From next month, the burden on the "two diseases" of urban and rural residents in Shanxi will be further reduced

Author:Shanxi Economic Daily Time:2022.06.30

The "two diseases" (hypertension, diabetes) outpatient drug guarantee mechanism in the province's urban and rural residents will be further improved. From July 1st, the special guarantee mechanism for the "two diseases" medication protection mechanism will be canceled. Resident medical insurance clinics coordinate fund payment. On June 29, the reporter learned from the Taiyuan Medical Insurance Center that there are two main changes compared with the past. On the one hand, the "two -disease" outpatient drug guarantee mechanism is 30 yuan/year, and the cancellation of payment will be canceled. Standards will further reduce the burden of medication for patients with "two diseases". On the other hand, the overall planning of urban and rural residents 'medical insurance clinics has expanded the scope of payment. In the past, medicines that were included in the guarantee mechanism for the guarantee mechanism for the "two diseases" outpatient drugs could not be used by urban and rural residents' medical insurance clinics. A reimbursement channel.

Chain news

From July 15th, 6 types of medical consumables such as ultrasonic knife head should be reduced.

On June 29, the Provincial Medical Insurance Bureau came out, "Notice on Implementing the Procurement and Use of Six Class of Medical Consumption Bringing in Six Class of Medical Consumption" in ultrasonic knife heads. "From July 15th, all public medical institutions in Shanxi Province have comprehensive comprehensive public medical institutions. The results of the Guangdong League Ultrasonic Head and the Lujin -Hebei Henan League 5 category of medical consumables are selected in the selection results, so that the majority of patients can enjoy the price reduction effect of the procurement of medical consumables.

The concentrated volume procurement of the ultrasonic knife head is jointly carried out in the 16 provinces, including our province, with 27 selected companies, with a product selection rate of 77.14%, covering all mainstream products in the market. Among them, the average price of 7mm and 5mm of the high -end demand dropped from 5734 yuan to 1800 yuan, a decrease of 68.6%; a 3mm ultrasonic head produced by 1 company dropped from 7730 yuan to 545 yuan, a decrease of 93% The price of ultrasonic knife heads has been effectively decreased.

Five categories of medical consumables carried out by the Lujin -Hebei and Henan Union are purchased. The ligments (blood vessel ligments), the average decrease in the selected price was 70.79%. Among them, the product with the largest price reduction was a type of cavity vein filter, which was reduced from 22954 yuan to 10,300 yuan, and the price reduction of a single product was 12,654 yuan.

The "Notice" requires that medical institutions should be used in a reasonable use in clinical use, and priority procurement of secondary products. The procurement of 6 categories of medical consumables such as ultrasonic knife heads is based on the selected price as the medical insurance payment standard. The full amount is included in the scope of medical insurance payment, and the medical insurance fund is paid according to the prescribed proportion.

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