The Medicare pharmacy is classified! One class of non-drug, one type of forbidden brush health care products

Editor: Night language639,000 health insurance pharmacies were investigated, prompting the birth of a new regulatory mechanism, the future of medical insurance pharmacies will be divided into two categories: one for chronic disease health insurance fixed-point pharmacies, prohibited the sale of non-drugs, can enjoy the slow disease prescription outflow bonus;639,000 health-care pharmacies, thebecause of the implementation of the health insurance agreement system, the number of health insurance fixed-point pharmacies in recent years has exploded, now more than 340,000, accounting for about 70% of the total number of pharmacies in the countryUnder this strong base, it is not uncommon to collect and steal social security cards and induce insured personnel to buy cosmetics, daily necessities and so onbecause of this, at the beginning of this year, the National Health Insurance Administration issued a "notice on the supervision of the 2019 medical security fund", requiring all departments to step up efforts to combat, consolidate the high-pressure situation, and do a good job in the 2019 medical security fund supervision workaccording to the notice, the rectification work for a period of 7 months, and by the end of November to submit a summary of the special governance workNot long ago, the Central Commission for Discipline Inspection of the State Supervision Commission organs informed the results of the rectificationup to now, in response to the problem of fixed-point medical institutions and retail pharmacies defrauding medical insurance funds, 916,000 medical institutions have been investigated and prosecuted for fraudulent fraud, 2.632 billion yuan in medical insurance funds and default payments, administrative fines of 194 million yuan;medical insurance fixed-point pharmacies, to classify and manage thein response to this outstanding problem, in order to ensure the implementation of all kinds of good slow patients drug use the New Deal, to prevent fixed-point pharmacies from stealing medical insurance cards, the Health Insurance Bureau recently introduced targeted management measureson the basis of general health insurance pharmacies, for patients with chronic diseases to take drugs, further expand the number of health insurance chronic diseasefixed retail pharmaciesAt the same time, Hubei Wuhan, Xinjiang Urumqi, Yunnan Kunming has also issued relevant notices to start the pilotit is worth noting that Urumqi and Kunming city in the "bid conditions" are clear, must prohibit the placement and operation of non-drug products, or only the operation and placement of drugsaccording to this line of thinking, or can be understood, health insurance fixed-point pharmacies should also be classified management, one for general health insurance fixed-point pharmacies, one for chronic medical insurance fixed-point pharmaciesHowever, non-drugs in fixed-point pharmacies for chronic disease scare are explicitly prohibited from entering the storenon-drug, general health insurance stores can sell then, the problem is coming! After this division, general health insurance fixed-point drugstorenon will also be prohibited from placing sales? In fact, this is also an embarrassing problem, due to the different provincial policies, there have been three categories of situations a class of provinces and cities, non-drugs are prohibited from being placed for sale, such as Henan Xinyang, Liaoning Dalian, Shanxi Yuanping a class of provinces and cities are not prohibited, but the clear health insurance card forbidden brush "national food health word", "guardian health word" "word" and other words of goods, such as Guizhou Province, Guangdong Huizhou, Guangdong Dongguan there is a class of no ban, and support the health insurance card brush "national food health word" "guardian health word" and other words of goods, such as Yunnan Province, Hunan Zhuzhou however, from the overall market environment, it is more likely that fixed-point pharmacies will be placed and sold as non-drugs In response to this problem, the relevant departments of Hunan and Sichuan provinces have said that the medical insurance agreement pharmacies can not place the operation of non-drugs is a lack of legal basis, the relevant restrictive provisions to be removed, allowing the industrial and commercial sector to register the scope of business However, the attitude of the National Health Insurance Administration is that individual accounts can only be used to pay for medical expenses that meet the scope of the basic medical insurance drug catalogue, the scope of the medical treatment project, the medical service facilities standards, and prohibit the use of consumer expenses other than medical insurance comprehensive, Guizhou Province, Guangdong Huizhou, Guangdong Dongguan and other places more in line with the national attitude, medical insurance fixed-point pharmacies can be placed non-drugs, but the use of the scope of personal accounts of health insurance cards will be limited, prohibit brushing "national food health word" "guardian health word" "elimination word" and other words of goods non-slow disease fixed point, no prescription bonus? so, where is the advantage of slow-disease health insurance fixed-point pharmacies? From the pilot requirements and trends in Zhejiang Province, slow-disease health insurance fixed-point pharmacies can be given priority to undertake prescription outflow October 10, this year, the State Health Insurance Administration and other four departments jointly issued the "guidance on improving the urban and rural residents high blood pressure diabetes outpatient drug safety mechanism" clearly, improve the medical insurance fixed-point service agreement, the "two diseases" outpatient drug service into the agreement management this, Zhejiang Province, Zhangzhou City Health Insurance Bureau and Ali Health joint, set up the country's first slow disease management online payment open platform, medical insurance, hospitals, pharmacies to achieve a full process docking, but the drugstores here must be qualified for health insurance fixed-point pharmacies Zhejiang Province in Zhangzhou City, "three medical linkage" opened, immediately for the fixed-point pharmacy management put forward a new opinion, one requires that medical insurance payment drugs must be through the provincial drug procurement platform unified procurement; thus shows that slow-disease health insurance fixed-point pharmacies, although they can enjoy prescription dividends, but they may not be placed operating household goods, cosmetics, health care products and other non-drugs.