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The dynamic adjustment of the National Medical Insurance Catalogue is about to begin!

  • Categories:National Policy
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  • Time of issue:2018-11-11
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(Summary description)Recently, someone in the industry provided Cyberlan with a notice of a meeting of the National Medical Insurance Bureau. The notice shows that the National Medical Insurance Bureau will hold a medical insurance medication management policy seminar on December 28 (this Friday).

The dynamic adjustment of the National Medical Insurance Catalogue is about to begin!

(Summary description)Recently, someone in the industry provided Cyberlan with a notice of a meeting of the National Medical Insurance Bureau. The notice shows that the National Medical Insurance Bureau will hold a medical insurance medication management policy seminar on December 28 (this Friday).

  • Categories:National Policy
  • Author:
  • Origin:
  • Time of issue:2018-11-11
  • Views:0
Information

  The dynamic adjustment of the medical insurance catalog is about to begin!
  
   Recently, someone in the industry provided Cyberlan with a notice of a meeting of the National Medical Insurance Bureau. The notice shows that the National Medical Insurance Bureau will hold a medical insurance medication management policy seminar on December 28 (this Friday).
  
  ▍Dynamic adjustment of the medical insurance catalogue is about to start
  
   Contents of the meeting: Research and discuss the improvement of the management of the scope of medical insurance drugs, further establish the dynamic adjustment mechanism of the medical insurance drug catalog, and improve the national medical insurance drug catalog management policy to put forward opinions.
  
   Participants at the meeting included relevant personnel and experts from the National Medical Insurance Bureau, as well as the heads of relevant departments of the 11 provincial medical insurance bureaus in Beijing, Tianjin, Hebei, Shanxi, Liaoning, Jilin, Heilongjiang, Inner Mongolia, Ningxia, Shaanxi, and Gansu.
  
   Since the establishment of the National Medical Insurance Bureau in March this year, the industry generally believes that the medical insurance bureau that supervises the "bidding, medical insurance, and drug prices" will be one of the next important tasks for the medical insurance bureau to introduce a dynamic adjustment mechanism for the medical insurance catalog.
  
  According to past practice, my country's medical insurance drug list is generally adjusted every 5 years. However, the new version of the National Medical Insurance Drug List announced in February 2017 was 8 years after the last round of list adjustments. In the past eight years, the "gate" of the National Medical Insurance Drug List has been tightly closed, preventing entry of many innovative drugs that have been newly approved for marketing and have undergone clinical efficacy verification.
  
   Therefore, the industry is very much looking forward to the introduction of a dynamic adjustment mechanism for the medical insurance drug catalogue. New drugs with definite curative effects can be included in the medical insurance catalogue in a timely manner. This can be a motivation for drug companies to develop and allow patients to use new drugs as soon as possible.
  
How will   ▍ dynamically adjust?
  
   Regarding the dynamic adjustment mechanism to be launched by the Medical Insurance Bureau, the industry’s biggest concern is the time for dynamic adjustment and what kind of medicine can be admitted through the dynamic adjustment mechanism.
  
  According to media reports, the general direction of the dynamic adjustment of the medical insurance catalogue is to increase the frequency of adjustment, and the other is to reduce the scope of adjustment. The dynamic adjustment of the medical insurance catalog does not replace the current "major adjustment" of the catalog once every few years, but as a supplement to the "major adjustment".
  
   In April 2017, the Ministry of Human Resources and Social Security issued the "Notice on Publicly Soliciting Opinions and Suggestions on the Establishment and Improvement of the Dynamic Adjustment Mechanism of Basic Medical Insurance, Work-Injury Insurance and Maternity Insurance Drug Catalogues" to solicit opinions from the society on the dynamic adjustment mechanism of medical insurance drug catalogues.
  
   At that time, some people in the industry believed that the most important aspect of the dynamic adjustment policy in the future was the adoption of the application system, where new products could be actively applied for and negotiated.
  
   For this view, relevant leaders of the National Medical Insurance Bureau have publicly stated that the dynamic adjustment of the medical insurance catalog is an opportunity for latecomers, but it is also a challenge for first movers. At present, the dynamic adjustment mechanism of the medical insurance catalog has not yet launched a final plan, but the direction is to keep up with changes in clinical medications, and the adjustment period is expected to be shorter than 3 or 5 years.
  
Regarding the future adjustment of the medical insurance catalogue, relevant experts from the Chinese Academy of Labor and Social Security Sciences once stated in a forum that they can accept corporate applications at any time, increase the evaluation rate, and retain the negotiation channel for innovative drugs. Access is linked to medical insurance payment standards, providing the possibility for dynamic access.
  
   Zhang Feng, deputy director of the Medical Insurance Division of the Social Security Center of the Ministry of Human Resources and Social Security, also mentioned at this year's China Medical and Health Summit that the drug catalog will be dynamically adjusted within a certain period of time. Regarding drug access, he believes that more consideration should be given to safe, effective, and relatively mature products.

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