Yunnan's first "dual -channel" circulation and side direction of Shuangjiang County

Author:Healthy Kunming Time:2022.09.29

On September 29, the reporter learned from the Yunnan Provincial Medical Security Bureau that the first "dual channel" circulation prescription full process of Yunnan Province was realized in Shuangjiang County, marking the management of the "dual channel" management of the national medical insurance negotiation drug The mechanism is implemented in Yunnan, which further reduces the burden of seeking medical treatment for the people.

The "dual channel" refers to the mechanism of meeting medical insurance payment through two channels of designated medical institutions and fixed -point retail pharmacies to meet the reasonable needs of national discussions and clinical use, and simultaneously incorporate medical insurance payment.

On September 20th, Chen Moumou, a patient in Shuangjiang Farm in Lincang City, bought a phenotinininibininininidinicin hydrochloride capsule in a pharmacy. This is Yunnan's first "dual channel" circulation prescription full process to purchase drug purchase services. Chen Moumou's total cost of purchasing medicines in pharmacies was 4104.8 yuan, medical insurance payment was 3397.17 yuan, and the reimbursement ratio was 70%. Chen Moumou said with emotion: "I had to go to the municipal hospital before the injections and medicines. Every time I went to see the doctor to prescribe the medicine, I had to spend a lot of money for eating and accommodation and inspection. I can buy the medicines I need to cure the disease, and I can also enjoy the same reimbursement treatment. It saves time, effort, and worry -free. It also saves the round -trip tolls and accommodation costs of purchasing medicines outside the county. More and better! "

It is understood that Shuangjiang County adheres to the people's health as the center, and explores the reasonable needs of "negotiating drugs" supply guarantee and clinical use in the national medical insurance directory. Two channels of fixed -point medical institutions and fixed retail pharmacies guarantee patients for medication, and include such drugs into the scope of medical insurance payment. Since its launch in April 2022, the Shuangjiang County Medical Security Bureau has adopted meetings and guided face to face to the pharmaceutical institutions, so that the "two fixed" institutions have fully understood the benefits of promoting the "dual channel" policy and promoting the purpose of this work. Harmony, mobilize them to actively participate and promote. Through mobilization, 6 pharmaceutical institutions in the county made an application and voluntarily joined the "dual channel" to work. After strictly reviewing and publicizing the procedures, the final medical institution and four retail pharmacies were determined to be included in the "dual -channel" institutions and pharmacies.

The Shuangjiang County Medical Security Bureau adheres to the city and county linkage, departmental linkage, and medical linkage, and accelerate the implementation of the "dual channel" management mechanism. The provincial and municipal medical insurance bureaus stationed technicians to provide business guidance to help solve the difficulties and problems encountered in the work in a timely manner; county medical insurance, health and health, market supervision and other departments strengthened docking and active services, guiding interface transformation and system operation training, etc. Work; fixed -point medical institutions and fixed -point retail pharmacies have strengthened interconnection, and increase the types of national drugs according to the needs of local patients, laying a solid foundation for patients to ensure that patients have purchased drugs for "truly use, buy, and report". Focus on the people's livelihood affairs, and adopt the "two drug -supply channels and one treatment standards" to enable participating patients to enjoy medical insurance reimbursement treatment in hospitals and pharmacies. At present, a total of 275 medical insurance negotiations are included in the "dual channel" management. According to the relevant proportion, the retail pharmacy incorporated into the "dual channel" management of Shuangjiang Autonomous County will be equipped with no less than 80 national medical insurance negotiating drugs. "Pharmacy said that they will do their best to achieve" should be used to pick up and equipment on demand "to ensure that the people participating in the insurance should buy the nearest drug and medication needs.

In the next step, Shuangjiang County will implement the implementation of the medical policy to implement the implementation, so that the participating people should enjoy the relevant treatment reimbursement policies, continue to increase their work, encourage and guide more medical institutions and pharmacies to join the "dual channels for dual channels ", Increase national drug equipment and policy propaganda, strengthen the behavior of patients' medication, and open up the" last mile "where the masses are difficult to use. At the same time, the medical insurance catalogs are increased to standardize the implementation of inspection, effectively protect the rights and interests of patients with the use of national conversation drugs, continuously reduce the burden of seeking medical treatment and purchase of patients, so that the people can effectively enjoy the dividends of medical insurance reforms, and continuously improve the sense of obtaining medical insurance for participating people. ,Happiness.