National Health Commission: Cracking down on "rebates" and rectifying the acceptance of "red envelopes" and other medical chaos

On April 27, the National Health Commission and other nine ministries and commissions issued the main points for correcting unhealthy practices in the field of medicine purchase and sale and medical services in 2021, including resolutely maintaining the smooth implementation of vaccination work, continuing to rectify the acceptance of "red envelopes" and other medical chaos, and maintain against "kickback" behavior and other high-pressure situation
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In 2021, the overall requirements for correcting unhealthy practices in the field of pharmaceutical purchase and sales and medical services are: guided by Xi Jinping’s new era of socialism with Chinese characteristics, thoroughly implement the spirit of the Fifth Plenary Session of the 19th Central Commission for Discipline Inspection, and resolutely implement the Party Central Committee’s The decision-making and deployment of the construction of a clean and honest government of the party, earnestly fulfill the main responsibility of the industry governance of "the industry must control the industry" and "who is in charge of who is responsible", continue to correct the unhealthy trends in the field of pharmaceutical purchase and sales and medical services, and comprehensively promote the great anti-epidemic Spirit, promote the construction of the health industry >
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1.
Resolutely maintain the smooth implementation of vaccination

Strengthen the special supervision of the quality of medical supplies in key provinces
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Carry out in-depth special operations to combat vaccine-related crimes, and severely crack down on the production and sale of counterfeit products, illegal operations, smuggling in the field of vaccines, as well as illegal medical practice and fraud under the guise of vaccines during the vaccination process

2.
Cracking down on violations of laws and regulations in the field of nucleic acid testing

Strengthen the management of nucleic acid testing, encourage the provision of single sample testing and mixed sample testing services at the same time, and publicize the price of nucleic acid testing in a conspicuous position, prohibit false bid prices or over-standard charges, and crack down on fraud or deliberate tampering of nucleic acids in the name of rapid nucleic acid testing Violations of laws and regulations such as inspection certificates
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3.
In-depth development of designated medical institutions to regulate the use of medical insurance funds for special governance

Resolutely implement the "Regulations on the Supervision and Management of the Use of the Medical Security Fund", strictly investigate and decompose hospitalizations, bed-hanging hospitalizations, excessive diagnosis and treatment, excessive inspections, prescriptions, overprescriptions, repeated prescriptions, repeated charges, over-standard charges, and violations of diagnosis and treatment standards.
Decompose project fees, collude with drugs, induce and assist others to seek medical treatment or purchase drugs under false pretence
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Severely crack down and punish illegal use of medical insurance funds in accordance with the law

4.
Continue to rectify medical chaos such as receiving "red envelopes"

Consolidate the effectiveness of special treatment, improve the return visit system, unblock reporting channels, strengthen clue investigation, and correct and accept "red envelopes", intraoperative items, "knife markups", major treatments for minor illnesses, repeated inspections, bundling sales of medicines and consumables, and general food Pretending to be special medical foods recommended to patients, publicizing and selling breast-milk substitutes in medical institutions, etc.
, promptly eliminate the behavior problems that affect the people's sense of medical treatment
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5.
Maintain a high-pressure posture against "rebates"

The heads of medical institutions, key department heads, and heads of departments involving medicines, equipment, consumables, reagents, equipment, and infrastructure are the key points of rebate governance, and make full use of public institutions in medicines, medical consumables, diagnosis and treatment projects, and service facilities.
Hospital performance appraisal, medical big data supervision, use of products selected in centralized procurement, special investigation and inspection of rebate issues, and strict handling of verified issues in accordance with laws and regulations
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Relevant companies pay rebates, bundled sales of pharmaceutical consumables and other illegal commercial bribery clues, and handed over to the market supervision department for handling

6.
Resolutely correct behaviors that disrupt the order of the medical service industry

Regulate the names of medical institutions, combat counterfeiting and confusion, false propaganda, commercial bribery, and publishing illegal medical advertisements, and rectify the use of smuggling, counterfeit and shoddy products in the medical cosmetology industry, as well as chaos in the field of health care products
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We will carry out in-depth efforts to eliminate criminals in the health industry, severely crack down on online and offline traffickers, "black rescue", "black hospitals" and "black clinics", as well as illegal and criminal acts that threaten the personal safety of medical staff, and promote the construction of safe hospitals

7.
Comprehensively build a "pro-clean", clean and standardized medical-business relationship

       Build a "pro-clean" and disciplined medical-business relationship, and draw a clear bottom line of communication
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It is strictly forbidden to transfer benefits in any name; it is strictly forbidden to accept property, entertainment, and remuneration from beneficial enterprises

       8.
Increasing the intensity of joint disciplinary action in cases of unhealthy practices

       The medical-business collusion, transfer of interests, commercial bribery, false invoices, tax evasion and other illegal acts and clues discovered in the work of correcting ethics must be strictly investigated and quickly resolved
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It is necessary to rely on the centralized procurement market for drugs and medical consumables, implement credit ratings for the drugs and consumables involved in the case, and adopt restrictive measures such as restricting or suspending Internet access, purchasing, and disclosing untrustworthy information

       9.
High-level leadership and promotion of wind rectification work is effective

       Continue to strengthen the party's overall leadership of rectification work, thoroughly implement the main responsibilities of rectification work, and strengthen industry supervision and internal governance
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Continuously improve the efficiency of inter-departmental linkage and cooperation, and explore the "special +" work mode in which professional fields are led by professional departments and coordinated by mechanism units

       X.

       Based on the current party regulations and laws and regulations, upgrade and improve the "Nine Prohibitions" of medical and health care, and in response to the outstanding manifestations of the current industry chaos, provide supporting corresponding penalty suggestions, and guide the health administrative departments and medical and health institutions at all levels.