Hello, because medical insurance negotiation refers to the negotiation between experts from the National Medical Insurance Bureau and pharmaceutical companies to negotiate the drug price, so as to lower the drug price and reduce the economic pressure of patients. In China, basic medical insurance is the main payer of drugs and medical services. Only drugs that enter the medical insurance catalogue can be reimbursed by medical insurance. Therefore, it is directly related to the accessibility of patients' medication, the affordability of medical insurance funds and the return of industrial innovation to include the newly listed good drugs in the catalogue at reasonable prices in time. Medical insurance negotiation is an access system for exclusive varieties.
for exclusive varieties, because both the buyer (medical insurance) and the seller (enterprise) are exclusive, there is no market pricing game between multiple buyers and sellers. Therefore, through comprehensive information disclosure and evidence-based negotiation, it is necessary to display the drug-related information to the greatest extent, reduce the information asymmetry between the two sides, and then form a reasonable price, thus achieving a win-win situation for patients, enterprises and medical insurance. Therefore, the national medical insurance catalogue can be said to be "everything must be discussed" for exclusive varieties, which not only needs to scientifically evaluate the comprehensive value of drugs, but also calculate the reasonable price of drugs.
: What is medical insurance
1. Medical insurance refers to the adoption of national legislation and the principle of compulsory social insurance. Employers and individual employees shall pay the basic medical insurance premium in full and on time. If it is not paid in full and on time, its personal account will not be calculated, and the basic medical insurance pooling fund will not pay its medical expenses. Take the proportion of medical insurance payment in Beijing as an example: the employer pays 1% of the total payment base every month, and the employee pays 2% of the salary+the whole payment in 12 yuan due to serious illness.
2. Medical insurance is an insurance to compensate medical expenses caused by diseases. Social insurance provided by society or enterprises to provide necessary medical services or material assistance when employees are sick, injured or give birth. For example, free medical care and labor insurance medical care in China. The medical expenses of employees in China shall be borne by the state, units and individuals, so as to reduce the burden on enterprises and avoid waste. In case of an insurance liability accident, the insurance premium shall be paid in proportion. In November 219, the National Medical Insurance Bureau launched the national medical insurance electronic voucher system, which took the lead in piloting in some cities such as Hebei, Jilin, Heilongjiang, Shanghai, Fujian, Shandong and Guangdong. In 22, 136.131 million people will participate in the basic medical insurance in China, and the participation rate will be stable at over 95%.