內容目錄
This year’s “Government Work Report” pointed out that it is an important task to effectively protect and improve people’s livelihood, and to promote the centralized procurement of drugs and high-value medical consumables to ensure production and supply. In recent years, the National Medical Insurance Bureau has greatly reduced drug prices through measures such as catalog access negotiation and volume purchases, striving to allow patients to use better and newer drugs. So, what is the current progress and results of mass collection? What else can you expect this year?
Zhang Shengying is 62 years old this year. Diagnosed with breast cancer, regular treatment is required after surgery. In May last year, Zhang Shengying found that the cancer had recurred during regular review. In December, the lung lesions increased significantly.
Fang Ying, Deputy Chief Physician, Department of Internal Medicine, Jiangsu Cancer Hospital: Finally chose A The program of Eribulin sulfonate injection, because the advantage of Eribulin is that the side effects are relatively small.
Eribulin Mesylate Injection , a treatment cycle that is a month of drug costs nearly 16,000 yuan. This was a huge expense for the family, and Zhang Shengying decided to give up the treatment. But soon, the attending doctor Fang Ying brought them good news. The price of Eribulin mesylate injection was reduced after the national medical insurance negotiation, and it was officially launched on January 1, 2022.
Fang Ying, Deputy Chief Physician, Department of Internal Medicine, Jiangsu Cancer Hospital: From the original one The price of a single medicine is reduced from 3980 yuan to only 726 yuan, and then through reimbursement, only 580 yuan will be paid for 4 medicines in a cycle.
From 16,000 yuan a month to 580 yuan, Zhang Shengying can continue to heal.
Li Yunqiao is from Guanyun County, Lianyungang City, Jiangsu Province. A peasant, she farms and her husband does odd jobs, and her family income is meager. In 2020, Li Yunqiao received two cardiac stents due to coronary heart disease, but her condition did not improve significantly. At the end of 2021, she was referred to Jiangsu Provincial People’s Hospital. The doctor believes that the most effective treatment plan for her is to carry out a cardiac drug balloon. Operation.
Li Yunqiao Husband:It’s expensive. The first two balloons cost about 50,000 yuan, and we couldn’t get them out for a while.
But it didn’t take long for Li Yunqiao to have good news. On January 1, 2022, the procurement price of the provincial alliance of cardiac drug balloons in Jiangsu and other places with volume officially landed.
Department of Cardiovascular Medicine, Jiangsu Provincial People’s Hospital Deputy Chief Physician Yuan Liang: Before there was no centralized collection last year, the drug balloon was 24,800 yuan each, but this time it was less than 6,300 yuan, and the medical insurance reimbursed 80%, so she only needed Pay less than 1300 yuan.
Jiangsu is the first in China to develop high-value medical consumables Provinces that focus on purchasing with quantity. As the head of the Jiangsu Provincial Medical Insurance Bureau, Zhou Ying has witnessed the difficulties and achievements of each centralized procurement process.
Zhou Ying, Director of Jiangsu Provincial Medical Insurance Bureau :Since July 2019, Jiangsu has carried out 6 rounds of recruitment of medical consumables, involving cardiology, neurology, orthopedics, ophthalmology and general surgery. The 6 categories involve thousands of product specifications. This time, Jiangsu took the lead, and 12 provinces carried out the centralized procurement of drug balloons.
Zhou Ying said that for each medical consumable product collected, they will give feedback on clinical use, supply, and patients , to carry out tracking monitoring for more than one year to ensure that the best mainstream varieties areKeep it.
Zhou Ying, Director of Jiangsu Provincial Medical Insurance Bureau : We should intensify efforts to promote the admission of negotiated drugs in the last mile, especially the hospital side. This time, within a month, 164 of 174 tertiary medical institutions in Jiangsu have held special pharmaceutical affairs conferences, and established a procurement mechanism for all clinical needs such as Guotan Medicine to promote hospitals and the public to use them. A life-saving medicine.
While patients get benefits, it also means that companies need to digest cost pressures. In the interview, the person in charge of a balloon manufacturer admitted that there is indeed operational pressure in the short term, but in the future, they will invest more resources and energy into technological innovation and product development, and use innovation to seek development.
Zhuang Long, the relevant person in charge of a drug balloon company: Buying with quantity is also Very good to significantly shorten the time to market. It fully reflects the situation of exchanging price for quantity, which helps our company to shorten the payment period and improve the operating efficiency of the whole company.
In recent years, the country has made great efforts to alleviate the problem of “difficult and expensive medical treatment” for the common people. Six consecutive batches of nationally organized drug purchases were carried out in a centralized manner.A total of 234 kinds of drugs were purchased, with an average decrease of 53%.
Among them, heart stents decreased by an average of 93%, artificial hips, knees The average decline was 82%, which effectively squeezed the false height. Over the past three years, the company has saved more than 260 billion yuan in costs.
The national medical insurance drug list adjustment has been carried out for 4 consecutive years, and a total of 507 new and good drugs have been included. It is estimated that this year, the cumulative burden on patients will be reduced by more than 30 billion yuan.
In this year’s “Government Work Report”, the per capita financial subsidy standard for resident medical insurance, which is closely related to everyone, is raised by another 30 yuan.In 10 years, from 280 yuan in 2013 to 610 yuan.
How can healthcare improve? On the one hand, it is necessary to continue to reduce the prices of medicines and consumables, so that patients can use and afford good life-saving medicines. On the other hand, it is necessary to focus on hierarchical diagnosis and treatment, so that high-quality medical resources continue to sink, so that patients can see and see good diseases at the door of their homes. It is believed that these policy red envelopes full of benefits will allow more people to enjoy more high-quality and efficient health services.
（CCTV Finance）
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