Top Ten Policy Hot Words Of China'S Big Health Industry In 2020

21 new Health Institute

[policy hot words 1] epidemic prevention and control

Key points of the New Deal: on December 26, 2020, the 24th Meeting of the 13th Standing Committee of the National People's Congress passed the amendment (11) to the criminal law, which will come into force on March 1, 2021.

Among them, new provisions on strengthening the criminal legal protection of epidemic prevention and control, amending the crime of hindering the prevention and control of infectious diseases, and making it clear that infectious diseases such as new crown pneumonia which are determined according to law to take the management measures of class A infectious diseases belong to the scope of adjustment of this crime. In addition, criminal acts such as refusing to implement the prevention and control measures put forward by the people's governments at or above the county level and disease prevention and control institutions, and illegally selling and transporting contaminated materials in epidemic areas have been added.

Comments of the new health research institute: at the most serious time of Xinguan epidemic situation, violations of laws and regulations hindering the prevention and control of infectious diseases occur from time to time, which also exposes many shortcomings in the national epidemic prevention and control. The criminal law amendment (11) is not only the summary and improvement of the experience of epidemic prevention and control in Xinguan, but also regulates some prominent problems exposed in the epidemic prevention and control from the perspective of legislation. This also makes the punishment of similar acts in the future have laws to follow, and eliminate the trouble of judicial conviction.

At the same time, the amendment (11) of the criminal law also adapts to the decision made by the Standing Committee of the National People's Congress on a total ban on wild animals. It makes illegal hunting, purchasing, transporting and selling terrestrial wild animals that grow and breed in the wild environment except precious and endangered wild animals for the purpose of food. Serious acts are added as crimes from the source Control the occurrence of major public health risks.

At present, the foreign epidemic situation is grim, and the domestic prevention and control environment is not optimistic. The timely introduction of the criminal law amendment (11) provides a strong legal support to prevent the domestic epidemic rebound.

Public health emergency system

Key points of the New Deal: on May 9, 2020, the National Health Commission, the Ministry of Finance and the Chinese Medicine Administration jointly issued the "public health prevention and treatment capacity building plan", which proposed to focus on strengthening the modernization of the disease control system, improving the treatment capacity of county-level hospitals, and improving the urban infectious disease treatment network. On December 1, 2020, the national standards and norms for the construction of public health informatization (for Trial Implementation) was issued to clarify the public health service and management business of centers for Disease Control and prevention at all levels, secondary and above hospitals, primary medical and health institutions, and other public health institutions. The business scope covers the main business services and management requirements for the construction and application of public health informatization The main contents and requirements of China's public health information construction are fully standardized.

Comments of new health research institute: at the beginning of 2020, the sudden outbreak of new crown pneumonia caught Chinese people by surprise. Public health events spread rapidly, affected a wide range, and were highly infectious, which required highly professional emergency management. It also tested the emergency response capacity of governments at all levels and China's top-level design planning.

Although China has become the world's first fastest and most effective country to curb the further spread of the epidemic, how to continue to strengthen the construction and development of public health after the epidemic has become the most concerned problem for everyone, and also a problem faced by the government. It is mentioned in the "14th five year plan" that we should improve the monitoring, early warning and disposal mechanism of public health emergencies, improve the medical treatment, scientific and technological support, material security system, and improve the ability to deal with public health emergencies.

Today, with the implementation of various policies, the construction of national major epidemic treatment base and public facilities transformation pilot for peacetime and wartime use is also in orderly progress. I believe that the construction of public health emergency system in China will usher in a window period of rapid development in a short period of time.

[policy hot words 3] internet medical access medical insurance

Key points of the New Deal: on November 2, 2020, the State Medical Insurance Bureau issued the guiding opinions on actively promoting the "Internet +" medical service medical insurance payment work (hereinafter referred to as the "opinions"), pointing out that it supports the development of "Internet +" medical services in line with the regulations, and implements a fair medical insurance payment policy for online and offline medical services.

The opinions pointed out that the scope of payment should be determined according to the local medical insurance policy and the service content of designated medical institutions providing "Internet plus" medical services. For example, all localities can gradually expand the scope of medical insurance payment for "Internet plus" medical services for common diseases and chronic diseases starting from outpatient chronic diseases.

21 new health research institute comments: the outbreak of new crown pneumonia in 2020 makes contactless online diagnosis and treatment rise again, Internet giants have laid out online medical industry, and Internet medicine ushers in a new era of development.

With the increasing demand market for chronic disease services and the development of big data, the new policy has effectively promoted the construction of domestic primary medical network, met people's demand for medical convenience, provided security for hierarchical diagnosis and treatment, and formed an ecological closed-loop of double linkage, which made medical services expand its coverage on the premise of maintaining standards.

In addition, this will further open the trillions market of internet medical services. Before the industry is finalized, Internet giants are expected to continue to increase their size in this field. At the same time, offline medical institutions are also constantly "online" to open up new Internet hospitals.

Nowadays, the policy barriers hindering the development of Internet medicine are being eliminated, and the future development of the industry is more promising.

[policy hot words 4] dip pilot

Key points of the New Deal: on November 20, 2020, the office of the State Medical Security Bureau issued two notices on dip, namely "technical specification of national medical security pay by disease score (DIP)" and "dip disease category catalog database (version 1.0)", paving the way for the reform of medical insurance payment mode.

Diagnosis intervention Packet, dip) is a complete management system established by using the advantages of big data to explore the common characteristics of "disease diagnosis + treatment mode", objectively classify the medical record data, form the standardized positioning of each combination of disease and treatment mode in the full sample case data within a certain region, and objectively reflect the disease severity, treatment complexity, resource consumption level and clinical It can be used in medical insurance payment, fund supervision, hospital management and other fields.

Comments of new health research institute: the reform of payment mode of national medical insurance is a pluralistic, long-term and complicated work. Taking the development of the directory as an example, the compilation of dip catalog database (version 1.0) is based on the preliminary work of Shanghai, Guangzhou and other regions. In addition, the data of 10 typical provinces and cities in the East, central and western regions are selected as supplements, and a sample of nearly 60 million data is collected, involving nearly 700 billion yuan of medical service costs. Through data fusion cleaning, 15 cases were taken as the critical value of the number of cases, and the main catalog was divided into nearly 11553 groups of core diseases and 2499 groups of comprehensive diseases.

In the process of the pilot project, the National Health Insurance Bureau requires all pilot cities to attach great importance to it, make overall arrangements, strengthen supervision and improve supporting policies, formulate local disease catalogue database based on the actual situation, unify standards and do a good job in historical data submission.

From the reform and negotiation of medical insurance catalogue to the discussion from DRG to dip, China is actively trying new ways in the use and payment of medical insurance fund, and is constantly in line with international standards. At the same time, we should explore a more reasonable and efficient way for the medical insurance payment.

[policy hot words 5] discussion on the state of medical insurance

Key points of the New Deal: on March 5, 2020, the State Council officially issued the opinions on deepening the reform of the medical insurance system, proposing to improve the dynamic adjustment mechanism of the medical insurance catalogue.

On December 28, 2020, the results of a new round of negotiation on the national health insurance catalogue were announced. A total of 2800 varieties were included in the new catalogue, 119 varieties were transferred in and 29 varieties were transferred out. Among the 119 varieties transferred in, 162 were finally screened out from 751 declared varieties through layer by layer review, evaluation and negotiation. 96 (exclusive varieties) were included through negotiation, and 23 (non exclusive varieties) were directly transferred in. The success rate of negotiation was 73.46%. 64%.

Comments of the new health research institute: compared with the past, this round of national health insurance catalog adjustment has made great changes in the scope, methods, procedures and other aspects. For the first time, the enterprise independent declaration method has been implemented, which is more active choice for enterprises; the scope of inclusion should be expanded to the greatest extent, so that more innovative new drugs with high clinical value can be included in time.

For patients, the negotiation organized by the state can continuously squeeze the price of drugs and make the high price cancer innovative drugs more grounded. In addition to achieving the goal of "changing the cage for the bird" in the medical insurance catalogue, the government has not only improved the efficiency of medical insurance fund use, but also quickly benefited the patients with the frontier innovative drugs urgently needed in clinic, and further reduced the drug burden of patients.

For the pharmaceutical enterprises whose products are listed in the catalog, they can not worry about the sales volume at all if they have the medical insurance support. They can invest the original marketing expenses on the innovative research and development and guarantee the production, so as to further promote the innovation and upgrading of the enterprises.

China is the largest emerging market of drug consumption in the world. With the largest population and the largest number of insured persons in the world, China is still a developing country with limited per capita financing level. To meet the basic needs of the largest population with limited medical insurance resources is a world problem. In the future, the state needs to make more scientific institutional arrangements from the top-level design.

[policy hot words 6] centralized collection of coronary stents

Key points of the New Deal: on November 5, 2020, China purchased coronary stents in a centralized way for the first time, and finally 10 varieties won the bid. The price of coronary stents dropped from an average price of 13000 yuan to a median price of about 700 yuan, a decrease of more than 90%.

On December 17, 2020, the State Medical Security Bureau issued the opinions on supporting measures for the procurement and use of centralized coronary stents organized by the state. Based on the total budget management of the medical insurance fund, the prepayment mechanism is established. After the medical institution signs the purchase agreement with the selected enterprise, the medical insurance fund will be prepaid to the medical institution at least 30% of the annual agreed purchase amount.

The new health research institute commented: "expensive medical treatment" has been one of the major livelihood issues of the country, and the phenomenon of poverty caused by illness has occurred from time to time.

The state's centralized procurement has cut off the virtual high price of medical equipment, so that the unit price of 10000 yuan of bracket has been reduced to several hundred yuan. At the same time of ensuring the quality, the people can really enjoy the price dividend of medical reform.

From the market point of view, the total market share of three domestic coronary stent enterprises is up to 67%. Among the 10 varieties selected in this collection, 7 were made in China. Enterprises comply with the national reform measures, although at the cost of price reduction, but with the support of the state incentive mechanism, and can further improve their market share.

What's more, purchasing with quantity is helpful to encourage enterprises to develop in a positive way, take the interests of patients as the starting point, improve competitiveness by quality, and create a healthy market environment.

[policy hot words 7] medical insurance electronic voucher

Key points of the New Deal: in 2020, in order to promote the application of medical insurance electronic voucher, the State Medical Insurance Bureau has successively issued the notice on developing the application of medical insurance electronic certificate (No.39 [2019] of medical insurance network) and the notice of comprehensive promotion and application of medical insurance electronic certificate (No.10 [2020] of medical insurance office), which has clarified the technical specifications and docking channels of medical insurance electronic voucher It is hoped that the local medical insurance departments can make full use of their own medical insurance channels and the third-party channels authorized by the whole country to guide the masses to activate and use medical insurance electronic vouchers conveniently, safely and quickly.

The insured can activate the medical insurance e-Voucher through more than 50 channels, such as the national government service platform app, wechat, Alipay, mobile banking app of large state-owned commercial banks and national joint-stock commercial banks.

21 new health research institute comments: medical insurance electronic voucher is a key step in the reform of electronic informatization of national medical insurance bureau.

In June 2019, the "dynamic maintenance of medical insurance business coding standard" of the National Medical Insurance Bureau was put into trial operation. The construction of China's unified medical insurance information system has entered the implementation stage, which is the basis of the national unified medical insurance electronic voucher, which can better manage the medical insurance fund and control the cost; it is conducive to saving resources and rational drug use.

In 2020, the outbreak of the new crown epidemic has spawned a large number of demand for internet medical services. Internet medicine has played a more positive and positive role. The national frequent policy promotes the combination of internet medical care and medical insurance services. Among them, relying on the medical insurance electronic certificate for real name authentication and ensuring the true identity of the insured is the essential basis for the realization of this reform.

The popularization and application of medical insurance electronic voucher provides more secure and convenient medical insurance service for insured people to buy medicine, and provides strong support for improving the public service ability of medical insurance, making sure the insured data, and combating fraud and fraud.

[policy hot words 8] Urban inclusive insurance

Key points of the New Deal: in March 2020, the CPC Central Committee and the State Council issued the opinions on deepening the reform of the medical security system, which clearly put forward that by 2030, a medical security system with basic medical insurance as the main body, medical assistance as the base, supplementary medical insurance and commercial health insurance developing together should be established.

After that, all over the country have been exploring and practicing urban inclusive insurance. In addition to basic medical insurance, serious illness insurance and commercial insurance, a new medical payer is emerging: Hangzhou citizen insurance, Changsha Xinghui insurance, Guiyang guibaobao, Lianyungang Lianhui insurance, Jiaxing Huijia insurance, Xiamen Luhui insurance, Taizhou citizen insurance, Hefei Hehui insurance "Public insurance" in Chaozhou

Comments of new health research institute: in 2020, urban medical insurance with the attribute of benefiting the people will become a hot spot in the trend of health insurance.

Urban inclusive insurance has been implemented in 21 cities since 2020. In fact, it has been five years since Shenzhen took the lead in water trial in 2015, and now covers 12 provinces, 27 cities and the whole territory of two provinces.

Only by finding the payer can we solve the problem of "expensive medical treatment". Under the background of slow development of commercial health insurance, the general benefit insurance organized by government and undertaken by commercial insurance has become an innovative product form between commercial health insurance, basic medical insurance and serious illness insurance.

From the perspective of operation mode, due to different medical insurance policies in each city, different age structure of citizens, different medical expenses, and different overall economic development level, the customized form of "one city, one mode" is still the mainstream of the current inclusive insurance.

Compared with the general commercial health insurance, the inclusive insurance is mainly reflected by low purchase threshold, low price and large underwriting scale. At present, the government, insurance enterprises and operation platform jointly constitute the "iron triangle" of urban inclusive health insurance, which jointly promote the rapid development of the public benefit insurance.

On the whole, the inclusive insurance can not only support the basic medical insurance to reduce the expenditure on serious diseases and special drugs, but also effectively complement the medical insurance, so as to achieve cost control and cost reduction. It can also form an organic and adjustable medical expense control mechanism through the cooperation of social security and commercial insurance.

[policy hot words 9] drug agent filing system

Key points of the New Deal: on September 30, 2020, the State Food and Drug Administration officially issued the measures for the administration of the record keeping of medical representatives (for Trial Implementation), and pointed out that the document should be formally implemented from December 1, 2020. Medical institutions have the right to inquire about the information of medical representatives or ask them to show the record form according to the filing requirements.

The measures clearly put forward that pharmaceutical representatives should not carry out academic promotion activities without filing; they should not undertake drug sales tasks, implement collection and processing of purchase and sale bills, and participate in unified prescription; and pharmaceutical enterprises should not assign sales tasks to medical representatives and provide false case information.

21 comments of the new Institute of health: from the first time that the State mentioned the filing of medical representatives in an official document in 2017, after four years of preparation, the filing system of medical representatives has finally made a substantial breakthrough in 2020.

With the implementation of a series of policies in recent years, such as drug consistency evaluation, procurement with quantity, and key monitoring of auxiliary drugs, the state has promoted the return of pharmaceutical representatives to academia and the standardized marketing of pharmaceutical enterprises has been officially implemented. It is estimated that the filing system will directly affect the career development of 3 million medical representatives in China.

This new policy will not only form a precise blow to the widely criticized "gold sales" of pharmaceutical representatives, but also directly eliminate a large number of medical representatives who have no academic promotion ability. At the same time, it will subvert the traditional marketing system of pharmaceutical enterprises, and pharmaceutical enterprises without a systematic academic promotion system will face the risk of being eliminated.

Up to now, no matter domestic pharmaceutical enterprises or multinational pharmaceutical enterprises, many enterprises have completed filing information on the filing platform.

With China's emphasis on innovative drugs and the speed of new drug marketing, the academic role and value of pharmaceutical representatives will be more prominent in the future.

[policy hot words 10] biosafety

Key points of the New Deal: on October 17, 2020, the biosafety law of the people's Republic of China was approved by the 22nd Meeting of the Standing Committee of the 13th National People's Congress and will come into effect on April 15, 2021.

On December 26, 2020, the amendment to the criminal law of the people's Republic of China (XI) (hereinafter referred to as the amendment to the criminal law) was adopted by the 24th Meeting of the Standing Committee of the 13th National People's Congress of the people's Republic of China, and shall come into force on March 1, 2021. It involves the revision of relevant regulations on human genetic resources and gene editing / cloning of human embryos implanted into human or animals.

The biosafety law is a comprehensive and systematic legal norm in the field of biosafety in China.

Since the 1980s, biosafety has attracted the attention of the international community. The reason is that the development and application of modern biotechnology has caused potential threats to human living environment and their own health. In particular, the occurrence of the new outbreak highlights the complexity and importance of biosafety issues, and causes the public to think and pay attention to biosafety. China is facing a severe and complex biosafety situation. For example, the threat of emerging and recurrent infectious diseases can not be ignored. The debate on the safety of genetically modified organisms is still fierce. The biosafety risks such as laboratory biosafety incidents, misuse and abuse of biotechnology achievements led by gene editing embryos, loss and plagiarism of human genetic resources, antibiotic abuse, invasion of alien species and other biosafety risks are constantly showing diversity and complexity Trends.

After the promulgation of the biosafety law, the amendment to the criminal law also includes human genetic resources, gene editing, cloning and other related contents, which effectively connects with the biosafety law. The realization of biosafety needs to strengthen the construction of biosafety governance system and governance capacity, and it is necessary to allocate criminal responsibility in this field. As a new form of security, biosafety belongs to the category of national security and has the basic nature of general public security.

(Editor: Xu Xu)

Note: the series reports of "digital reading 2020 China's big health industry" will be released in 21app, 21 new health public number and other channels, please look forward to it.

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