Hebei: Improve the dynamic adjustment mechanism of traditional Chinese medicine medical services

Content source: China Traditional Chinese Medicine Reporter: Xu Jing

A few days ago, the Hebei Provincial Medical Security Bureau and the Provincial Administration of Traditional Chinese Medicine issued the "Several Measures on Medical Insurance Supporting the Innovation and Development of TCM inheritance and Innovation", and proposed to improve the dynamic adjustment mechanism of the price of traditional Chinese medicine medical services. The actual purchase price is not sold for not exceeding 25%.

The "Several Measures" requires that the qualified Chinese medicine and medicine institutions are included in the medical entrance point. In a timely manner, the qualified Chinese medicine (including Chinese and Western medicine, the same below) medical institutions and Chinese medicine retail pharmacies are included in the management of fixed -point agreement management. The designated TCM medical institution to carry out Internet diagnosis and treatment services, in accordance with the "Hebei Province" Internet+"Medical Service Medical Insurance Management Measures (Trial)" and signed a supplementary agreement with the Medical Insurance Office of the Coordinating District, it provided with offline medical insurance medical service projects The corresponding "Internet+" Chinese medicine medical service projects are included in the scope of medical insurance payment.

The "Several Measures" requires that the Chinese medicines and Chinese medicine drinks that are included in the national medical insurance directory will be included in the scope of medical insurance payment. According to the needs of clinical medication and the ability to withstand the medical insurance fund, the auctive hospitals approved by the provincial drug supervision and management department are included in the scope of medical insurance payment according to procedures, and a dynamic adjustment mechanism is established. According to the affordability of the medical insurance fund, the appropriate technologies of traditional Chinese medicine with the advantages of traditional Chinese medicine in accordance with the procedures are included in the scope of medical insurance payment with the advantages of traditional Chinese medicine and the establishment of a dynamic adjustment mechanism.

"Several measures" requires to strengthen the management of traditional Chinese medicine services. Rich and optimize the price project of traditional Chinese medicine medical services, improve the dynamic adjustment mechanism of traditional Chinese medicine medical services, and regularly carry out the evaluation of price adjustment of medical service projects, prioritize the obvious functional effects, widely accept patients, outstanding characteristics, reflect the value of labor, long -term application history, cost and cost and cost and cost and cost and cost and cost and cost and cost and cost and cost and cost and cost and cost and cost and cost and cost and cost and cost and cost. The priced and obviously deviated traditional Chinese medicine medical service projects are included in the price adjustment range. Public medical institutions purchased Chinese medicine films from regular channels, and sold in strict accordance with the actual purchase price of not more than 25%.

The "Several Measures" requires the improvement of medical insurance payment policies suitable for traditional Chinese medicine services. Strengthen the budget management of total medical insurance, promote the reform of traditional Chinese medicine and medical insurance payment, and support primary medical institutions to provide Chinese medicine services. In addition, the "Several Measures" also requires to strengthen the supervision of the medical insurance fund, strengthen daily supervision and management, and improve the comprehensive supervision system.

Edit: Dong Juntong

- END -