对医疗保险药品谈判机制的系统性思考

Systematically Reflection on the Negotiation Mechanism of the Social Medical Insurance Drug

建立医保药品谈判机制,是实现新医改目标的需要,也是完善基本医疗保险制度的内在要求。为促进科学、完善的谈判机制的形成,有必要从目标、主体、内容、流程、监督与评估等方面对医保药品谈判机制进行系统梳理。为建立医保药品谈判的长效机制,还应处理好药品谈判机制与招标采购的关系,解决好医疗机构的激励与约束问题,明确谈判主体地位,加强部门协调。

The establishment of the medical insurance drug negotiation mechanism is the inner requirement of the new medical insurance reform, but it is taken as ＂much said and little done＂. Base on the necessity analysis about the establishment of the negotiation mechanism and experience at home and abroad, it presents a comprehensive and systemic analysis on the target,subject,content,process,supervision,evaluatio n of the medical insurance drug negotiation mechanism,and emphasizes some problems being attention which especially for relationship between negotiation and bid. According to the current situation, it gives suggestion on the implementation of medical insurance drug negotiation mechanism.