November 23，The unspecified medical insurance payment standard formulates formal conclusion for solicitation，Enter the sprint phase of the document。

 

  Even according to the final announcement of the final December circulating in WeChat today，It has also been compared to the period for the formulation of medical insurance payment standards before September 31, 2015，It's been nearly 14 months late for nearly 14 months。

 

  The more urgent to the provinces is & mdash; & mdash; according to the file requirements，Complete the specific implementation plan formulated by the payment standards in various places in 2016，Only last 40 days。

 

  According to the content of the solicitation of comments circulating today in WeChat，Saibailan will sort out the six core issues of the medical insurance payment that will be issued as follows:

 

  stake online sports bettingQuestion 1: How to determine the payment standard? & mdash; & mdash; universal name

 

  General name becomes an important evaluation standard for this medical insurance payment，According to the draft of the solicitation:

 

  & Oslash; Pharmaceuticals with a consistency evaluation of drug quality or less quality differences，In principle, the payment standard is formulated in accordance with the general name;

 

  & oslash; the same common name (the same dosage form、Specifications: Formulate a unified payment standard according to the minimum measurement unit;

 

  & Oslash; the same common name (different dosage type、Specifications): Gradually determine through the selection of representative varieties and calculate the difference in price ratio;

 

  & Oslash; Do not have varieties that are standard according to the general name: formulate payment standards according to the drugs produced by different enterprises，In principle, it does not exceed the same universal name that has passed the payment standard of drugs through quality consistency。

 

  & Oslash; Patent in the Basic Medical Insurance Catalog、Exclusive drugs: negotiations determine payment standards。

 

  Question 2: What do you see? & mdash; & mdash; similar price comparison or being introduced

 

  Payment standards are mainly based on the actual market transaction price of the drug、quantity and other factors formulated，You can also explore the introduction of similar drug prices、Price reference in other areas、Pharmaceutical economics evaluation and other factors and methods，By weighted average、medium or medium or division number Calculate the average price of the corresponding product regulations，and determine the payment standard based on this。

 

  My stake betting appQuestion 3: How to change the payment standard & mdash; & mdash; dynamic adjustment，Once once in two years

 

  & oslash; according to the actual market transaction price of the drug、Dynamic adjustments such as the actual supply and usage of the drug

 

  & oslash; In principle, adjust every two years

 

  & Oslash; Monitor the implementation of the payment standards and the actual market price of the drug，If the payment standard is too large from the actual market transaction price、Payment standards are reasonable and reasonable and other necessary situations，Corresponding to the payment standards for timely correction。

 

  Question 4: How to use the payment standard? & mdash; & mdash; comparison sales price

 

  & Oslash; The actual price of the actual sales of pharmaceuticals in the fixed -point medical institution is equal to the payment standard，Medical Insurance Fund and insured personnel are paid based on payment standards。

 

  & oslash; The actual price of the actual sales of drugs in the targeted medical institution is lower than the payment standard，Medical Insurance Fund Payment fee based on payment standards，Insured personnel pays based on the actual sales price。

 

  & Oslash; In the case of formulating payment standards according to the common name of the drug，The price of selling medicines to insureds is higher than the payment standard，Medical Insurance Fund still pays for payment as the benchmark，In clinical necessity、Under the premise of the consent of the patient，Participants in the town shall take the actual sales price as the benchmark，Pay fees in accordance with the personal sharing ratio specified in medical insurance。

 

   (Industry insiders comment: This passage is under the general name，High -priced drugs higher than payment standards are fatal，It will also be a paragraph of the pharmaceutical market structure! )

 

  Question 5: How to evaluate the payment standard? stake sports betting app& mdash; & mdash; multi -dimensional

 

  & oslash; After the payment standard is formulated，Evaluation and analysis of the effects must be done in various places。While evaluating the level of affordability of the medical insurance fund and the cost burden of insured persons，To from the drug price、Use amount、Fee、Objective assessment of reform effects such as medication and other aspects，Timely adjust and improve policy。

 

  & Oslash; The fixed -point institutions shall announce the retail price of drugs sold in the unit in obvious positions、Payment standards and other information。

 

  & oslash; The medical insurance department must further strengthen the cost of drug、Medical costs、Evaluation of the personal burden of insured persons，Avoid passing the burden，Damage to the interests of the masses。

 

  Question 6: How to land on the ground? & mdash; & mdash;

 

  & Oslash; Establishing human resources and social security、Lead the health and family planning department，Related departments、fixed -point institution、Drug Supplier、Insured persons、Related Association (Studies) and other representatives of payment standards formulation work committee，Set off office，undertake specific work。

 

  & oslash; 2016，All provinces should follow the spirit of this document，Following the committee's office followed & ldquo; fair、Justice、Public & rdquo; principles，On the basis of extensive soliciting opinions，Determine the specific implementation plan of the payment standard，and report to the committee to pass。

 

  & oslash; The implementation plan should include the scope of the drug management management management of the implementation of the payment standard、My stake betting appThe collection and bidding of price information、Payment standard calculation method and process、Use Measures, etc.。