Newest! National Medical Insurance Bureau's big action affects all medical equipment enterprises

The National Health Insurance Bureau held a meeting to determine 30 pilot cities of DRG paying countries, which had a significant impact On May 24, the official website of the National Health Insurance Bureau released a news that the National Health Insurance Bureau recently held a video conference to launch the pilot work of DRG paying countries (source: Official Website of the state health insurance bureau) ▍ 30 cities The pilot payment reform conference announced the list of 30 pilot cities in DRG paying countries, and introduced the preparations and main contents of the pilot work in DRG paying countries In accordance with the "top-level design, simulation operation and actual payment", the pilot work will be carried out in three years in an orderly manner Through the pilot work, the goal of "five ones" will be achieved, that is, to formulate a set of standards, improve a series of policies, establish a set of procedures, train a team and create a batch of models The list of 30 pilot cities in DRG paying countries is as follows: Beijing, Tianjin, Handan, Shanxi, Wuhai, Inner Mongolia, Shenyang, Jilin, Harbin, Shanghai, Wuxi, Jinhua, Hefei, Nanping, Shangrao, Qingdao, Anyang, Wuhan and lake Xiangtan City in south province, Foshan City in Guangdong Province, Wuzhou City in Guangxi Zhuang Autonomous Region, Danzhou City in Hainan Province, Chongqing City, Panzhihua City in Sichuan Province, Liupanshui City in Guizhou Province, Kunming City in Yunnan Province, Xi'an City in Shaanxi Province, Qingyang City in Gansu Province and Xining City in Qinghai Province Urumqi is designated as a pilot city by Xinjiang Uygur Autonomous Region and Xinjiang production and Construction Corps Sabilan devices noted that as early as December 20, 2018, the National Health Insurance Bureau issued the notice on declaring the pilot countries to pay by disease diagnosis related groups, which made it clear that it was necessary to accelerate the pilot countries to pay by disease diagnosis related groups (DRG), explore the establishment of DRG payment system, and organize the DRG national pilot declaration work In principle, each province may recommend 1-2 cities (municipality directly under the central government as the unit) as national pilot candidate cities, and make requirements for the conditions that the candidate cities should have ▍ DRG (diagnosis related groups) is a kind of patient classification scheme, which is specially used for the classification and coding standard of medical insurance prepayment system At present, DRG is recognized as one of the more advanced payment methods in the world According to the age, gender, length of stay, clinical diagnosis, disease, operation, disease severity, complications and outcome of patients, DRG divides patients into 500-600 diagnosis related groups, makes scientific calculation on the classification, and gives fixed advance payment In other words, DRG is a kind of payment system that medical insurance institutions reach an agreement with the hospital on the payment standard of diseases When the hospital receives the patients who participate in the medical insurance, the medical insurance institution pays the hospital for the prepayment standard of the diseases, and the excess part is borne by the hospital Obviously, in the reform of medical insurance payment mode, DRG price standard has become the basis of medical insurance prepayment to the hospital This payment method takes into account the interests of patients, hospitals, medical insurance and other parties The hospital can predict the maximum consumption of medical resources before providing medical services Therefore, the hospital must control the consumption level within the DRG payment standard to make a profit, otherwise, the hospital will lose money Therefore, DRG payment standard becomes the critical point of profit and loss of a disease project in the hospital, which will mobilize the enthusiasm of the hospital In the process of providing medical services, in order to gain profit or not lose money, the hospital will actively seek ways to reduce the cost, shorten the length of stay, reduce the induced medical expenses payment, which is conducive to cost control At the same time, DRG will bring changes to the hospital management, as well as the supply of drugs and consumables Niu Zhengqian, executive vice president of China Pharmaceutical Enterprise Management Association, has written an analysis that under the new medical insurance payment system, the hospital's performance assessment of doctors will inevitably change greatly: in the past, the way that brought greater benefits to the hospital through over diagnosis and treatment, large prescription, etc will be changed into a reasonable diagnosis and treatment, less medicine, and high cost-effective medicine, which will bring better benefits to the hospital Under the incentive and constraint of the new medical insurance payment mechanism, hospitals will naturally generate the motivation to actively reduce the purchase price of drug consumables and control the medical cost The industry has also analyzed that when DRG's payment standard becomes the critical point of the hospital's profit and loss, on the premise of ensuring the medical quality, the further the overall consumption cost of drugs and consumables is away from the critical point in the process of providing medical services, the more the hospital's surplus will be, so that the pressure faced by drug and consumable suppliers can be predicted In 2017, Zhang Zhenzhong, then the leader of the research group of DRG collection and payment standard, said frankly from a forum that in 2015, the total number of doctors in China was only 2.8 million, while the number of dealers in the medical field was 3 million "DRG is about the life of these dealers." ▍ Handan and Tianjin: we need to note that in the above pilot cities, the new consumables bidding issued two weeks ago in Handan is related to DRG payment pilot It is said that "this bidding for medicine and consumables in Handan is the foreshadowing for DRG payment pilot, and manufacturers should adjust their 4P and 4C strategies in time "According to the report of Huazhao instrument network, the new bid of Handan is led by the municipal medical insurance bureau It is necessary to track the online price of the two major alliances The price reference to the Beijing Tianjin Hebei and Sanming alliance is low linkage The quotation of the product shall not be higher than the limit price, the lowest current purchase price in Handan and the lowest purchase price in the past two years Otherwise, once found out, the bid will be rejected From this, we can see that under the DRG standard, cost control of consumables is still the top priority In addition, according to Tianjin Daily on May 22, Tianjin, as one of the pilot cities of DRG payment, will become the first batch of DRG payment pilot hospitals in Tianjin, including 20 tertiary hospitals voluntarily participating in the reform, such as Tianjin Medical University General Hospital and Tianjin first central hospital Tianjin daily pointed out in the report that DRG payment is another major reform measure implemented in deepening the reform of medical insurance payment mode after the reform of payment by disease Compared with the current payment by disease for single disease in Tianjin, DRG payment basically realizes the full coverage of common inpatient diseases (part of the data source of this paper: National Health Insurance Bureau / cypress Blue / Jindou data)