Qingdao "dual -channel" management drug varieties reached 306

Qingdao Daily/Guanhai News, September 28. Today, the press conference on the relevant situation of the national medical insurance negotiation drugs and medical concentrated procurement policies was held. The reporter learned from the conference that since May this year, in accordance with the unified deployment of the Provincial Medical Insurance Bureau, Qingdao City's "dual channel" management work on the "dual channel" of state talks and drugs will be improved. Essence It is reported that there have been 31 "dual -channel" pharmacies in the city's networking, covering all districts and cities, and the drug equipment of major diseases in major diseases has reached 100%. The city's "dual -channel" management drug varieties have reached 306. From January to August of this year, the city settled 850,000 people with a total of 850,000 drugs, cost 927 million yuan (settlement of fixed-point medical institutions accounted for 41%, "dual-channel" pharmacy settlement accounted for 59%), medical insurance reimbursement was 708 million yuan, designated hospitals and "" Double -channel "pharmacies are effectively complementary to form a joint force for supply guarantee.

Exclusive drugs entering the medical insurance directory through national negotiations are important institutional arrangements for the strategic purchase of medical insurance funds. Since the beginning of this year, in order to allow the insurers of our city to buy and report good medicine, high -value medicine, and life -saving medicine that have been negotiated by the state, and obtain a good medical purchase experience, the municipal medical security department has made comprehensive policies to continuously improve the national talks medicine Supply guarantee policies have better met the reasonable needs of the majority of insured personnel. Among the national talks, there are chronic diseases such as hypertension, diabetes, hyperlipidemia, and mental illness, as well as tumor drugs and rare diseases. The patient has a wide benefit. However, due to the acceleration of medical technology, the different structures of patients, and the pharmaceutical access procedures, etc., it is difficult for state talks to enter a designated hospital. From the perspective of the national situation, some places can enter the medical insurance in some places, but they cannot enter the hospital. Patients cannot buy problems. In order to improve the availability of patients using national conversation medicines, in accordance with the unified regulations of the province, all 275 national talks during the agreement period will be included in the "dual channel" management of targeted medical institutions and fixed -point retail pharmacies from May this year, and according to the country, according to the country Dynamic adjustment and update of medical insurance directory. In addition, the city also includes 24 conventional B drugs and 7 provincial disease insurance negotiating drugs into the "dual channel" management, and the city's "dual -channel" management drug varieties have reached 306. From January to August of this year, the city settled 850,000 people with a total of 850,000 drugs, cost 927 million yuan (settlement of fixed-point medical institutions accounted for 41%, "dual-channel" pharmacy settlement accounted for 59%), medical insurance reimbursement was 708 million yuan, designated hospitals and "" Double -channel "pharmacies are effectively complementary to form a joint force for supply guarantee.

Patients using state -to -party drug medical insurance reimbursement during the hospital hospitalization is obstacle -free, but whether the use of Guotan drugs to be reimbursed by the outpatient clinic has become the key to the implementation of the state -disciplinary pharmaceutical policy. At present, there are two systems for the outpatient reimbursement policy of our city. The main protection of the outpatient slow disease policy is the long -term medication of chronic diseases for outpatient clinics. In addition, the outpatient clinic coordination policy guarantees ordinary outpatient drugs such as "outpatient minor disease". Comprehensive consideration of the annual treatment costs and clinical usage characteristics of Guotan Drugs, the city has implemented different outpatient guarantee policies for national conversation medicines. First of all The management of slow special diseases of outpatient clinics has continued to increase 13 diseases such as ulcerative colitis; secondly, 105 national conversation drugs used for the low annual treatment cost and suitable for primary medical institutions are included in the scope of the city's outpatient medication. Insured personnel go to the grass -roots medical institutions to seek medical treatment; in addition, for 7 immunochemical diseases such as rheumatoid arthritis, the treatment cost of the later years after using biological preparations is significantly higher than that of the disease limit. People are not limited when the cost of biological preparations that use the above disease reasonably. From the perspective of medical insurance settlement in January to August this year, the average actual reimbursement ratio of employees in our city's participation in the use of national conversations reached 78.7%, and the average actual reimbursement ratio of the insured residents reached 71.7%. Essence (Qingdao Daily/Guanhai Journalist Guo Jingli)

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