Practice and Exploration of Consumables/Drugs Governance Reform&#x02014;&#x02014;Taking the Implementation of Centralized Settlement by Nanjing Medical Insurance Department as an Example

doi:10.19546/j.issn.1674-3830.2022.6.011

China Health Insurance ›› 2022, Vol. 0 ›› Issue (6) : 54-59. DOI: 10.19546/j.issn.1674-3830.2022.6.011

Practice and Exploration of Consumables/Drugs Governance Reform——Taking the Implementation of Centralized Settlement by Nanjing Medical Insurance Department as an Example

Author information +

History +

Abstract

The reform of consumables/drugs management is one of the major measures to reduce the public burden on medical drugs. As a key link for further breakthroughs in consumables management, cost settlement is still a blank spot in the reform. This paper analyzes the current situation and existing problems of consumables/drugs settlement in Nanjing, and exemplifies specific measures and implementation results for the difficulties. The paper proposes that Nanjing will continue to improve the platform construction and strengthen the supervision of the whole process in the next step.

Key words

consumables/drugs governance reform / medical insurance department / centralized settlement / sunshine supervision platform / settlement rate

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

Practice and Exploration of Consumables/Drugs Governance Reform——Taking the Implementation of Centralized Settlement by Nanjing Medical Insurance Department as an Example[J]. China Health Insurance. 2022, 0(6): 54-59 https://doi.org/10.19546/j.issn.1674-3830.2022.6.011

References

[1] 国务院办公厅关于完善公立医院药品集中采购工作的指导意见. 中华人民共和国国务院公报, 2015(07): 第25-28页.
[2] 国务院办公厅关于印发治理高值医用耗材改革方案的通知. 中华人民共和国国务院公报, 2019(23): 第15-20页.
[3] 孙长胜与张寒菊, 张家口市药品集中采购直接结算的实践探索. 中国医疗保险, 2022(02): 第66-69页.
[4] 南京市人民政府.市政府关于推进市属三级医疗机构药品集中托管工作的实施意见.[EB/OL]. http://www.nanjing.gov.cn/zdgk/200805/t20080528_1054971.html.
[5] 南京市医疗保障局.关于开展医用耗材集中采购工作的实施意见.[EB/OL]. http://ybj.nanjing.gov.cn/gkml/201909/t20190905_1646004.html
[6] 南京市医疗保障局.关于建设南京市医用耗材阳光监管平台的实施方案.[EB/OL]. http://ybj.nanjing.gov.cn/gkml/201909/t20190905_1646030.html
[7] Capo M.,A. Perez and J.A. Lozano, A Cheap Feature Selection Approach for the K-Means Algorithm. IEEE Trans Neural Netw Learn Syst, 2021. 32(5): p. 2195-2208.