Medical Reform involving all urban employees
Recently, the State Council issued the “Opinions on Improving the Mutual-Aid Mechanism for Covering Outpatient Bills in the Employed Medical Insurance System.” According to the “Opinion”, employees’ medical insurance premiums paid by their employers should be consolidated into a fund that can cover outpatient bills to improve the Mutual-Aid Mechanism. The “Opinion” clarifies that individual insurance accounts can be used to pay for the medical cost incurred by the insured person, his or her spouse, parent and children at designated medical institutions, as well as the cost incurred by the insured person for the purchase of drugs, medical equipment and medical devices at designated retailed pharmacies.
涉及3亿多参保人，这项医保改革有哪些重点？
来源：医药网 2021.04.23
日前，国务院办公厅印发《关于建立健全职工基本医疗保险门诊共济保障机制的指导意见》。《意见》提出，将单位缴纳的医疗保险费全部计入统筹基金，并将门诊费用纳入统筹基金支付范围，健全门诊共济保障机制。 《意见》明确，个人账户可以用于支付参保人员本人及其配偶、父母、子女在定点医疗机构就医发生的由个人负担的医疗费用，以及在定点零售药店购买药品、医疗器械及医用耗材发生的由个人负担的费用
Hainan Free Trade Port: implementing online sales of prescription drugs
On April 8th, the National Development and Reform Commission issued the “Opinions on Supporting the Special Measures to Expand Market Access in the Hainan Free Trade Port.” The “Opinion” indicates that an e-prescription center be contracted in Lecheng to support the online sale of prescription drugs that are not expressly regulated under the national drug administration law. The e-prescription center should be connected to internet hospitals, prescription systems of Hainan medical institutions, various prescription drugs sales platforms, health insurance information platforms, payment and claims processing institutions, and commercial insurance institutions, thereby realizing an “Integrated Online Platform” for the collection of prescription-related information, prescription drugs purchasing, information security certification, and medical insurance claims processing.
海南自贸港：处方药网售落地
来源：医药网 2021.04.20
4月8日，国家发改委发布《关于支持海南自由贸易港建设放宽市场准入若干特别措施的意见》。《意见》指出，要在乐城先行区建立海南电子处方中心，对于在国内上市销售的处方药，除国家药品管理法明确实行特殊管理的药品外，全部允许依托电子处方中心进行互联网销售，不再另行审批。海南电子处方中心对接互联网医院、海南医疗机构处方系统、各类处方药销售平台、医保信息平台与支付结算机构、商业类保险机构，实现处方相关信息统一归集及处方药购买、信息安全认证、医保结算等事项“一网通办”。
The State Council: liberating online drug selling
On April 15th, the State Council issued the “Opinions on Further Improving the Reforms of ‘Streamline the Government, Delegate Power, and Improve the Government Services.'” According to the “Opinion”, prescription drugs that are not under State supervision are allowed to be sold online as long as the source of electronic prescriptions is valid.
国务院：网售处方药部分放开！电子处方需真实可靠！
来源：医药网 2021.04.20
4月15日，国务院发布《关于服务“六稳”“六保”进一步做好“放管服”改革有关工作的意见》（以下简称《意见》）。《意见》提出，在确保电子处方来源真实可靠的前提下，允许网络销售除国家实行特殊管理的药品以外的处方药。
Promoting online drug trading, prescription sharing, and internet hospitals
On 25th March, the “Implementation Plan for Accelerating the Development of New Consumption Patterns” developed by 28 departments including the National Development and Reform Commission and the NMPA was officially announced. The “Implementation Plan” clarifies that the development of online diagnosis and treatment and internet hospitals should be standardized; guiding principles for electronic prescription sharing should be introduced; prescription information of medical institutions should match with drug consumption information in retail pharmacies; the system connecting internet hospitals and physical medical institutions should be realized and their medical insurance data should be shared with each other.
28部门力挺网络售药、处方流转、互联网医疗
来源: 医药网 2020.03.26
3月25日，由国家发改委和国家医保局等28个部门研究制定的《加快培育新型消费实施方案》正式公布。《实施方案》明确，应推动互联网诊疗和互联网医院规范发展；出台电子处方流转指导性文件；探索医疗机构处方信息与药品零售消费信息互联互通；打通互联网医院和实体医疗机构的数据接口，逐步推动医保数据互联互通。
Shandong: Online medical insurance payment + medication home delivery service
On 18th January, the Shandong Medical Insurance Bureau issued the interpretation of the “Notice on Insisting on the Innovation of Traditional and Intelligent Medical Services and Implementing the Twelve Measures of Convenient Medical Services for the Elderly. ” The “Notice” stipulates that the “online consultation”, “online prescription renewal”, “online medical insurance payment” and “medication home delivery service” should be realized with the help of the provincial online medical insurance service platform and internet hospitals.
医保局1号文力推“线上医保结算+线下送药上门”！ 年内全面落地！
来源：医药网 2021.01.20
1月18日，山东医保局官网挂出《关于坚持传统服务与智能化服务创新并行推行老年人医疗保障便捷服务十二条措施的通知》的政策解读。《通知》要求，应依托省互联网医保大健康服务平台、互联网医院等“互联网+医保”服务新模式，实现复诊“线上问诊““线上续方”“线上医保结算”“线下送药上门”服务。
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。
Shanxi: Establishing a Drug Tracing System
Recently, the Shanxi Provincial Medical Product Administration issued the “Working Plan on Establishing Drug Information Tracing System,” which concerns the development of a framework for a drug tracability supervision system by the end of 2020. The “Plan” stipulates that drug manufactures should build their own or use a drug information traceability system established by a third-party platform to share information with the national collaborative drug traceability platform and realise the tracing of special drugs such as narcotic drugs and psychotropic drugs and selected drugs in the provincial centralised procurement.
山西省药监局出台《药品信息化追溯体系建设工作方案》
来源：新浪新闻 2020.12.04
近日，山西省药监局出台《药品信息化追溯体系建设工作方案》，计划到2020年底将完成山西省药品追溯监管系统基础开发。《方案》要求，药品生产企业应自建或选用第三方平台建立的药品信息化追溯系统，并完成和国家药品追溯协同服务平台的数据对接，基本实现麻醉药品、精神药品等特殊药品以及集中采购中标品种的全过程追溯。
Beijing: supervising the drug distribution in pharmacy chains
Recently, the Beijing Municipal Medical Product Administration issued the “Notice on Strengthing the Administration of Drug Trading by Pharmacy Chains.” The “Notice” clarifies that administration departments should strengthen the management of prescription drugs in pharmacy chains; prescription drugs and drugs marked with red OTC can only be sold when a pharmacist is present. The “Notice” stipulates that competent pharmacies in densely populated regions can provide services such as selling unpacked medicines, 24-hour drug sales, and home delivery.
北京： 严管药店药品销售 鼓励药店拆零销售
来源：医药网 2020.11.27
近日，北京市药监局发布了《关于加强药品零售企业销售药品管理的通知》（以下简称《通知》）。《通知》明确，各管理部门应加强药品零售企业处方药的销售管理；执业药师不在岗时，应停止销售处方药及甲类非处方药。《通知》要求，鼓励各区域内有条件的、群众需求较多的药品零售企业开展药品拆零销售、24小时售药、送药上门等药学服务工作。