Sanming mode national promotion! Medicine or will be sorrowful


Release time:

2015-12-15


Sanming medical reform model was once again affirmed.
On December 12, CCTV news broadcast "with new ideas, new development:" Sanming path "in the deep water area of medical reform" made a key report. The half hour news broadcast lasted 5 minutes and 10 seconds for Sanming medical reform, which took a 1/6 of time.
In addition, according to the official website of the National Health and Family Planning Commission, we will learn from the experience of Sanming and accelerate the comprehensive reform of public hospitals. Since November 25, the national comprehensive reform training course for public hospitals has been held in Sanming City, Fujian Province. By the end of the year, it is expected that more than 1700 people from the health system will go to Sanming City to study the reform of public hospitals.
From the National Health Planning Commission to CCTV active communication, this round of new medical reform star Sanming medical reform has finally become a model will be promoted nationwide. An enthusiastic friend of Cypress Blue said that the Sanming model will be popularized on a large scale, but the promotion should be relatively mild, or in other words, the direction and result are determined, and the methods and means can be chosen by each place. If you still don't know how to do it, then follow the Sanming template.
So, why is the Sanming model so highly respected now? Here are some key words and key figures of the Sanming model sorted out by Cyberland based on some relevant reports and analysis, for your reference:
1. background: health insurance does not cover the cost.
Before Sanming's reform, the medical insurance fund had already failed to cover its expenditure, with a loss of 0.143 billion yuan in 2010 and 0.202 billion yuan in 2011.
The form of medical insurance across the country is grim, and the premier called out that "medical insurance should be kept." according to the calculation of the Public Policy Research Center of the Institute of Economics of the Chinese Academy of Social Sciences, under the current system, medical insurance funds in most cities in China will "go through the bottom" one after another before 2020. Among them, Chengdu and other second-tier cities "wear bottom" time will appear in 2017-2019 at the latest.
Key Measures of 2. Reform
All public hospitals above the second level implement zero markup sales of drugs, strictly monitor large prescriptions and inspections, and strictly implement the "two-invoice system" for drug bidding and procurement, that is, only two value-added tax invoices are allowed in the process of drugs from the manufacturer to the hospital. Reduce price increases in circulation. (Will the two-vote system be implemented on a large scale?)
For example, omeprazole sodium, a commonly used drug in hospitals, dropped from 256 yuan before the reform to 6.9 yuan, a drop of 37 times. Sanming City introduced the health care reform plan only one month, the total cost of drugs appear unexpected changes.
In the three years since the medical reform, Sanming City has saved 1.795 billion yuan in medicine expenses after calculation. "There are more than 330 prefecture-level administrative divisions in the country, and the money that can be saved can be imagined." (CCTV news broadcast language!)
3. doctors' salary increase, three guarantees in one
22 public hospitals implement a target annual salary system for all employees, and the annual salary is linked to job workload, medical ethics, and social evaluation. 26 agencies, including medical insurance for urban workers, medical insurance for urban residents and new rural cooperative medical system, have been integrated to realize the integration of "three guarantees in one".
4. reform results
Omeprazole sodium, a commonly used drug in hospitals, dropped from 256 yuan before the reform to 6.9 yuan, a drop of 37 times. The cost of medicines has dropped significantly, the income of medical staff has increased significantly, and the medical insurance fund has turned from a loss to a surplus, initially achieving a win-win situation for patients, hospitals, doctors and the government.
5. some key figures
According to the Public Policy Research Center of the Institute of Economics of the Chinese Academy of Social Sciences, in 2011 before Sanming's medical reform, 22 hospitals accounted for 47.29 percent of their drug revenue. After two years of reform, the medical income of 22 hospitals in Sanming only 2.009 billion in 2013, accounting for 28.21 per cent. However, medical income increased to 1.442 billion, accounting for 71.79 per cent.
6. who is most affected:
1, foreign drug
Last year, the Sanming Medical Security Fund Management Center issued the "Notice on Announcing the Price Limit Settlement of the First Batch of Imported Drugs", announcing the same price for the same drug, regardless of import and domestic production, otherwise the higher part of medical insurance will not be reimbursed.
The list of the first batch of limited-price drugs listed in the annex to the notice includes 14 well-known varieties such as Baitangping, Litopu and Huoluoxi. The drugs involved include foreign-funded pharmaceutical companies including Bayer, Weikang, Boehringer Ingelheim, AstraZeneca, Baxter, Sanofi, Eisai, Isait, etc.
Since then, Sanming has also announced the medical insurance payment price, the spirit of which is the same as the above notice, the medical insurance payment price = the lowest bid price! If this policy is implemented, high-priced foreign drugs will almost basically face a full-scale collapse. Will the delayed payment of health insurance become a policy vane?
2, Chinese medicine
The large-scale decline in the proportion of drugs, in addition to the large-scale increase in doctors' income, a large-scale reduction in the drug list is also a good prescription. The generic names of the required drug varieties reported by various hospitals determine the drug purchase catalogue, with a total of 1565 varieties, including 996 varieties of non-basic drugs and 520 varieties of basic drugs with 569 product specifications. After cutting the drug catalog, many Chinese medicines were squeezed out of the drug catalog.
3, the industry is full of grief
The proportion of hospital pharmaceutical revenue has gone down, and the sales of pharmaceutical companies have also declined. According to industry insiders, after Sanming's medical reform, local drug retail sales have dropped by nearly half. Assuming that Sanming medical reform is implemented throughout the country, it is conceivable that the mourning will be a tragedy for pharmaceutical companies.