医疗保险谈判“灵魂砍价”砍得越多越好吗?
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">7月1日,今年<span style="color: black;">医疗保险</span><span style="color: black;">药物</span>目录<span style="color: black;">调节</span>工作正式<span style="color: black;">起步</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">每年的<span style="color: black;">医疗保险</span>目录<span style="color: black;">调节</span>,都<span style="color: black;">必须</span>经过谈判与竞价环节。谈判桌前,为了让<span style="color: black;">病人</span>用上<span style="color: black;">更加多</span>高性价比的<span style="color: black;">药物</span>,<span style="color: black;">保证</span><span style="color: black;">医疗保险</span>基金的每一分钱花得更值,国家<span style="color: black;">医疗保险</span><span style="color: black;">分部</span>“灵魂砍价”已成常态。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">那样</span>,<span style="color: black;">医疗保险</span>谈判到底是什么?</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">为何</span>要开展<span style="color: black;">医疗保险</span>谈判?</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">医疗保险</span>谈判“灵魂砍价”砍得越多越好吗?</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">……</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">本期为您说说“<span style="color: black;">医疗保险</span>谈判”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">↓↓↓</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q2.itc.cn/q_70/images03/20240705/f1337f7f3ff64a5e8770ec64703e51f2.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">医疗保险</span>目录是什么?</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">弄清“<span style="color: black;">医疗保险</span>谈判”的问题,<span style="color: black;">首要</span>要<span style="color: black;">认识</span>什么是<span style="color: black;">医疗保险</span>目录。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">医疗保险</span>能够报销<span style="color: black;">那些</span><span style="color: black;">花费</span>,<span style="color: black;">那些</span>医疗<span style="color: black;">花费</span>又是<span style="color: black;">不可</span>报销的,是<strong style="color: blue;"><span style="color: black;">由<span style="color: black;">医疗保险</span>目录决定</span></strong>的。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">为<span style="color: black;">保证</span>参保人的基本医疗需求,国家规定了基本医疗保险对<span style="color: black;">药物</span>、诊疗项目和医疗服务<span style="color: black;">设备</span>的报销范围,这<span style="color: black;">便是</span><strong style="color: blue;"><span style="color: black;"><span style="color: black;">医疗保险</span>“三大目录”</span></strong>。平时<span style="color: black;">咱们</span><span style="color: black;">看病</span>看病时能走<span style="color: black;">医疗保险</span>报销的,<span style="color: black;">便是</span>进了<span style="color: black;">医疗保险</span>目录的。<span style="color: black;">因此</span>,<span style="color: black;">医疗保险</span>目录<span style="color: black;">调节</span><span style="color: black;">针对</span>参保人而言<span style="color: black;">拥有</span>重要<span style="color: black;">道理</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q4.itc.cn/q_70/images03/20240705/5c090ce3f81d460d98fb43bbeebbd332.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">日前</span>,<strong style="color: blue;"><span style="color: black;">基本医疗保险<span style="color: black;">药物</span>目录</span></strong>由国家<span style="color: black;">医疗保险</span>局<span style="color: black;">创立</span>完善动态<span style="color: black;">调节</span>机制,原则上每年<span style="color: black;">调节</span>一次。<span style="color: black;">那样</span>,<span style="color: black;">药物</span><span style="color: black;">怎么样</span><span style="color: black;">才可</span>进入<span style="color: black;">医疗保险</span>目录呢?<strong style="color: blue;"><span style="color: black;"><span style="color: black;">医疗保险</span>谈判</span></strong><span style="color: black;">作为</span>国家动态<span style="color: black;">调节</span><span style="color: black;">药物</span>目录,<span style="color: black;">加强</span>、<span style="color: black;">保证</span>参保人员用药需求的重要手段。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">近年来,<span style="color: black;">关联</span><span style="color: black;">分部</span><span style="color: black;">起始</span>探索<span style="color: black;">创立</span><span style="color: black;">医疗保险</span>目录动态<span style="color: black;">调节</span>机制,并<span style="color: black;">起始</span>针对独家品种纳入<span style="color: black;">医疗保险</span>目录采取<strong style="color: blue;"><span style="color: black;">谈判准入</span></strong>的形式。临床价值高、突破性疗效<span style="color: black;">然则</span>价格昂贵的独家<span style="color: black;">药物</span>,纳入<span style="color: black;">医疗保险</span>目录<span style="color: black;">必要</span><span style="color: black;">经过</span>谈判,“逢进必谈” 。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">截止<span style="color: black;">日前</span>, 国家<span style="color: black;">医疗保险</span>局<span style="color: black;">已然</span>连续六年<span style="color: black;">调节</span><span style="color: black;">医疗保险</span>目录,累计将744个<span style="color: black;">药物</span>新增纳入目录,其中<span style="color: black;">经过</span><span style="color: black;">医疗保险</span>谈判新增446个<span style="color: black;">药物</span>,大部分为近年来<strong style="color: blue;"><span style="color: black;">新上市、临床价值高</span></strong>的<span style="color: black;">药物</span>,覆盖31个治疗<span style="color: black;">行业</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">为何</span>要开展<span style="color: black;">医疗保险</span>谈判?</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q4.itc.cn/q_70/images03/20240705/9bad8d5e343b4b1d882e93335beffb73.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">让<span style="color: black;">更加多</span>救命、救急的好药尽快<span style="color: black;">经过</span>谈判进<span style="color: black;">医疗保险</span>,惠及<span style="color: black;">更加多</span><span style="color: black;">大众</span>。</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">开展<span style="color: black;">医疗保险</span><span style="color: black;">药物</span>谈判, <span style="color: black;">重点</span>是让有限的<span style="color: black;">医疗保险</span>基金发挥最大的<span style="color: black;">保证</span>效能,切实减轻人民群众医疗<span style="color: black;">包袱</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有些独家的创新药,<span style="color: black;">因为</span><span style="color: black;">开发</span>成本<span style="color: black;">昂贵</span>,市场上又<span style="color: black;">无</span>同类的<span style="color: black;">药物</span>形成竞争,定价<span style="color: black;">常常</span>很高,<span style="color: black;">然则</span>这些<span style="color: black;">药物</span>又是临床必需并且<span style="color: black;">病人</span>十分<span style="color: black;">必须</span>的,<span style="color: black;">针对</span><span style="color: black;">这般</span>的<span style="color: black;">药物</span>,国家<span style="color: black;">医疗保险</span><span style="color: black;">分部</span>与<span style="color: black;">关联</span>医药企业<span style="color: black;">表率</span>协商谈判,集合13亿多参保人的用药需求,以<span style="color: black;">医疗保险</span>报销<span style="color: black;">做为</span>资格<span style="color: black;">要求</span>, 对临床必需、疗效较好,但价格昂贵的<span style="color: black;">药物</span>达成协议支付标准,并纳入<span style="color: black;">医疗保险</span><span style="color: black;">药物</span>目录管理。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">医疗保险</span>谈判是与企业进行的“以量换价”的市场化机制。<span style="color: black;">经过</span>谈判,<strong style="color: blue;"><span style="color: black;">把昂贵的<span style="color: black;">药物</span>价格压下来,纳入<span style="color: black;">药物</span>目录以惠及参保人</span></strong>,一方面<span style="color: black;">药物</span>价格大幅度降低,<span style="color: black;">同期</span><span style="color: black;">医疗保险</span>还能报销一部分,就能让<span style="color: black;">更加多</span>的参保人用得起这些创新药,享受<span style="color: black;">更加多</span>的<span style="color: black;">医疗保险</span>福利。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">一款<span style="color: black;">药物</span><span style="color: black;">最后</span><span style="color: black;">经过</span>谈判进入<span style="color: black;">医疗保险</span>目录,<span style="color: black;">能够</span>说是<strong style="color: blue;"><span style="color: black;">三方共赢</span></strong>,既<span style="color: black;">能够</span><span style="color: black;">帮忙</span>企业稳住市场,又能<span style="color: black;">保证</span><span style="color: black;">大众</span>用最<span style="color: black;">恰当</span>的价格满足<span style="color: black;">疾患</span>治疗需求,还<span style="color: black;">能够</span><span style="color: black;">提高</span><span style="color: black;">医疗保险</span>基金支付能力和<span style="color: black;">恰当</span><span style="color: black;">运用</span>能力。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">医疗保险</span>谈判并不是“随意”砍价</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q7.itc.cn/q_70/images03/20240705/b47b9861fb6649169048b96216741018.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“唇枪舌剑”“反复议价”“锱铢必较”……近几年<span style="color: black;">医疗保险</span>谈判中<span style="color: black;">显现</span>不少“名场面”,被<span style="color: black;">叫作</span>为“灵魂砍价”。<span style="color: black;">因此</span>,有人认为<span style="color: black;">医疗保险</span>谈判<span style="color: black;">便是</span>“杀价”,越低越好。其实这是对这项工作严重曲解。“<span style="color: black;">医疗保险</span>谈判<strong style="color: blue;"><span style="color: black;">并非追求最低价格</span></strong>,而是<span style="color: black;">恰当</span>的支付标准。”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">医疗保险</span>谈判以不超出<span style="color: black;">医疗保险</span>基金和广大参保人承受能力为前提,“价值购买”是<span style="color: black;">医疗保险</span><span style="color: black;">药物</span>目录<span style="color: black;">调节</span>遵循的重要原则,以<span style="color: black;">药物</span>临床价值的全面科学<span style="color: black;">评定</span>为<span style="color: black;">基本</span>。<span style="color: black;">倘若</span>“砍价”的幅度突破了药企可承受的范围,<span style="color: black;">引起</span><span style="color: black;">最后</span><span style="color: black;">没法</span>进入<span style="color: black;">医疗保险</span>,或是影响到<span style="color: black;">药物</span>质量,<span style="color: black;">损伤</span>最大的其实还是<span style="color: black;">病人</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">医疗保险</span>谈判是与企业的协商,<strong style="color: blue;"><span style="color: black;">决不是“价格越低越好”的随意砍价</span></strong>,而是为参保人争取最大利益,<span style="color: black;">同期</span>要赋能医药行业高质量发展。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">原标题:<span style="color: black;">医疗保险</span>百“保”箱丨“灵魂砍价”的<span style="color: black;">医疗保险</span>谈判又要来了……</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">源自</span> | 武汉<span style="color: black;">医疗保险</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">编辑| 刘莹高鹏飞<a style="color: black;"><span style="color: black;">返回<span style="color: black;">外链论坛:www.fok120.com</span>,查看<span style="color: black;">更加多</span></span></a></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">责任编辑:网友投稿</span></p>
我完全同意你的观点,说得太对了。 “NB”(牛×的缩写,表示叹为观止) 外贸B2B平台有哪些?
页:
[1]