Important pharmaceutical policies will be pushed aside to affect all pharmaceutical companies.

On the evening of March 5, the Central Committee of the Communist Party of China and the State Council issued the Opinions on Deepening the Reform of the Health Care System, which has made it clear that the reform of the payment method for medical insurance will continue to be promoted.
"to vigorously promote the application of big data, the implementation of a multi-composite health insurance payment method based on disease-based payment, the promotion of disease diagnosis-related group payment, medical rehabilitation, chronic mental illness and other long-term hospitalization pay by bed day, outpatient special chronic diseases pay by head."
There are industry experts today to Saibai Blue said that the effect of the national organization of drug collection is mainly generic drugs to reduce prices significantly, to achieve the original drug replacement, improve the concentration of the pharmaceutical industry, squeeze out the drug belt gold sales space, promote the transformation and upgrading of enterprises, save medical insurance funds.
The reform of the payment method of medical insurance based on the payment by disease is mainly changed from the post-payment system to the prepaid system, through the way of packaging and pre-payment according to the disease, according to the different payment standards determined by different diseases, the implementation of the policy of savings and retention, overspending and reasonable sharing, forcing hospitals, doctors to use drugs rationally, reasonable diagnosis and treatment, saving medical resources, improving the quality of medical services, etc.
, on July 15th, the Shanghai Municipal Health and Health Commission issued the Shanghai Key Action Plan for Deepening Medical Reform (2020-2022), which plans the focus of Shanghai's medical reform for the next two years.
As the city that undertakes the centralized procurement of drugs organized by the state, Shanghai said that public medical institutions will be encouraged to carry out centralized bargaining procurement of drugs with volume and budget in the form of medical associations, monos or voluntary procurement alliances for medicines not included in the centralized belt procurement.
work that is clear from the Action Plan is to steadily implement the big data disease-based Medicare pay-per-view and DRG-paid pilot, and to expand the scope of the pilot in an orderly manner.
to 2022, on the basis of the Shanghai pilot, the "four-in-one" (DRG, big data diseases, pay-per-bed, pay-per-head) multi-composite health insurance payment model under the total budget framework will be fully implemented.
, Hebei Health Anding Committee in a notice to deepen medical reform also made it clear that it will vigorously promote pay-per-disease, actively promote pay-per-bed, start simulation operation in 2020, start actual payment in 2021.
is based on the "three-step" step of the DRG pay country pilot: 2019 is the DRG top-level design phase, 2020 is the simulation operation phase, 2021 is the actual payment phase.
overall, the up-to-be two years in 2021 and 2022 will be an important period for the overhaul of health care payment methods, and for pharmaceutical companies, the impact of health care payment method reform should also be anticipated.
big prescriptions, disorderly drug use or become history Fujian Sanming as a national medical reform star demonstration city, from 2016 to date, began to implement medical insurance package payment as the starting point, the construction of regional health care organizations, and strive to provide the masses with a full range of full-cycle health and health services.
before the reform of health care payment methods, Sanming went through two stages: the treatment of chaos, the blocking of waste (2012.2-2013.1) and the establishment of regulations and the establishment of a system (2013.2-2016.8).
In the first stage, Sanming implemented the key drug monitoring, control of the circulation of drug prices, standardized medical behavior and other measures, in the second stage, Sanming began to break the rules and regulations, straighten out the government management system, establish the "three-doctor linkage", "two-vote system", "annual salary system", "three insurance and one" and other reforms of the "four pillars and eight pillars."
June 2017, the former General Office of the State Health and Planning Commission issued a Notice on the Implementation of the Pilot Work on The Collection and Payment Reform by Group Related to Disease Diagnosis, announcing that the C-DRG Collection Reform Pilot Work was officially launched in Shenzhen, Sanming and Kramay.
's C-DRG fee-for-access reform will enter its official operational phase on January 1, 2018.
, Sanming's health care payment method reform has achieved remarkable results.
Sanming City Medical Reform Leading Group Secretariat Deputy Director, Sanming City Health Care Commission four-level researcher Zhou Xianxuan said that, unlike the original project-based payment, income and the number of services linked, hospitals in pursuit of economic benefits, easy to cause excessive use of medical services, in the total cost control, and pay by disease-based multi-health insurance payment method reform, the cost of medicine significantly decreased, hospital revenue increased, unreasonable drug use and treatment significantly reduced.
The above-mentioned person said to Seberan, Sanming to implement the reform of the payment method of health insurance has a better basis for reform - first, through the integration of the "three insurance", joint price-limiting procurement and other measures to reduce the price of drugs (supplies) to a certain level;
exchange with Seberan, the above-mentioned people further stated that in the process of implementing the medical reform policy, the effective implementation of policies such as lowering drug prices is an important prerequisite for the reform of the payment method of medical insurance based on the payment of diseases.
In addition, prior to the implementation of pay-per-disease, it is necessary to determine the payment standards for major diseases, change the concept from leadership to medical personnel, train medical personnel to master relevant knowledge, code drug supplies, medical services, rebuild the home page of hospital medical records, medical insurance payment system, electronic medical record system, etc., to provide information system support for the formal implementation of DRG.
In the process of paying by disease, the examination, examination, medicine and sanitary materials (including high-value consumables and low-value consumables) used by inpatients need to be included in the pricing by disease group, in the process, drugs that do not conform to clinical pathways and do not have clear clinical value and efficacy will undoubtedly be excluded from packaging.
Practice shows that the implementation of DRG is conducive to higher-level hospitals to take the initiative to transfer common diseases to the grass-roots level, to achieve graded diagnosis and treatment;
Further, the implementation of DRG can effectively regulate the behavior of diagnosis and treatment services - breaking by medicine, excessive medical behavior, strengthening the use of drugs and consumables;
overall, under this payment method, is based on the value of medical treatment, to pay for the value of the traditional "to supplement medicine, to supplement medicine, to check medical treatment" era is gone.
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