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    Home > Medical News > Latest Medical News > National Medical Insurance Administration: Several measures are being formulated to accelerate the implementation of the "Internet +" medical insurance payment policy

    National Medical Insurance Administration: Several measures are being formulated to accelerate the implementation of the "Internet +" medical insurance payment policy

    • Last Update: 2021-07-31
    • Source: Internet
    • Author: User
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    A few days ago, the National Medical Insurance Bureau emphasized in its response to Recommendation No.
    6235 of the Fourth Session of the 13th National People’s Congress that it is formulating a "Internet +" medical service supplementary agreement template to accelerate the advancement of "Internet +" medical services.
    The service medical insurance payment policy is implemented
    .
    In areas where conditions permit, explore and promote the circulation of “Internet+” medical service re-examination prescriptions and “Internet+” medical service direct settlement for medical treatment in different places
    .
    At the same time, the national unified medical insurance information platform will be basically completed by the end of 2021, or it will realize data connection with external institutions such as human resources and social security, health, public security, taxation departments, hospitals, pharmacies, banks, and commercial insurance companies
    .
     
    With the "Internet + health insurance" policy to accelerate the liberalization of drugs online market in rapid growth, or will usher in further outbreaks, online and offline medicine market will also accelerate reconstruction
    .
     
    Promote the circulation of "Internet + " follow-up prescriptions
     
    The national unified medical insurance information platform will be basically completed by the end of 2021
     
    In order to implement the "Opinions of the General Office of the State Council on Promoting the Development of "Internet + Medical Health"", during the epidemic last year, the National Medical Insurance Administration and the National Health Commission issued the "Regarding the Promotion of "Internet +" Medical Insurance Services During the Period of the Prevention and Control of New Coronary Pneumonia "Guiding Opinions" to promote the provision of more convenient and efficient medical insurance services for the insured people in various regions
    .
     
    At the same time, in order to promote the cross-regional flow of high-quality medical resources, improve the patient experience, and support the development of "Internet +" medical services, the National Medical Insurance Administration has successively issued the "Guiding Opinions on Improving "Internet +" Medical Service Prices and Medical Insurance Payment Policies".
    Guiding Opinions on Actively Promoting "Internet +" Medical Services and Medical Insurance Payments
    .
    "
     
    Regarding the next step, the National Medical Insurance Administration stated that in order to meet the development requirements of Internet diagnosis and treatment and standardize the payment of "Internet +" medical insurance, the next step will further clarify and improve the form of Internet diagnosis and treatment into fixed-point agreement management, medical insurance settlement procedures, and regulatory measures.
    Content, promote the development of "Internet +" medical services
    .
     
    At present, the National Medical Insurance Administration is formulating the "Internet +" medical service supplementary agreement template to accelerate the implementation of the "Internet +" medical service medical insurance payment policy
    .
    At the same time, in areas where conditions permit, we will explore to promote the circulation of "Internet +" medical service re-examination prescriptions and "Internet +" medical services for direct settlement of medical treatment in different places, so as to achieve "more information and prescriptions, patients less errands"
    .
    In the next step, the National Medical Insurance Bureau will cooperate with the National Health Commission and other relevant departments to gradually expand online payment functions, promote "one-stop" settlement, and provide more convenient services for insured persons
    .
     
      It is worth noting that in order to meet the medical security needs of the people in the new era, the National Medical Insurance Administration is making every effort to build a unified national medical insurance information platform, which is expected to be basically completed by the end of 2021
    .
    It is understood that the platform has designed and developed data interfaces with departments of human resources and social security, health, public security, taxation, etc.
    , as well as related external institutions such as hospitals , pharmacies , banks, and commercial insurance companies
    .
     
      In the next step, the National Medical Insurance Bureau will do the following: First, accelerate the construction of a unified national medical insurance information platform, and guide local governments to accelerate the implementation of the platform
    .
    Second, in accordance with data security management requirements, under the premise of ensuring the data and information security of insured persons, continue to explore and develop information sharing mechanisms with health and health departments in accordance with laws and regulations
    .
    The third is to continue to accelerate the promotion and application of medical insurance electronic vouchers, expand application scenarios, optimize use functions, and strengthen inter-departmental coordination to optimize the cooperation model of medical insurance electronic vouchers and electronic card codes such as electronic health cards
    .
     
       "Internet + medical insurance" policy blossoms in many places
     
      The online pharmaceutical market welcomes explosive growth
     
      Since the beginning of this year, the "Internet + medical insurance" policy has further accelerated its implementation
    .
    In addition to the above work plan arrangements, on July 16, the National Medical Insurance Administration issued the "Opinions on Optimizing Convenient Services in the Field of Medical Insurance", which clarified that it actively promotes "Internet + medical services", in accordance with the principles of online and offline fairness and medical insurance payment policies, according to the service Features Improve protocol management and settlement procedures, actively explore information sharing, and realize integrated services of prescription circulation, online payment and settlement, and home delivery of medicines
    .
     
      In fact, some regions are also accelerating the implementation of the "Internet + medical insurance" policy.
    Jinhua, Guangzhou, Hangzhou, and Wuhan have successively explored the implementation of "online medical insurance payment and online drug purchase"
    .
    It is understood that since Jinhua took the lead in Zhejiang Province in March this year to open the "online order store delivery" medical insurance settlement, Jinhua medical insurance participants can place orders through Alipay Civic Center, Are You Hungry, and Taobao, and pay for online purchases of medical insurance
    .
    At present, a total of 107 designated pharmacies in the city have opened this function, and the coverage of medical insurance payment for "online order store delivery" has covered all counties and cities
    .
     
      In June of this year, the Guangzhou Municipal Medical Insurance Bureau issued a document on a trial implementation of online payment for personal accounts of over-the-counter medicines and medical insurance during the epidemic prevention and control period
    .
    In mid-June, the Hangzhou Municipal Medical Insurance Bureau stated that through the cooperation with Ali Health, the Hangzhou city’s online drug purchase and medical insurance online payment pilot project has been officially launched.
    Hangzhou participants can enjoy Convenient drug purchase service with "delivery to home"
    .
    During the pilot period, insured persons in Hangzhou can use their medical insurance account balances over the years to purchase self-paid OTC drugs online
    .
     
      On June 17, Wuhan City launched the nation's first medical and health service platform that connects Internet hospitals + retail terminal online medical insurance payments-"Your Health"
    .
    The Wuhan Municipal Medical Insurance Bureau has approved the first batch of 1,000 medical insurance designated pharmacies to enter the platform and have successively opened online medical insurance payments.
    Retail pharmacy brands such as Yifeng Pharmacy, Laomen Pharmacy, and Changsheng Pharmacy have all completed their entry
    .
     
      With the gradual liberalization of online payment for medical insurance and the popularization of online drug purchases, online drug retail has developed rapidly, and the online and offline drug market has accelerated its restructuring
    .
    According to data analysis by the Southern Institute of Pharmaceutical Economics of the State Drug Administration (hereinafter referred to as "Southern Institute"), online e-commerce platform pharmaceutical sales have sprung up.
    Only Tmall, JD.
    com, and more than 200 pharmacies sales data show that this year 1- Online prescription drug sales in May were 5.
    66 billion yuan, a year-on-year increase of 274.
    8%, and online OTC sales were 4.
    97 billion yuan, a year-on-year increase of 19.
    3%
    .
     
      Nanfang Institute pointed out that in 2020, China's drug online sales will be 159.
    3 billion yuan, becoming the fourth largest pharmaceutical sales terminal after hospitals, physical pharmacies, and primary medical institutions.
    It is expected that the scale of the fourth terminal will exceed 220 billion yuan in 2021.
    , A year-on-year increase of more than 40%
    .
     
      The industry believes that as the fourth terminal is advancing violently, it has caused a considerable impact on traditional channels, bringing about changes in drug purchase methods, distribution methods, and marketing models
    .
    For medical institution terminals, under ideal prescription outflow, electronic prescriptions will flow to the fourth terminal, which will bring disruptive changes to hospital channels
    .
    For physical pharmacies, the number of pharmacies is expected to be further integrated
    .
    At the same time, the state management department is stepping up research to revise and improve the supervision and management methods for drug online sales
    .
    With the opening of online prescription drugs, the pharmaceutical market will further accelerate the shift from offline to online, and the scale of the online market will usher in a major explosion
    .
      A few days ago, the National Medical Insurance Bureau emphasized in its response to Recommendation No.
    6235 of the Fourth Session of the 13th National People’s Congress that it is formulating a "Internet +" medical service supplementary agreement template to accelerate the advancement of "Internet +" medical services.
    The service medical insurance payment policy is implemented
    .
    In areas where conditions permit, explore and promote the circulation of “Internet+” medical service re-examination prescriptions and “Internet+” medical service direct settlement for medical treatment in different places
    .
    At the same time, the national unified medical insurance information platform will be basically completed by the end of 2021, or it will realize data connection with external institutions such as human resources and social security, health, public security, taxation departments, hospitals, pharmacies, banks, and commercial insurance companies
    .
     
      With the "Internet + health insurance" policy to accelerate the liberalization of drugs online market in rapid growth, or will usher in further outbreaks, online and offline medicine market will also accelerate reconstruction
    .
     
      Promote the circulation of "Internet + " follow-up prescriptions
     
      The national unified medical insurance information platform will be basically completed by the end of 2021
     
      In order to implement the "Opinions of the General Office of the State Council on Promoting the Development of "Internet + Medical Health"", during the epidemic last year, the National Medical Insurance Administration and the National Health Commission issued the "Regarding the Promotion of "Internet +" Medical Insurance Services During the Period of the Prevention and Control of New Coronary Pneumonia "Guiding Opinions" to promote the provision of more convenient and efficient medical insurance services for the insured people in various regions
    .
     
      At the same time, in order to promote the cross-regional flow of high-quality medical resources, improve the patient experience, and support the development of "Internet +" medical services, the National Medical Insurance Administration has successively issued the "Guiding Opinions on Improving "Internet +" Medical Service Prices and Medical Insurance Payment Policies".
    Guiding Opinions on Actively Promoting "Internet +" Medical Services and Medical Insurance Payments
    .
    "
     
      Regarding the next step, the National Medical Insurance Administration stated that in order to meet the development requirements of Internet diagnosis and treatment and standardize the payment of "Internet +" medical insurance, the next step will further clarify and improve the form of Internet diagnosis and treatment into fixed-point agreement management, medical insurance settlement procedures, and regulatory measures.
    Content, promote the development of "Internet +" medical services
    .
     
      At present, the National Medical Insurance Administration is formulating the "Internet +" medical service supplementary agreement template to accelerate the implementation of the "Internet +" medical service medical insurance payment policy
    .
    At the same time, in areas where conditions permit, we will explore to promote the circulation of "Internet +" medical service re-examination prescriptions and "Internet +" medical services for direct settlement of medical treatment in different places, so as to achieve "more information and prescriptions, patients less errands"
    .
    In the next step, the National Medical Insurance Bureau will cooperate with the National Health Commission and other relevant departments to gradually expand online payment functions, promote "one-stop" settlement, and provide more convenient services for insured persons
    .
     
      It is worth noting that in order to meet the medical security needs of the people in the new era, the National Medical Insurance Administration is making every effort to build a unified national medical insurance information platform, which is expected to be basically completed by the end of 2021
    .
    It is understood that the platform has designed and developed data interfaces with departments of human resources and social security, health, public security, taxation, etc.
    , as well as related external institutions such as hospitals , pharmacies , banks, and commercial insurance companies
    .
     
      In the next step, the National Medical Insurance Bureau will do the following: First, accelerate the construction of a unified national medical insurance information platform, and guide local governments to accelerate the implementation of the platform
    .
    Second, in accordance with data security management requirements, under the premise of ensuring the data and information security of insured persons, continue to explore and develop information sharing mechanisms with health and health departments in accordance with laws and regulations
    .
    The third is to continue to accelerate the promotion and application of medical insurance electronic vouchers, expand application scenarios, optimize use functions, and strengthen inter-departmental coordination to optimize the cooperation model of medical insurance electronic vouchers and electronic card codes such as electronic health cards
    .
     
       "Internet + medical insurance" policy blossoms in many places
     
      The online pharmaceutical market welcomes explosive growth
     
      Since the beginning of this year, the "Internet + medical insurance" policy has further accelerated its implementation
    .
    In addition to the above work plan arrangements, on July 16, the National Medical Insurance Administration issued the "Opinions on Optimizing Convenient Services in the Field of Medical Insurance", which clarified that it actively promotes "Internet + medical services", in accordance with the principles of online and offline fairness and medical insurance payment policies, according to the service Features Improve protocol management and settlement procedures, actively explore information sharing, and realize integrated services of prescription circulation, online payment and settlement, and home delivery of medicines
    .
     
      In fact, some regions are also accelerating the implementation of the "Internet + medical insurance" policy.
    Jinhua, Guangzhou, Hangzhou, and Wuhan have successively explored the implementation of "online medical insurance payment and online drug purchase"
    .
    It is understood that since Jinhua took the lead in Zhejiang Province in March this year to open the "online order store delivery" medical insurance settlement, Jinhua medical insurance participants can place orders through Alipay Civic Center, Are You Hungry, and Taobao, and pay for online purchases of medical insurance
    .
    At present, a total of 107 designated pharmacies in the city have opened this function, and the coverage of medical insurance payment for "online order store delivery" has covered all counties and cities
    .
     
      In June of this year, the Guangzhou Municipal Medical Insurance Bureau issued a document on a trial implementation of online payment for personal accounts of over-the-counter medicines and medical insurance during the epidemic prevention and control period
    .
    In mid-June, the Hangzhou Municipal Medical Insurance Bureau stated that through the cooperation with Ali Health, the Hangzhou city’s online drug purchase and medical insurance online payment pilot project has been officially launched.
    Hangzhou participants can enjoy Convenient drug purchase service with "delivery to home"
    .
    During the pilot period, insured persons in Hangzhou can use their medical insurance account balances over the years to purchase self-paid OTC drugs online
    .
     
      On June 17, Wuhan City launched the nation's first medical and health service platform that connects Internet hospitals + retail terminal online medical insurance payments-"Your Health"
    .
    The Wuhan Municipal Medical Insurance Bureau has approved the first batch of 1,000 medical insurance designated pharmacies to enter the platform and have successively opened online medical insurance payments.
    Retail pharmacy brands such as Yifeng Pharmacy, Laomen Pharmacy, and Changsheng Pharmacy have all completed their entry
    .
     
      With the gradual liberalization of online payment for medical insurance and the popularization of online drug purchases, online drug retail has developed rapidly, and the online and offline drug market has accelerated its restructuring
    .
    According to data analysis by the Southern Institute of Pharmaceutical Economics of the State Drug Administration (hereinafter referred to as "Southern Institute"), online e-commerce platform pharmaceutical sales have sprung up.
    Only Tmall, JD.
    com, and more than 200 pharmacies sales data show that this year 1- Online prescription drug sales in May were 5.
    66 billion yuan, a year-on-year increase of 274.
    8%, and online OTC sales were 4.
    97 billion yuan, a year-on-year increase of 19.
    3%
    .
     
      Nanfang Institute pointed out that in 2020, China's drug online sales will be 159.
    3 billion yuan, becoming the fourth largest pharmaceutical sales terminal after hospitals, physical pharmacies, and primary medical institutions.
    It is expected that the scale of the fourth terminal will exceed 220 billion yuan in 2021.
    , A year-on-year increase of more than 40%
    .
     
      The industry believes that as the fourth terminal is advancing violently, it has caused a considerable impact on traditional channels, bringing about changes in drug purchase methods, distribution methods, and marketing models
    .
    For medical institution terminals, under ideal prescription outflow, electronic prescriptions will flow to the fourth terminal, which will bring disruptive changes to hospital channels
    .
    For physical pharmacies, the number of pharmacies is expected to be further integrated
    .
    At the same time, the state management department is stepping up research to revise and improve the supervision and management methods for drug online sales
    .
    With the opening of online prescription drugs, the pharmaceutical market will further accelerate the shift from offline to online, and the scale of the online market will usher in a major explosion
    .
      A few days ago, the National Medical Insurance Bureau emphasized in its response to Recommendation No.
    6235 of the Fourth Session of the 13th National People’s Congress that it is formulating a "Internet +" medical service supplementary agreement template to accelerate the advancement of "Internet +" medical services.
    The service medical insurance payment policy is implemented
    .
    In areas where conditions permit, explore and promote the circulation of “Internet+” medical service re-examination prescriptions and “Internet+” medical service direct settlement for medical treatment in different places
    .
    At the same time, the national unified medical insurance information platform will be basically completed by the end of 2021, or it will realize data connection with external institutions such as human resources and social security, health, public security, taxation departments, hospitals, pharmacies, banks, and commercial insurance companies
    .
     
      With the "Internet + health insurance" policy to accelerate the liberalization of drugs online market in rapid growth, or will usher in further outbreaks, online and offline medicine market will also accelerate reconstruction
    .
    Drugs Drugs Drugs medicine medicine medicine
     
      Promote the circulation of "Internet + " follow-up prescriptions
      Promote the circulation of "Internet + " follow-up prescriptions
     
      The national unified medical insurance information platform will be basically completed by the end of 2021
      The national unified medical insurance information platform will be basically completed by the end of 2021
     
      In order to implement the "Opinions of the General Office of the State Council on Promoting the Development of "Internet + Medical Health"", during the epidemic last year, the National Medical Insurance Administration and the National Health Commission issued the "Regarding the Promotion of "Internet +" Medical Insurance Services During the Period of the Prevention and Control of New Coronary Pneumonia "Guiding Opinions" to promote the provision of more convenient and efficient medical insurance services for the insured people in various regions
    .
     
      At the same time, in order to promote the cross-regional flow of high-quality medical resources, improve the patient experience, and support the development of "Internet +" medical services, the National Medical Insurance Administration has successively issued the "Guiding Opinions on Improving "Internet +" Medical Service Prices and Medical Insurance Payment Policies".
    Guiding Opinions on Actively Promoting "Internet +" Medical Services and Medical Insurance Payments
    .
    "
     
      Regarding the next step, the National Medical Insurance Administration stated that in order to meet the development requirements of Internet diagnosis and treatment and standardize the payment of "Internet +" medical insurance, the next step will further clarify and improve the form of Internet diagnosis and treatment into fixed-point agreement management, medical insurance settlement procedures, and regulatory measures.
    Content, promote the development of "Internet +" medical services
    .
     
      At present, the National Medical Insurance Administration is formulating the "Internet +" medical service supplementary agreement template to accelerate the implementation of the "Internet +" medical service medical insurance payment policy
    .
    At the same time, in areas where conditions permit, we will explore to promote the circulation of "Internet +" medical service re-examination prescriptions and "Internet +" medical services for direct settlement of medical treatment in different places, so as to achieve "more information and prescriptions, patients less errands"
    .
    In the next step, the National Medical Insurance Bureau will cooperate with the National Health Commission and other relevant departments to gradually expand online payment functions, promote "one-stop" settlement, and provide more convenient services for insured persons
    .
     
      It is worth noting that in order to meet the medical security needs of the people in the new era, the National Medical Insurance Administration is making every effort to build a unified national medical insurance information platform, which is expected to be basically completed by the end of 2021
    .
    It is understood that the platform has designed and developed data interfaces with departments of human resources and social security, health, public security, taxation, etc.
    , as well as related external institutions such as hospitals , pharmacies , banks, and commercial insurance companies
    .
    Hospital hospital hospital pharmacy pharmacy pharmacy
     
      In the next step, the National Medical Insurance Bureau will do the following: First, accelerate the construction of a unified national medical insurance information platform, and guide local governments to accelerate the implementation of the platform
    .
    Second, in accordance with data security management requirements, under the premise of ensuring the data and information security of insured persons, continue to explore and develop information sharing mechanisms with health and health departments in accordance with laws and regulations
    .
    The third is to continue to accelerate the promotion and application of medical insurance electronic vouchers, expand application scenarios, optimize use functions, and strengthen inter-departmental coordination to optimize the cooperation model of medical insurance electronic vouchers and electronic card codes such as electronic health cards
    .
     
       "Internet + medical insurance" policy blossoms in many places
       "Internet + medical insurance" policy blossoms in many places
     
      The online pharmaceutical market welcomes explosive growth
      The online pharmaceutical market welcomes explosive growth
     
      Since the beginning of this year, the "Internet + medical insurance" policy has further accelerated its implementation
    .
    In addition to the above work plan arrangements, on July 16, the National Medical Insurance Administration issued the "Opinions on Optimizing Convenient Services in the Field of Medical Insurance", which clarified that it actively promotes "Internet + medical services", in accordance with the principles of online and offline fairness and medical insurance payment policies, according to the service Features Improve protocol management and settlement procedures, actively explore information sharing, and realize integrated services of prescription circulation, online payment and settlement, and home delivery of medicines
    .
     
      In fact, some regions are also accelerating the implementation of the "Internet + medical insurance" policy.
    Jinhua, Guangzhou, Hangzhou, and Wuhan have successively explored the implementation of "online medical insurance payment and online drug purchase"
    .
    It is understood that since Jinhua took the lead in Zhejiang Province in March this year to open the "online order store delivery" medical insurance settlement, Jinhua medical insurance participants can place orders through Alipay Civic Center, Are You Hungry, and Taobao, and pay for online purchases of medical insurance
    .
    At present, a total of 107 designated pharmacies in the city have opened this function, and the coverage of medical insurance payment for "online order store delivery" has covered all counties and cities
    .
     
      In June of this year, the Guangzhou Municipal Medical Insurance Bureau issued a document on a trial implementation of online payment for personal accounts of over-the-counter medicines and medical insurance during the epidemic prevention and control period
    .
    In mid-June, the Hangzhou Municipal Medical Insurance Bureau stated that through the cooperation with Ali Health, the Hangzhou city’s online drug purchase and medical insurance online payment pilot project has been officially launched.
    Hangzhou participants can enjoy Convenient drug purchase service with "delivery to home"
    .
    During the pilot period, insured persons in Hangzhou can use their medical insurance account balances over the years to purchase self-paid OTC drugs online
    .
    OTC OTC
     
      On June 17, Wuhan City launched the nation's first medical and health service platform that connects Internet hospitals + retail terminal online medical insurance payments-"Your Health"
    .
    The Wuhan Municipal Medical Insurance Bureau has approved the first batch of 1,000 medical insurance designated pharmacies to enter the platform and have successively opened online medical insurance payments.
    Retail pharmacy brands such as Yifeng Pharmacy, Laomen Pharmacy, and Changsheng Pharmacy have all completed their entry
    .
     
      With the gradual liberalization of online payment for medical insurance and the popularization of online drug purchases, online drug retail has developed rapidly, and the online and offline drug market has accelerated its restructuring
    .
    According to data analysis by the Southern Institute of Pharmaceutical Economics of the State Drug Administration (hereinafter referred to as "Southern Institute"), online e-commerce platform pharmaceutical sales have sprung up.
    Only Tmall, JD.
    com, and more than 200 pharmacies sales data show that this year 1- Online prescription drug sales in May were 5.
    66 billion yuan, a year-on-year increase of 274.
    8%, and online OTC sales were 4.
    97 billion yuan, a year-on-year increase of 19.
    3%
    .
     
      Nanfang Institute pointed out that in 2020, China's drug online sales will be 159.
    3 billion yuan, becoming the fourth largest pharmaceutical sales terminal after hospitals, physical pharmacies, and primary medical institutions.
    It is expected that the scale of the fourth terminal will exceed 220 billion yuan in 2021.
    , A year-on-year increase of more than 40%
    .
     
      The industry believes that as the fourth terminal is advancing violently, it has caused a considerable impact on traditional channels, bringing about changes in drug purchase methods, distribution methods, and marketing models
    .
    For medical institution terminals, under ideal prescription outflow, electronic prescriptions will flow to the fourth terminal, which will bring disruptive changes to hospital channels
    .
    For physical pharmacies, the number of pharmacies is expected to be further integrated
    .
    At the same time, the state management department is stepping up research to revise and improve the supervision and management methods for drug online sales
    .
    With the opening of online prescription drugs, the pharmaceutical market will further accelerate the shift from offline to online, and the scale of the online market will usher in a major explosion
    .
    This article is an English version of an article which is originally in the Chinese language on echemi.com and is provided for information purposes only. This website makes no representation or warranty of any kind, either expressed or implied, as to the accuracy, completeness ownership or reliability of the article or any translations thereof. If you have any concerns or complaints relating to the article, please send an email, providing a detailed description of the concern or complaint, to service@echemi.com. A staff member will contact you within 5 working days. Once verified, infringing content will be removed immediately.

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