Chengdu Medical New Deal: support the inclusion of traditional Chinese medicine preparation in medical insurance payment

Recently, the general office of Chengdu municipal government issued the notice on several measures to further reform and improve the policy of drug production, circulation and use Among the measures introduced, it is particularly mentioned to consolidate and eliminate the achievements of "supplementing medicine with drugs" Chengdu will fully implement the government's investment policy for public hospitals in line with the regional health plan, consolidate and eliminate the achievements of "medicine for medical treatment", and establish a new mechanism for public hospitals to compensate through two channels: service charge and government subsidy We will adhere to the joint efforts of medical treatment, medical insurance and medicine, make an overall plan to rationalize the price of medical services, and allow patients with chronic diseases to purchase drugs from social retail pharmacies with prescriptions Medical institutions shall issue prescriptions according to the generic names of drugs and actively provide prescriptions to patients Outpatients can choose to purchase drugs in medical institutions or retail pharmacies on their own Medical institutions shall not restrict outpatients to purchase drugs in retail pharmacies with prescriptions We will improve the target management, monitoring and evaluation system for medical cost control in public hospitals, and make them publicly available on a regular basis The control of medical expenses shall be linked with financial subsidies, evaluation and excellence, performance salary verification and Dean's evaluation and engagement of public hospitals For hospitals that fail to reach the goal of cost control, the fund subsidies and project arrangements shall be reduced or cancelled as the case may be, and the corresponding management responsibility of the hospital dean shall be investigated At the same time, it will explore the establishment of credit rating management and blacklist management system for designated medical institutions of medical insurance Gradually improve the intelligent supervision system, give play to the provincial and municipal linkage mechanism, and strengthen the supervision of designated medical institutions We will strengthen the budget management of medical insurance funds, vigorously promote the reform of medical insurance payment methods, establish a composite payment method that combines multiple payment methods, such as payment by disease, payment by head and payment by bed per day, under the control of total amount, and gradually reduce payment by project We should reasonably determine the payment standard of medical insurance, change the expenses of drug consumables, inspection and testing from the income of medical institutions to the cost, and promote the medical institutions to take the initiative to standardize medical behaviors and reduce operating costs To improve the efficacy of generic drugs, support the payment of traditional Chinese medicine into medical insurance, improve the production, circulation and use of drugs, so that people can afford to buy drugs, and buy drugs, Chengdu municipal government has launched a number of measures Severely crack down on the manufacture and sale of fake and inferior drugs: Chengdu will strengthen the control of production sources, supervise the drug manufacturing enterprises to strictly implement the drug production quality management specifications, and urge the enterprises to implement the main responsibility of drug safety We will strengthen the transfer of cases, crack down on the illegal and criminal acts of manufacturing and selling fake and substandard drugs, promptly transfer clues to cases of crimes committed by taking advantage of their duties, and punish crimes committed by taking advantage of their duties in accordance with the law Those suspected of crimes shall be transferred to the public security organ for handling according to law Improve the quality and efficacy of generic drugs: Chengdu will encourage municipal internal medicine research institutions and researchers to introduce varieties outside the city to carry out generic drug consistency evaluation, and become the holder of drug listing license Support drug manufacturers to strengthen patent information analysis, strengthen new drug research and development and patent due drug imitation; accelerate the development of medical insurance drug payment standards according to the common name, and form an incentive mechanism conducive to the consistent evaluation of the use of generic drugs as soon as possible To ensure the drug demand of patients: Chengdu continues to strengthen the monitoring of the supply of short drugs, low-cost drugs and children's drugs, and forms a whole chain analysis, early warning and information symmetry mechanism for production, sales and use, and takes measures such as fixed-point production, emergency reserve and multi-party coordination to ensure the effective supply of short drugs and low-cost drugs We will continue to promote the price reduction action plans for patented drugs and first generic drugs, and take various measures such as registration commitment, drug negotiation, centralized procurement, and medical insurance payment, so as to control the prices of patented drugs and first generic drugs within a reasonable range on the premise of ensuring effective supply Priority should be given to supporting Chinese medicine preparations with reliable quality and definite curative effect to be included in the payment scope of medical insurance Medical representatives shall not undertake the task of drug sales: Chengdu will intensify the investigation and punishment of illegal cases in the field of drug circulation We will strengthen the issuance of supervision and inspection information and improve the system of notification of administrative supervision At the same time, the supervision and management of pharmaceutical representatives will be strengthened Pharmaceutical representatives can only engage in academic promotion, technical consultation and other services, and may not undertake drug sales tasks The dishonesty of the verified medical representative shall be recorded in the personal credit record Strengthen drug price monitoring and supervision: Chengdu will ensure the traceability of drug ex factory price information, do a good job in interconnection with drug centralized purchase platform and medical insurance payment audit platform, and strengthen data sharing with tax authorities We will improve the drug price monitoring system, establish a traceability mechanism for drug ex factory price information, promote the transparency of drug market price information, and put an end to the phenomenon that "bad money drives out good money" New distribution modes such as "online ordering and store taking" are adopted: Chengdu supports drug distribution enterprises to innovate Internet drug distribution services, adopts new drug distribution modes such as "online ordering and store taking" and "online ordering and store sending", widens drug distribution channels, improves drug circulation efficiency, reduces transaction costs and improves consumption experience.