the annual expenditure of health insurance funds are limited, can not be exceeded. Shanghai made in the first breakthrough in this respect, this is groundbreaking.
as 15% of the policy plus the presence of drugs, medical institutions generally tend to use more expensive drugs, so that 15% of the maximum bonus. The benefits associated with medical health administrative departments, in the drug tender process, but also there is no motivation to reduce drug prices. Therefore, the more strokes the more expensive, close to the After exposure of the treatment of chronic bronchitis phosphorus ester of clindamycin injection, but the ex-factory price 0.6 yuan in Beijing, but the price is $ 11, is one example.
in Shanghai, community health centers to implement basic drugs, using drugs all zero sales slip, and in the secondary and tertiary hospitals, 15% of drug addition is still widespread. Insurance Bureau as those who pay for the medication and the actual medical institutions, there is clearly benefit the game. look at the intensity of the game in a way, Medical Insurance and hospitals is ‘family’, are state-owned, can compete with the formation of a true, hard to say. Commission deputy director, Shanghai Jiao Tong Zhang recording method that Pok teachers.
step by step, from those who want to reform the parties concerned to gradually push forward reform and now Shanghai this step, can be considered an improvement, certainly better than in the past.
Medical Insurance is an outsider?
In fact, the Shanghai Municipal Health Bureau is not only the drugs lose the right to tender, next year, medical supplies transferred to the tender also the development of Shanghai Shen-Kang Hospital Center.
Huang hopes Medical Insurance tender to foreign pharmaceutical companies are also open the door: family can participate in the tender.
Fudan University Institute of High Pok hospital management solution also told the media that spring, medicine is very complicated bidding, Medicare can not all win; and some are highly specialized, with a small amount of special drugs, it is impossible by the Medicare bidding,
Council is so dry. those who engage in the tender organizer, organizers like the NBA, as they will not need to hit cones, as long as the rules of the game on the line which makes an open and transparent justice of course the organizers of the Health Department to the bidding process familiar with it, but not an expert Yeah, China has not curb school specializing in training government bidding and procurement professionals, this line of business did not title, so can not tell who is the expert, who is not an expert. / p>
Mr WU, told Die Zeit: can do. medical institutions, procurement bid drugs may negotiate with suppliers to obtain a lower price than the purchase price. It is reported that Shanghai Medical Insurance Bureau took over the drugs after the tender, will continue to use this approach. According to the Bureau of Pudong health officer said the next step possible to organize primary health care institutions buy drugs, and drug dealers to bargain.
buy the practice, can make Buy drugs is not really the future direction of drug procurement?
in Gu Xin view, buy drugs without medical institutions, organizations, just to achieve the two preconditions: First, health care agencies realize the payment system reform, health care institutions to implement naturally want to buy, buy high-cost drugs. cost, only want to play really buy The problem is the total cost of Shanghai are now implementing pre-paid health insurance system, the savings part of the sweep hospital, but the excess was not entirely self-care, hospitals and health care institutions by the forty-six open, the hospital probably did not really Power play buy. 15% of the cases, the number of drugs have been stuck in the ceiling price, retail prices have combined with 15% bonus if you cancel, the people, the drug retail price is the price, at least 15% down, buy access through the hospital profit margins as large as possible, all parties benefit. even need to make major reforms. This is a positive choice. disclosure to do articles, such as construction sites, records some of the key node of information, so that people can check their own and if a false penicillin event, we can be found, the hospital began to buy from a year ago, half of the cost penicillin. purchase price and the retail price if there is proper disclosure of information, will form between the peer pressure to do the same such as heart bypass surgery, a hospital to be 3.8 million, the second to $ 30,000, the third home as long as 28,000 yuan, the success rate of almost everyone, this time will naturally be downward pressure on prices.
Mr Wu also told Die Zeit, said: price, so you can avoid many of the interests of the struggle, the deletion of some of the desktop under the PR. are not the same, can also cause the same kind of drug retail In the optimists view, the city different prices, is formed between the competition in the hospital led to downward price pressure on people is a good thing.
come up with a good Ji did not need a price in China is not the same, even the uniform price of Shanghai came hard, the dosage of different hospitals, traffic conditions are not the same, why should insist on a price?
not happy, it is certainly head is filled up.