The catalogue of medical insurance of Jiangsu is announced Wipe out class-A medicines increase by 53 newly fully

The catalogue of medical insurance of Jiangsu is announced Wipe out class-A medicines increase by 53 newly fully
The catalogue of medical insurance of Jiangsu is announced Wipe out class-A medicines increase by 53 newly fully
Concern Jiangsu 30 million and join more new medical insurance medicines catalogues that sponsor's administration chose at last " Appearance " (used after a verb to indicate the completion of an action). Yesterday, saved human resources and social security drawing room to announce <>(call in the following text " The new medical insurance medicines catalogue " ),And print and distribute to all parts, carry out from October 1. The reporter learns, the class-A medicines submitting an expense account fully are increased by 53 newly, class-B medicines that the part submits an expense account are increased by 242 newly, the concrete one pays the proportion for itself to presume by all parts. Medicines catalogue inquiry of the medical insurance Look over the new medical insurance medicines catalogue, can log in to human resources and social security network (www.jshrss.gov.cn) of Jiangsu Province ,Click " social insurance service network " . Look over class-A medicines, please see < (2009 version) Notice of class-A medicines >>. Newly-increased class-B medicines are seen " announcement regarding Jiangsu Province adjusts basic medical industrial injury and class-B medicines catalogue situation of the birth insurance in 2010 ". Class-A medicine is increased by 53 medicines newly, the medical insurance submits an expense account fully It is reported, the new medical insurance medicines catalogue is the basic medical insurance, industrial injury insurance and the intersection of parenting and insured fund pay, effect an insurance the intersection of personnel and the intersection of medicines and expenses and strengthen the intersection of medical insurance and the intersection of medical care and the intersection of policy and basis and standard of management. Use within the range of the whole province in unison, every pool area should carry out strictly, can't adjust and make separately. It divides into Western medicine, Chinese medicine and 3 parts of traditional Chinese medicine decoction pieces. But when the medical insurance is paid, divide Class A, two kinds of Class B, Class A, for ensuring medicines, not needing to join sponsors and undertaking to pay the proportion for itself, the medical insurance fund submits an expense account fully according to the proportion directly; Class-B medicines should have certain individual and pay the proportion for itself first according to fund endurance, and then submit an expense account according to the proportion that the medical insurance stipulates. Insurance and birth insurance of industrial injury do not divide A, Class B while paying. At the end of last year, made the 2009 version " national basic medical insurance, industrial injury insurance and birth insurance medicines catalogue " on human resources and social security department. Class-A medicine among them belongs to the guarantee, treatment medicines, society portion stipulates and can not each so that adjust separately the, so class-A medicine in the new medical insurance medicines catalogue which our province announces this time, class-A medicine in the medicines catalogue of the national edition. "Compared with medicines catalogue of 2004 version, the new catalogue increases by 260 medicines altogether, increase 13.7%. Among them class-A medicines have increased by 53, increasing degree is 11.8%. " The intersection of society and the intersection of Room and relevant person in charge, people of province, tell reporter whether used in curing pneumonia, bronchitis the intersection of antibiotic and the intersection of medicine and " very beginning spore furan peppery " , " A is very mould and plain " Class-B medicine that waited in the past, all " rank among " this time The class-A ranks of submitting an expense account fully, so far class-A medicines are up to 527. What these increased medicines have been listed in recent years, passing clinical verification with precise curative effect, new medicine with high security. In addition, the new catalogue can be substituted by better medicine to the part in the original catalogue still or the medicines which nobody used are accessed, enable the structure of the medicines catalogue more rationally. Class-B medicine is increased by 242 medicines newly, pay every city of the proportion for itself to make separately As to class-B medicines, people society department stipulates, there is 15% adjustment right in all province. Relevant personage explain, consider regional administration used to it difference, such as the intersection of the North and common the intersection of chill and cold mainly, but there are more hot colds of wind in the South. The reporter knows, through research of half a year, have serious bad reaction, it fit for regional diseases to be inaccurate and medicines that cost an arm and a leg access the catalogue in habit, curative effect in administration our province, and increase 242 medicines varieties newly. The reporter looks over and finds after " adjusting the variety table" carefully, for example ammonia benzyl of a spore (clear up and accuse of clearing up pharmaceuticals slowly) in Western medicine Originally just in the class-B medicines catalogue of the edition of Jiangsu Province, and the profit (injectable preparation) of spore oh of very beginning The original payment classification is the Class C, all only medicine at one's own expense, now is adjusted to the class-B catalogue; In traditional Chinese medicine too, commonly used antiinfectious pill (slice) of cow bezoar of ordinary people Originally too in the intersection of province and class-B the intersection of medicines and catalogue of edition, keep too this time, and tiger the intersection of colt and the intersection of hepatitis B and capsule, easy liver would rather parenteral solution medicines Class C originally, namely medicine at one's own expense, they are adjusted to the class-B catalogue now. As to this, the relevant person explains, in 242 medicines, there is variety which the province augments in 2005 version " basic medical insurance and industrial injury insurance medicines catalogue of Jiangsu Province ", but not been brought into medicines of the 2009 version " national medicines catalogue ", there are medicines not originally increased newly this time. This is according with the reality of Jiangsu Province, the accessibility that personnel use medicine that consider the continuity of the medical insurance policy, habituation of clinical application and effect an insurance synthetically. Reporter know class-B medicines have certain individual pay proportion for itself, what concrete proportion, , as the running situation of money of the foundation is made by oneself, confirm, register in the drawing room of people's society and is put on record by every city under the jurisdiction of the provincial government foundation. However, as to medicines of the same assortment dosage form specification in the new medical insurance medicines catalogue, all parts can explore that presume that pay the limit standard at most. To play, treat medicines of function while being auxiliary mainly in the class-B medicines, but strengthen individuals to pay the proportion for itself appropriately, pull open the payment proportion grade with other class-B medicines. But compound medicine composed of Western medicine varieties in the catalogue (including including the great infusion of medicine) as to not listing in " medicines catalogue " ,Accord with compound medicines of the regulation of our province, can treat as class-B medicines and pay according to the regulation. In order to further relieve " It is expensive to see the doctor " Difficult problem, reduce, join sponsor, make a diagnosis expenses, our province send the documents, require all parts pay class-B medicines for itself, drop 5 to 10 percentage point by proportion by individual specially in will it be the end March. Nanjing still issues the relevant regulation, since April 1, 3 medicines are that 20% are reduce as zeroed from paying the proportion for itself originally; It is 10% that 123 medicines pay the proportion for itself originally, are reduce as zero tooed. That is to say, when the ginseng sponsor in Nanjing buys these 126 kinds of class-B medicines, it is unnecessary that draws and pays the part for itself first, submit an expense account in fixed proportion directly. -New principle that the doctor writes a prescription " Class B first after Class A " " inject after taking orally " With new the intersection of medical insurance and the intersection of medicines and announcement of catalogue, the intersection of society and Room, people of province, retail pharmacy it uses " the the intersection of medicines and catalogue " to be managerial and stricter in fixed medical organization. , open the intersection of Chinese medicine and prescription must follow Chinese medicine construct, manage principle is minimum to classify similar medicines under should not be " superposed and used " in principle as to every while being dialectical . "To diagnosing that opens Chinese medicine, diagnoses that opens unreasonable using medicine, using medicine and drug abuse repeatedly such as Western medicine etc. according to Chinese medicine according to Western medicine, define the corresponding punishment measure and include in the fixed agreement and manage. " The relevant person says, our province will take measures to applaud Encourage doctor according to Class B under Class A first, inject preparation, clear up after the dosage form slow often first behind the oral preparation first(accuse of) Clear up principles such as dosage forms,etc. and choose medicines, encourage the pharmacist to choose cheap medicines in the same assortment dosage form while allocating medicines at first. "There are agreements between fixed medical organization and medical insurance department, how many medical insurance catalogues are used medicines hit every year, it is an important index examined in management of medical organization, any medicine that doctors prescribed can be found through the network. If medicines outside the catalogue of medical organization are used too much, exceed certain proportion, will examine and exert an influence on it. " How to encourage the pharmacist to select cheap medicine while allocating medicines for the first time? As to this, the intersection of society and the intersection of Room and relevant person in charge, people of province, claim " very much difficult " frankly . "We have no standard to supervise the doctor's right to prescribe, can only be done the system, policy regulation to the doctor's medical behavior, professional ethics by the hospital. " This person in charge says. (reporter Qi QingYan)


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