2018 two-vote system must be the national landing, equipment supplies are also implemented!

Medicine Network March 22 - The six ministries (bureaus, offices) jointly issued a clear request that the 2018 two-vote system must be implemented nationwide! Equipment supplies should also be fully implemented!don't think that the medical reform to withdraw, medicine two-vote system will stop; don't think that institutional reform, two-vote system implementation standards will be lowered; don't think that high-value supplies two-vote system shouted for two years without moving, there will be no further!March 20, the official website of the National Health and Planning Commission published "On the consolidation of the elimination of the results of medicine to continue to deepen the comprehensive reform of public hospitals" (National Health And Health Reform (2018) No4)the Notice was jointly issued by the National Health and Planning Commission, the Ministry of Finance, the Ministry of Human Services, the National Development and Reform Commission, the Administration of Traditional Chinese Medicine, and the Medical Reform Office, and set the key areas and key links for deepening medical reform in 2018 and beyond, with a comprehensive emphasis on putting it in place!this not only further implements the spirit of several documents issued by the State Administration for medical reform issued by the State Administration in the past two years, but also implements the 2018 work proposals put forward by the Premier of the State Council in the government work report on March 5 this year, including: deepening the comprehensive reform of public hospitals, coordinating the promotion of medical prices, personnel compensation, drug circulation, medical insurance payment reform, improving the quality of medical and health services, and making great efforts to solve the problems of medical treatment for the massesfully implement the two-vote system of drugs on the ground
the notice proposed that in 2018, the provinces to the purchase and sale of drugs "two-vote system" program to implement the landingThis shows that although institutional reform, institutional restructuring, medical reform office withdrawn, but the variousenterprises, institutions at all levels do not have illusions, wait and see not to implement, still need to strictly implement the "implementation landing."notice proposed to promote data sharing, illegal clue interconnection, regulatory standards interoperability, mutual recognition of processing resultsThis shows that the 2018 two-vote system is not only a comprehensive implementation, and to strictly deal with violations, "data sharing, illegal clues connected" means that enterprises rely on speculation, edge ball, line-stepping behavior is not feasible, "regulatory standards interoperability, processing results mutual recognition" means that in one place there are violations, in other places will also be implicatedtwo-vote system, the state attaches great importance to the issue of manytwo-vote system, is undoubtedly the pharmaceutical industry in the past two years directly affect the enterprise's policy is very significantSince the executive meeting of the State Council on April 6, 2016, the State Council has put forward the implementation of the two-vote system, such as:November 2016, the State Council To Deepen the Reform of the Medical and Health System Leading Group on the further promotion of the experience of deepening the reform of the medical and health system" issued, put forward the "publichospitalsdrug procurement gradually implement two-vote system."January 9, 2017, the State Council "13th Five-Year Plan" to deepen the reform of the medical and health system proposed to implement the "two-vote system" reform of drug procurement, clear comprehensive medical reform pilot provinces (regions, cities) and public hospitals pilot cities public medical institutions should take the lead in the implementation of drug procurement "two-vote system" to encourage other regions to implement the "two-vote system."February 9, 2017, the General Office of the State Council, "On further reform and improvement of the drug production and circulation policy" further proposed that the drug circulation order, promote the reform of the drug circulation system, the implementation of the drug purchase and sale of the "two-vote system."this, the two-vote system is moving fastBy the end of October 2017, all provinces in the country had proposed a timetable for the implementation of the two-vote systemsince then, the implementation of the landing has become the keyAnd just six departments jointly issued the notice, is a request to implement the document, and in particular highlighted "promoting data sharing, illegal lead interconnection, regulatory standards interoperability, mutual recognition of processing results" and so on, which is not only the requirements of the competent authorities, but also indirectly implicated in enterprisestwo-vote system of supplies should also be promoted, 15city 30county first"Notice" also proposed that in 2018, high-value supplies gradually implement the two-vote systemthis is also after the 9 ministries jointly issued the "2016 correction of medicine purchase and sale and medical services in the special governance work points" proposed in the medical reform pilot provinces and pilot cities to implement supplies "two-vote system", the word document again proposed to implement supplies "two-vote system."nearly 2 years apart, the country again to mention supplies "two-vote system", and is in the name of "national health reform" issued a notice, which means that supplies "two-vote system" from this year will be widely pushed away across the countryAfter the medicine, supplies "two-vote system" nail! combined with the contents of the Notice, "Public Hospitalcomprehensive Reform National Model Cities, Model Counties (cities, Districts, Flags) should step up reform efforts, in key areas and key links first try, take the lead in breaking through." ", high-value supplies "two-vote system" gradually implemented, is to be in the medical reform demonstration cities and demonstration counties to implement first so far, the country has published a total of a number of state-level model cities list, two batch of national demonstration county list, a total of 15 cities and 30 counties medical care, medical insurance control fee strict control and code Over the past few years, medical control fees have been an important reform in the national medical reform, which includes the elimination of drug increases, control of drug consumption ratio, through the reform of medical insurance payment to achieve control fees and other major ways , the abolition of drug added by the end of September last year, the country's full realization, reduce the proportion of drugs has been in hot progress, all over the completion of indicators, have developed a "key drug monitoring catalog", not only to monitor auxiliary drugs, but also to monitor the use of large quantities of drugs and consumables, resulting in a lot of pressure on pharmaceutical companies, some of the "heavy drugs" sales fell significantly and in 2018, according to the six departments issued a notice, the control fee will certainly continue, strict control will not relax in the medical insurance payment this piece, the notification document is the implementation of the State Office "on further deepening the basic medical insurance payment method reform guidance" (State Office issued (2017) No 55) "to fully implement the pay-per-disease multi-form medical insurance payment method focusing on the specific measures." document, in 2018, the national unified identification of more than 100 diseases, to guide the implementation of all regions We will promote the pilot of payment by disease diagnosis-related grouping (DRG) and improve the payment methods by head, bed-by-bed day and so on The National Medical Security Administration has now been established, and the health insurance reform, which governs the functions of the competent departments of the health insurance, drug prices, bidding and other industries, will certainly greatly accelerate the promotion of the reform of medical insurance payment at the same time, notice in the cost control, but also put forward the provinces, cities, county-level medical expenses growth control indicators, to be detailed to each hospital, do not engage in "one-size-fits-all." And, requiring the difference between the rich and the poor around to set the goal of control fees, meaning is also very clear: look at their own money bags, poor provinces do not compare with rich areas, no money to save some money, hard to control fees other measures to implement medical reform
In addition, the Notice also proposed that in 2018 all parts of the country need to implement the following important medical reform work: 1, reform and development indicators and financial subsidies, medical insurance payments, salary level and total performance pay, as well as the president's salary, appointment and removal, reward and punishment and other links 2, continue to control the unreasonable growth of medical expenses, and 44 "national team" of the commission of the large hospital should also be included in the scope of control fees, 3, crack down on the field of pharmaceutical purchase and sale of commercial bribery, resolutely correct the purchase and sale of medicine and medical services in the wrong wind 4, the adjustment of the price of medical services and medical insurance payment, medical control fees, graded diagnosis and treatment and other policies of the interface 5, high-value supplies to explore the implementation of packaging charges, the formulation of unified medical service prices; above reforms will also have a direct or indirect impact on pharmaceutical enterprises The previous the next page the of the 1