After delay for more than a year，National & ldquo; Medical Insurance Payment Standard & RDQUO; Policy again。At the end of November，Unlisted medical insurance payment standards ending opinions，File is about to be introduced。This policy will affect almost everyone，Medical Insurance Payment Standards The full name of the basic medical insurance drug payment standard，refers to the standard set by the medical insurance fund payment of the drug costs in the medical insurance directory，，The part of the hospital's drug procurement price is lower than the medical insurance payment standard.，The part of the medical insurance payment standard is fully borne by the hospital。In addition，Drug pricing depends on the main component of the drug is，No longer based on the name of the name。

 

  This standard was originally planned to be introduced in September last year，Recent news said，This standard is expected to land at the end of December this year。

 

   & ldquo; The payment standard will be introduced with the medical insurance directory。& rdquo; Yu Mingde, chairman of the Chinese Medical Enterprise Management Association, revealed to reporters，& ldquo;，Provincial Government formulates specific policies，Make payment methods for coordinating regions。At that time，Each place is formulated according to the common name of the drug，It is likely that the same medicine pays different standards in different places。& rdquo;

 

  Medical Insurance Payment Standards is one of the means of medical insurance control fees，Many people in the industry tell reporters，This move means that medical insurance payment has gradually shifted from passive payment to active payment，Finally realized the effective use of medical insurance funds。However, there are conflicts with other pharmaceutical zero -rate policies。

 

  Great influence

 

   & ldquo; The previous bidding policy may cause excessive attention to the price，After the medical insurance standard is My stake betting appintroduced, everyone will pay more attention to the effective ingredients of the medicine、Efficacy。& rdquo; The director vice president of Haihong Holdings Group Shang Guanyong said。

 

  According to the statement of the consultation draft，Pharmaceuticals that have passed the consistency of drug quality or small quality differences，In principle, the payment standard is formulated in accordance with the general name。

 

  Where，The same universal name (the same dosage form、Specification) medicine，Formulate its unified payment standard according to the minimum measurement unit;、Specification) medicine，Gradually determine through the selection of representative varieties and calculate the difference in price ratio; there is no variety based on the standard standard，Formulate payment standards according to 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。Patent in the Basic Medical Insurance Catalog、Exclusive medicine，The payment standard is determined through negotiations。

 

  This means，Drugs with a variety of names no longer affect the sales price。

 

  Reporter understands，Most foreign abroad forms a standard for the payment of drug and medical insurance in the general name。The same universal name medicine，Different labels may have different prices，But the medical insurance fund only pays the part of the standard below，The price of drugs is higher than the medical insurance payment standard part must be paid by the hospital。Because the medical insurance payment standard allows fixed -point medical institutions to obtain a difference income，Medical institutions will be more actively lowering the price of drugs。

 

  But，Chinese Drug Consistence Evaluation is still in the beginning stage，This will affect the formulation of payment standards。

 

  Yu Mingde told reporters: & ldquo; There are currently consistent and inconsistent questions，Introduction to consistency evaluation may take two or three years to fulfill，The consistency evaluation of the base medicine，There is no product that has passed now。& rdquo;

 

  The production of many companies in the same universal drug in China is more common。According to statistics from the State Food and Drug Administration，my country's existing drug approval number is as high as 189,000，95%or more is a generic drug。Currently there are nearly 7,000 pharmaceutical companies，Among them, more than 90%of generic drug companies。These companies are usually research and development capabilities、crafts、Equipment and other aspects are relatively different，As a result, the quality and efficacy of the same general famous pharmaceutical products are different。

 

  This may cause reverse elimination.

 

    & ldquo; If you all pay Stake Sports Bettingat the lowest price at the general name，High -quality generic drugs were killed，If the price is formulated according to the general name high -quality generic drug，So inferiority will be fragrant，& rdquo; Zhang Jinyang, chief analyst of Dongxing Securities Medical Pharmaceutical, analyzed it，& ldquo; If generic drugs can be evaluated through consistency，Then the payment side will not guarantee the level of payment of the original drug。& rdquo;

 

  Yu Mingde further worried: & ldquo; medicine through consistency evaluation，Medicine will be prioritized，Unpublished hospitals will not purchase anymore，During a period of time, the leading acceleration will be caused。& rdquo;

 

  and on the ground，The specific implementation plan for payment standards is formulated by provinces and cities。or the phenomenon of different prices in various places。

 

  Tang Yuanyuan, an investment researcher at Gaotejia: & ldquo; provinces mainly refer to the lowest price of the latest provincial bidding price in various provinces in various provinces in various provinces，or refer、The average reduction in the bidding procurement price in recent years，The area of ​​the area is strong。& rdquo;

 

  At present, the provinces and cities of domestic pilot medical insurance payment standards include Anhui、Chongqing、Zhejiang、Fujian and other provinces and cities，Reporter noticed，Payment standards for provinces and cities、The settlement method is not the same，For example，Anhui is the adjustment standard for medical insurance payment at the lowest price in the country，Zhejiang is the new round of basic drugs and the remaining varieties of drugs in the first year as the standard for medical insurance and drugs。

 

   & ldquo; There is the right to adjust yourself in various places，Because most of them are coordinated by the provincial and municipalities，& rdquo; Yu Mingde believes，& ldquo; There will be differences in payment standards in different places，But the difference should not be very large。Payment standards are formulated according to market price，Close to the real price of the product。Just some products depending on the medication habits of various places，Maybe adjustment。& rdquo;

 

  One of the means control means

 

  The reason why the medical insurance payment standard is issued is the medical insurance control fee.

 

  Zhang Jinyang told reporters: & ldquo; Previous，Urban employees、New Nonghe、Urban resident medical insurance，Each expansion comes in, there will be an incremental medical insurance fund。But now the medical insurance coverage is already wide，The core driving force for the growth of medical insurance funds in the future is that each person's multiple payment amount or fiscal subsidy quota per person，Both are limited。In recent years，The final expenditure of many provinces stake sports betting appand cities is greater than the end of the funding，The so -called medical insurance wearing bottom。& rdquo;

 

  Gao Yuanyuan pointed out: & ldquo; The significance of the introduction of medical insurance payment should be from the entire medical insurance reform system，Policy cooperation is needed，Integration of medical insurance for urban and rural residents、System design、Medical insurance directory adjustment, etc.。& rdquo;

 

  Reporter learned，The reform of medical insurance payment is mainly focused on the effective use of medical insurance funds，whether the medical insurance catalog variety is necessary，Involved in the adjustment of the medical insurance directory; whether the reimbursement ratio is appropriate，Reform involving payment methods; drug tender、Price，Need medical insurance payment standards。

 

  Where，Medical Insurance Catalog Adjustment involves supplementation of drug varieties，Formulate closely related to medical insurance payment standards。

 

  July 22 this year，The Ministry of Human Resources and Social Affairs said that the medical insurance directory will be adjusted as one of the key tasks this year。Subsequent，The Ministry of Human Resources and Social Affairs has released the "2016 National Basic Medical Insurance、Work Injury Insurance and Maternity Insurance Drug Directory Adjustment Work Plan (Draft for Opinions) "and adjustment plan，and will complete the adjustment of the medical insurance and drug catalog by the end of 2016，Release the new version of the medical insurance directory。It is expected to be in 2017，Modify and improve the management measures for basic medical insurance drugs，Gradually establish a standardized drug directory dynamic adjustment mechanism。

 

   & ldquo; In the first quarter of next year，The medical insurance directory will be officially introduced，One of the reasons for the delay of payment standards is to wait for the medical insurance directory adjustment plan，More than 300 varieties supplemented by supplement can participate in the payment standard formulation。& rdquo; Zhang Jinyang said。

 

  Medical Insurance Payment Methods Payment according to the project、Total prepaid、Payment according to diseases and other methods。No matter what method，The prerequisite is under the control of the total，Gradually establish a scientific evaluation system。& ldquo;，review by experts、Document spot check，If you have a problem, you will deduct the fee，This method brings some problems，Rulous。& rdquo; Summary of Shangguan Yongqiang，At present, there are mainly malicious sets、Violation、Three major problems of over -medical care。

 

  In 2011、2012，"Opinions on Further Promoting the Reform of the Payment Method of Basic Medical Insurance" and "Opinions on the Control of Basic Medical Insurance Paid Control", two documents have been introduced in stake sports betting appsuccession，It is proposed to be based on the total control，Combined with outpatient clinics Explore the first payment of people，Integration of the protection of the inpatient clinics, the exploration of exploration is paid by the disease，Establish and improve the negotiation and negotiation and negotiation mechanism and risk sharing mechanism of basic medical insurance agencies and medical institutions。

 

  It is reported，At present, 85%of the nation's overall planned areas have carried out total payment control，and incorporate it into the management insurance fixed -point agreement。More than 70%of the coordinated areas have been paid by disease，35%of the coordinated regions will pay for the service unit，Mainly pay for daily in bed，24%of the overall planned area carried out explorations paid by the head。

 

   & ldquo; The second level of medical insurance reform is a multi -level guarantee system。The growth rate of medical insurance last year dropped to 4%to 5%。Insufficient for commercial insurance supplementary medical insurance should be introduced，Basic medical insurance should return to public welfare、Basic。& rdquo; Shangguan Yongqiang said。

 

  but，Some experts think，The medical insurance payment standards are conflict with the current comprehensive and comprehensive drug zero difference rate，& ldquo; This policy (medical insurance payment standard) may be subverted by subverting drugs and other policies。It will make the hospital feel at a loss。& rdquo; The expert said。