Kategorie: ‘Hospital News’
The State Council: Normalize and Institutionalize the Centralized Procurement of Drugs
On 15th January, the State Council indicated that the implementation of Centrailised Procurement of Drugs (with target quantity) should be normalized and insitutionalized to lessen the burden on the masses; the drugs on the National Reimbursement Drug List that are in high demand and need large procurement amounts will be included in the fourth batch of the centralized procurement. At the same time, the Shanghai Sunshine Medical Procurement All-In-One company officially anounced the launch of the fourth batch of the National Centralized Procurement of Drugs.
国常会提出集采常态化制度化要求！第四批国采2月3日开标！
来源：医药网 2021.01.18
1月15日，国务院常务会议指出，应进一步常态化制度化实施推进药品集中带量采购改革，以减轻群众就医负担；基本医保药品目录内用量大、采购金额高的药品将被纳入第四批集中采购。与此同时，上海阳光医药采购网正式官宣启动开展第四批国家组织药品集中采购和使用工作。
The NMPA: Internet hospitals can get reimbursement
On January 11th, the NMPA issued the “Interim Measures for the Administration of Designated Pharmacy Chains regarding Basic Medical Insurance” and the “Interim Measures for the Administration of Designated Medical Institutions regarding Basic Medical Insurance”, which will be implemented from February 1st, 2021. These two measures stipulate that local medial insurance agencies can pay the service cost produced by internet hospitals by paying to the designated medical institutions they rely on. Moreover, the two measures indicate that designated pharmacy chains can sell prescription drugs to patients when they have electronic prescriptions issued by designed medical institutions.
国家医保局：互联网医院可报销 网售处方药仍待明确
来源：医药网 2021.01.13
1月11日，国家医保局正式对外发布《零售药店医疗保障定点管理暂行办法》和《医疗机构医疗保障定点管理暂行办法》并均将于2021年2月1日起施行。“两定办法”规定，互联网医院提供服务产生的相关费用可由其依托的定点医疗机构与当地医保经办机构结算。此外，“两定办法”提出，医保定点零售药店可凭医保定点医疗机构开具的电子处方销售药品。
New policies by online medical services and consultancies
On December 10th, the National Health Commission, the NMPA and the National Administration of Traditional Chinese Medicine jointly issued the “Notice on Implementing Five Services of Online Healthcare Services.” The “Notice” stipulates that medical institutions are encouraged to share patients’ medical information such as their electronic medical records, examination results and medical images and to promote the online checking and reasonable use of electronic medical records; promoting the residents’ electronic health code to replace the registration card in each medical insurance organization to make medical institutions share their medical information with each other and thus to realize a universal code in the healthcare industry.
三部门发文， “互联网+”医疗迎来新拐点
来源：医药网 2020.12.11
12月10日，国家卫健委、国家医保局、国家中医药局联合发布《关于深入推进“互联网+医疗健康”“五个一”服务行动的通知》。《通知》强调，在符合医疗机构质量控制和患者知情同意的前提下，应推动医疗机构间电子病历、检查检验结果、医学影像资料等医疗健康信息调阅共享，并推进电子健康档案在线查询和规范使用；推动居民电子健康码代替医疗卫生机构就诊卡，解决医疗健康服务信息在医院之间互不通用的问题，逐步实现卫生健康行业内的一码通用。
Unified reimbursement rate of online and offline medical consultations
Recently, the NMPA issued the “Guidelines on Promoting the Medical Insurance Payment of Online Medial consultation services.” The “Guidelines” clarifies that medical entities can help eligible online medical institutions that rely on them to be included in medical insurance, and the reimbursement rate for online and offline medical institutions is the same. The “Guideline” indicates that the payment of consultations and drugs for patients that need further consultations is also included in the medical insurance, which should be paid according to the regulations in different cities.
国家医保局：“互联网+”医保支付采取线上线下一致
来源：医药网 2020.11.04
日前，国家医疗保障局印发《关于积极推进“互联网+”医疗服务医保支付工作的指导意见》。《意见》明确，符合条件的互联网医疗机构可以通过其依托的实体医疗机构，自愿“签约”纳入医保定点范围，“互联网+”医保支付将采取线上、线下一致的报销政策。《意见》提出，医保参保人在本统筹地区“互联网+”定点医疗机构复诊并开具处方发生的诊察费和药品费，可以按照当地医保规定支付。
The NMPA: implementation of Diagnosis-Intervention Packet
On October 19th, the NMPA issued the “Notice on the Pilot Work of the Regional Point-Based Medical Insurance Fund Allocation and the Diagnosis-Intervention Packet.” The “Notice” stipulates that medical institutions should change the costs of each medical services into points; the regional medical insurance bureaus should calculate the value of each point according to the amount of points provided by all medical institutions of each region and the budget of medical insurance funds to pay for those medical institutions (Diagnosis-Intervention Paket). The “Notice” indicates that a data center on the basis of the unified national medical insurance information coding list should be established, which can inspect the quality of medical insurance settlement checklists, medical insurance cost schedule etc.
国家医保局发布区域点数法总额预算和按病种分值付费试点工作方案
来源：HIT专家网 2020.10.20
10月19日，国家医保局下发《国家医疗保障局办公室关于印发区域点数法总额预算和按病种分值付费试点工作方案的通知》（以下简称《通知》）。《通知》要求，医疗机构应将治疗项目等付费单元转化为一定点数；医保部门年底根据各医疗机构所提供服务的总点数以及地区医保基金支出预算得出每个点的实际价值，按照各医疗机构实际点数付费。《通知》指出，应打造数据中心，在全国统一的相关医保信息业务编码的基础上，开展医保结算清单、医保费用明细表等质量控制工作。
Hainan: supervising the drug procurement process
On October 10th, the Hainan Medical Insurance Bureau issued the “Plan on Supervising and Evaluating the Medical Price in Hainan Province.” The “Plan” clarifies that drugs included in the procurement list on the website of the centralised procurement platform of Hainan Province should be supervised, which means that monitoring and early warning systems will be implemented as drugs are published on or removed from the website as well as during the processes of drug procurement, distribution, use, and purchase. In addition, a centralised drug procurement assessment for medical institutions should be developed, in which will be evaluated particularly whether medical institutions have obeyed the purchase agreement and paid for the drugs with in 30 days, the rate of drug cost compared with the whole medical costs in medical institutions, the rate and purchasement of unselected drugs, and illegal purchase behavior.
医保局推药品采购全流程监测预警！严抓30天回款率
来源：医药网 2020.10.12
10月10日，海南省医疗保障局印发《海南省医药价格综合监管评价服务工作方案》（以下称《工作方案》）。《工作方案》明确，将在海南省医药集中采购平台挂网采购的药品纳入监测内容，对药品的挂网、撤网、采购、配送、使用和回款等全流程实施监测预警。 另外，应设置医疗机构的药品集中采购考核，其中对于协议完成率、30天汇款率、药占比、非中选产品采购量及金额占比、违规采购行为等进行了重点评分规定。
Coding rules for chinese traditional drugs
On September 25th, the NMPA issued the “Coding Rules of Chinese Traditional Drugs Included in the Reimbursement List and Pharmaceutical Preparations of Medical Institutions.” The code of Chinese traditional drugs consists of 10 digits and four sections. The first section represents Chinese traditional drugs. The second section represents different medical standards in different cities. The third section represents drug effects. The fourth section represents the name of drug. The code of pharmaceutical preparation of medical institutions consists of 16 digits and 4 sections. The first section represents pharmaceutical preparations. The second section represents different medical institutions in different cities. The third section represents medical institutions. The fourth section represents the sequence of pharmaceutical preparations in different medical institutions.
医保药品中药饮片和医疗机构制剂统一编码规则和方法
来源：医药网 2020.09.27
9月25日，国家医保局印发了《医保药品中药饮片和医疗机构制剂统一编码规则和方法》。中药饮片分为4个部分共10位。其中，第1部分是中药饮片识别码，第2部分是标准分类码，第3部分是功效分类码，第4部分是中药饮片名称码。医疗机构制剂编码分4个部分16位。其中，第1部分是医疗机构制剂识别码，第2部分是行政区划代码，第3部分是定点医疗机构顺序码，第4部分是医疗机构制剂顺序码。
The State Council: encouraging online drugs trade, prescription sharing and online medical consulting services
On September 21st, the State Council issued the “Opinions on Accelerating the Development of Consumption Created by New Forms of Bussiness”. The “Opinion” stipulates that a public service platform of online and e-commerce services should be established and improved to accelerate the integration of online and offline services; online medical services should be developed, which means scheduled appointments of consulting services, online medical consulting services, prescription sharing and online drugs trade will be promoted.
国务院力挺网络售药、处方流转、互联网医疗
来源：医药网 2020.09.23
9月21日，国务院办公厅印发《关于以新业态新模式引领新型消费加快发展的意见》（以下简称《意见》）。《意见》要求，应建立健全“互联网+服务”、电子商务公共服务平台，加快社会服务在线对接、线上线下深度融合；积极发展互联网健康医疗服务，大力推进分时段预约诊疗、互联网诊疗、电子处方流转、药品网络销售等服务。
Pharmacy chains can only rise the price of drug in the reimbursement list by 15%
On September 1st, the “Reform Project on Improving the Functions of the Centralised Drug Procurement Platform and Promoting a Full Coverage of Payment Requirement of Drugs on the Reimbursement List in Zhejiang Province” was implemented. The “Project” indicates that drugs included in the list of online transactions on the provincal procurement platform of drugs and medical equipments are included in the provincal drug reimbursement list. Designated public medical institutions and private medical institutions should fix the drug price that accords with the price on the drug reimbursement list while pharmacy chains can rise the price upto 15% based on the price on the list.
9月1日起执行：医保用药 药店只能加价15%
来源：医药网 2020.09.03
9月1日，《浙江省提升药品集中采购平台功能推进医保药品支付标准全覆盖改革方案》正式实施。《方案》明确，所有纳入该省药械采购平台在线交易的医保目录内药品均纳入医保支付范围。其中，定点公立医疗机构与民营医疗机构医保药品执行相同的支付标准，定点零售药店医保支付标准统一按医疗机构支付标准上浮15%。
Wuhan: implementing the centralised procurement of the intensive monitoring drugs
On August 6th, the Joint Procurement Office of Drugs and Medical Equipments in Wuhan issued the first “Price List of Intensive Monitoring Drugs” and implemented the centralised procurement of 30 sorts of intensive monitoring drugs, which will last one year and is aimed to regulate a rational drug pricing and guiding medical institutions to regulate medication to reduce the financial burden on patients.
武汉市启动30种重点监控药品集中议价采购
来源：医药网 2020.08.06
8月6日，武汉市药械联合采购办公室公布武汉市首批《重点监控合理用药药品议价目录》，并正式启动武汉市30种重点监控药品集中议价采购，周期为一年，旨在促进药价合理形成，引导医疗机构规范用药，切实减轻患者药费负担。