The era of strict regulation of health insurance has come, how should pharmacies avoid risk?

In recent years, the management of retail pharmacies has become more stringent, with the introduction of this year's List of Administrative Law Enforcement Matters of the State Administration of Health Security (2020 edition) and the Interim Measures for the Administration of Health Care In Retail Pharmacies (Draft for Comments), the industry believes that the era of strict supervision of medical insurance has arrived.
so in this context, how should pharmacies avoid risk? The era of strict supervision of medical insurance has come to the end of April 2020, the State Health Insurance Administration issued the "National Health Insurance Administration Law Enforcement Matters List (2020 Edition)" (hereinafter referred to as the "List"), the name of the project, law enforcement categories, contractors, law enforcement basis, implementation objects, processing time, etc.
mentioned in the report to the fixed-point medical institutions, fixed-point pharmacies and insured units, insured personnel to carry out medical insurance inspection.
background, many positive response to the policy, health insurance fixed-point pharmacy overhaul action continued.
the key checks are focused on whether the purchase and sale of counterfeit and inferior drugs, whether there is a range of operating drugs, whether the purchase channels are legal, drug purchase and sale records are complete, prescription drugs and over-the-counter drug classification management sales compliance.
, Tianjin, Shandong, Anhui, Yunnan and other local market supervision and administration has issued the drug circulation link inspection.
from the inspection results, drugstore non-compliance accounted for a relatively high, the industry a new round of shuffle will intensify.
On July 31 this year, the State Health Insurance Administration issued the Interim Measures for the Administration of Medications for Basic Medical Insurance, which make it clear that eight categories of drugs, including supplements, health care, preventive vaccines, hair loss and weight loss, shall not enter the List of Drugs, which will come into effect on September 1, 2020.
industry believes that the document will not only have a greater impact on hospitals, designated medical institutions, but also on pharmacies.
" from the classification of pharmacies, a class of pharmacies can only operate Class B over-the-counter drugs, these are mature production process, clinical efficacy is stable common herbs.
Interim Measures clearly stipulate that Class B drugs should be part of the cost, Class B over-the-counter drugs can not be reimbursed.
" some pharmacy people said that in fact, a class of pharmacies will often through high gross margin varieties to alleviate the problem of under-profit, but this "Measures" clearly supplement, health care and other eight categories are not allowed to enter the health insurance, which also means that after the high gross margin drugs need customers to pay for, or impact on the profitability of pharmacies.
pharmacies avoid risks? The era of strict regulation of health insurance has come, pharmacies once hit the "ray" will have to face high illegal costs, and damaged signs.
, how can pharmacies avoid risks in this context? Among them, in response to the question of how to attract customers after a class of pharmacies, the industry pointed out that the "National Retail Pharmacy Classification Classification Management Guidance (Draft for Comments)" clearly, by 2020, most of the country's provinces and cities retail pharmacies classification classification management system is basically established;
can be seen, for a class of pharmacies, in the buffer period there is still time to achieve their own transformation and upgrading, improve the ability to operate against risk, become a second or third class of pharmacies.
Another in the context of the continued implementation of the medical insurance fixed-point pharmacy overhaul, pharmacy operators need to do legal formal operation, from purchase to storage, sales management needs to meet the requirements of legal operation, do not hold a lucky mentality, in order to a moment of small profits, resulting in a situation of not paying off.
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