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What is the telephone number of nanbu county Medical Insurance Bureau?
: About the Medical Insurance Bureau
After the establishment of the Medical Security Bureau, it will become the most concerned government department for pharmaceutical enterprises and medical device enterprises. There are three reasons:
1. Market access
What is the market access of domestic pharmaceutical industry? We can understand it in a narrow sense: bidding and medical insurance.
If the drug fails to pass the tender, it will lose the whole hospital market. In addition, if drugs cannot enter the medical insurance catalogue, even if they pass the bidding, it will have a great impact on their market.
Bidding and medical insurance catalogue are both market access, and now these two rights are in the hands of the medical insurance bureau, and their importance is self-evident.
2. Strictly control the use of drugs
Obviously, medical insurance cost control is still the key word of 20 18. Under the big action of medical insurance fee control, for pharmaceutical companies, entering the catalogue is only a threshold, and hospital access and medical insurance payment standards are the most important.
The medical insurance bureau has the right to control the cost from the source and directly control the previous large-dose drugs and auxiliary drugs. In addition, according to the payment standard of medical insurance, the hospital will prompt patients to use the lowest-priced drugs on the basis of rational drug use. In the future, under the medical insurance environment, the game of interests of all parties will be more obvious.
3. Directly determine the drug price
Previously, the National Development and Reform Commission was responsible for drug pricing, Ministry of Human Resources and Social Security was responsible for the medical insurance catalogue, and the Health and Family Planning Commission was responsible for bidding and purchasing, which was ultimately paid by medical insurance. People who spend money can't talk about price and standard use, which leads to increasing pressure on medical insurance.
Nowadays, the Medical Insurance Bureau has taken over the bidding and purchasing of drugs, which on the one hand reflects "who pays, who makes the market". On the other hand, when the medical insurance funds are actually in place, the winning bid price of drugs will be closely combined with the medical insurance payment standard to maximize the interests of all parties.
In this case, the hospital or medical alliance can negotiate the drug price according to the medical insurance payment standard. They can even entrust a third-party platform to negotiate drugs with the local medical insurance bureau. There is only one ultimate goal. On the basis of medical insurance payment standards, reduce drug prices and maximize benefits.
It can be said that medical insurance will directly affect the fate of pharmaceutical enterprises and even enterprises from many angles. The health insurance bureau is at the helm.
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