高值耗材集采医保基金结余留用实践分析——以E州落实冠脉支架国采为例

董祖锋, 陈行菊, 张娣

中国医疗保险 ›› 2025, Vol. 0 ›› Issue (1) : 69-76.

中国医疗保险 ›› 2025, Vol. 0 ›› Issue (1) : 69-76. DOI: 10.19546/j.issn.1674-3830.2025.1.009
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高值耗材集采医保基金结余留用实践分析——以E州落实冠脉支架国采为例

  • 董祖锋1, 陈行菊1, 张娣2
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Analysis on the Practice of Retaining Surplus Medical Insurance Funds for High-Value Consumables Centralized Procurement——Taking the Implementation of Centralized Procurement of Coronary Stents in E Autonomous Prefecture as an Example

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摘要

目的: 通过分析湖北省E州探索高值医用耗材集中带量采购医保基金结余留用的实践,为规范化、精准化推进高值医用耗材集中带量采购医保基金结余留用工作提供参考。方法: 从统筹地区视角出发,以国家组织集采冠脉支架为例,运用描述性统计方法回顾E州探索开展国家组织集采冠脉支架医保基金结余留用的实践过程,总结规范化、精准化推进高值医用耗材集中带量采购医保基金结余留用工作的措施。结果: E州开展高值医用耗材集中带量采购医保基金结余留用的探索符合国家规定,彰显很强的可操作性,取得了较好的成效,有较强的推广价值。

Abstract

Objective: The paper analyzes the practice of exploring the retention of medical insurance fund surplus in the centralized procurement of high-value medical consumables in E Autonomous Prefecture, Hubei Province, in order to provide a reference for the standardized, precise promotion of the retention of medical insurance fund surplus in the centralized procurement of high-value medical consumables. Methods: From the perspective of coordinated regions, the paper takes the centralized procurement of coronary stents as an example, uses descriptive statistical methods to review the practice of exploring the retention of medical insurance fund surplus for centralized procurement of coronary stents in E Autonomous Prefecture, summarizes measures to promote standardized, precise promotion of medical insurance fund surplus retention of high-value medical consumables centralized procurement. Results: The exploration of centralized procurement of high-value medical consumables in E Autonomous Prefecture to retain surplus medical insurance funds complies with national regulations, demonstrates strong operability, achieves good results, which is worth to be promoted

关键词

高值耗材 / 集采 / 结余留用

Key words

high-value medical consumables / centralized procurement / retaining surplus

引用本文

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董祖锋, 陈行菊, 张娣. 高值耗材集采医保基金结余留用实践分析——以E州落实冠脉支架国采为例[J]. 中国医疗保险. 2025, 0(1): 69-76 https://doi.org/10.19546/j.issn.1674-3830.2025.1.009
Analysis on the Practice of Retaining Surplus Medical Insurance Funds for High-Value Consumables Centralized Procurement——Taking the Implementation of Centralized Procurement of Coronary Stents in E Autonomous Prefecture as an Example[J]. China Health Insurance. 2025, 0(1): 69-76 https://doi.org/10.19546/j.issn.1674-3830.2025.1.009
中图分类号: F840.684    C913.7   

参考文献

[1] 国家医保局,国家发展改革委,工业和信息化部,等.关于开展国家组织高值医用耗材集中带量采购和使用的指导意见:医保发〔2021〕31号[EB/OL].(2021-06-04)[2024-11-05].http://www.nhsa.gov.cn/art/2021/6/4/art_104_6529.html.
[2] 陈政,朱玲,陈隽,等.医保资金结余留用的法律问题与对策建议[J].中国医疗保险,2022(03):7-10.
[3] 伍琳,陈永法.医保支付激励整合医疗服务的逻辑与实现路径[J].卫生经济研究,2022,39(01):31-35+39.
[4] 刘瑜,曹琪瑛.国家集采药品结余留用政策解读及实施过程和讨论——以山西省为例[J].基层医学论坛,2023,27(07):116-119.
[5] 慕欣.医保结余留用促高值耗材落地临床[N].医药经济报,2024-02-29(001).

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