State Council press conference, revealing major medical reform signals

Source: China Government Network

▍ Medical Insurance Bureau: Some drug prices are artificially high

On June 10, the State Council Information Office held a policy briefing, and the details of the medical reform in 2019 surfaced. The drug price continued to drop, and the second batch of purchases was ready.

At the briefing, it is clear that the methods for solving expensive medical treatment include promoting the procurement and use of pilots, consolidating and improving the basic drug system, and promoting the reform of medical insurance payment methods; combining the reform of the salary system of public hospitals and the piloting of payment according to the disease diagnosis group. And other measures.

The leaders of the National Medical Insurance Bureau who attended the briefing clearly stated that the high price of drugs and the high cost of drugs are a very important factor in the expensive medical treatment.

According to reports, in the first phase of procurement, the purchase price decreased by an average of 52%, and the pilot effect of reducing the burden and efficiency was significant. It is estimated that the drug cost will be 5.8 billion. Among them, the cost of saving medicines for patients is about 2.3 billion yuan.

▍The second batch of quantity procurement, more regions, more products

At the meeting, the Medical Insurance Bureau revealed the principle of the adjustment of the national medical insurance catalogue in 2019. It is necessary to put more drugs with high clinical value and good drug economy into the catalogue, and carry out the negotiation of access to the drug catalogue. Reduce the price of medicines.

At the same time, further expand the scale of centralized procurement. Through the evaluation of the national organization of centralized drug procurement and use pilots, we will continue to strengthen the monitoring and guidance of the pilot situation, initiate pilot evaluations, summarize the pilot experience, optimize and improve the centralized drug procurement system, and study and deploy expansion pilots.

Further allow more regions and more drugs to participate in centralized procurement.

▍ continue to squeeze dry high drug prices

At the meeting, there was an answer to the next step in the medical reform.

Relevant leaders said that it is necessary to use the national organization of centralized drug procurement and use as a breakthrough, and the "three doctors" linkage, adhere to the "cage change for birds" to increase the reform of drugs and high-value medical supplies, squeeze out the high price of water, The vacated space is used to adjust the price of medical services in a timely manner, establish a dynamic adjustment mechanism for medical service prices that is conducive to rationalizing the relationship between medical services and optimizing the income structure of hospitals.

At the same time, we will further promote the reform of the salary system of public hospitals, formulate guiding documents, implement the two permitted requirements, and further mobilize the enthusiasm of the majority of medical personnel.

It is also necessary to carry out pilot projects for paying for disease-related sub-groups, and continue to promote the reform of multi-component medical insurance payment methods based on disease types, and mobilize the endogenous power of hospitals to reduce costs and save costs.