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关于《关于建立医药价格和招采信用评价制度的指导意见》的答记者问

发布时间: 2019-10-19     选择阅读字号: [ ]     阅读次数: 0

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1.问: 请介绍一下国家医疗保障局制定《关于建立医药价格和招采信用评价制度的指导意见》的目的和意义?

答: 党中央、国务院高度重视治理药品和医用耗材价格虚高,要求加强政策和管理协同,保障群众获得优质实惠的医药bbin官方,减轻群众就医负担、增进民生福祉。而医药领域给予回扣、垄断涨价等突出问题长期存在,是价格虚高的重要原因,并导致医药费用过快增长、医保基金大量流失、群众不堪重负,诱导过度医疗、损害群众健康权益,扭曲营商环境和行业生态、削弱行业创新动力。以药品回扣问题为例,根据公开可查的法院判决文书统计,2016年-2019年间全国百强制药企业中有超过半数被查实存在给予或间接给予回扣的行为,其中频率最高的企业三年涉案20多起,单起案件回扣金额超过2000万元。医药上市公司平均销售费用率超过30%。

bbin官方JIANLIXINYONGPINGJIAZHIDUMUDESHIFAHUIYIYAOCHANPINJIZHONGCAIGOUSHICHANGDEYINDAOHEGUIFANZUOYONG,DUIJIYUHUIKOU、LONGDUANZHANGJIADENGWENTITUCHUDESHIXINYIYAOQIYECAIQUSHIDANGCUOSHI,CUJINYIYAOQIYEANZHAO“GONGPING、HELIHECHENGSHIXINYONG、ZHIJIAXIANGFU”DEYUANZEZHIDINGJIAGE,CUJINYIYAOCHANPINJIAGEHELIHUIGUI,WEIHURENMINQUNZHONGDEQIESHENLIYI。

2.问: 请介绍一下医药价格和招采信用评价制度有哪些主要内容?

答: 信用评价制度具体包括6方面内容:

bbin官方YISHIJIANLIXINYONGPINGJIAMULUQINGDAN。GUOJIAYILIAOBAOZHANGJUZHIDINGXINYONGPINGJIAMULUQINGDAN,JIANGYIYAOSHANGYEHUILU、SHESHUIWEIFA、SHISHILONGDUANXINGWEI、BUZHENGDANGJIAGEXINGWEI、RAOLUANJIZHONGCAIGOUZHIXU、EYIWEIFANHETONGYUEDINGDENGYOUBEICHENGSHIXINYONGDEXINGWEINARUYIYAOJIAGEHEZHAOCAIXINYONGPINGJIAFANWEI。

ERSHIJIANLIYIYAOQIYEZHUDONGCHENGNUOJIZHI。YIYAOQIYECANJIAHUOWEITUOCANJIAYAOPINHEYIYONGHAOCAIJIZHONGCAIGOU、PINGTAIGUAWANGDENG,XIANGSHENGJIJIZHONGCAIGOUJIGOUTIJIAOSHUMIANCHENGNUO,CHENGNUOSHIXIANGBAOKUODUJUESHIXINXINGWEI、CHENGDANSHIXINZEREN、JIESHOUCHUZHICUOSHIDENG。

bbin官方SANSHIJIANLISHIXINXINXIBAOGAOJILUJIZHI。CAIQUQIYEBAOGAOYUPINGTAIJILUXIANGJIEHEDEFANGSHI,YIYAOQIYEYINGZHUDONGJISHIXIANGSHIXINXINGWEIFASHENGDIDESHENGJIJIZHONGCAIGOUJIGOUBAOGAOSHIXINXINXI。SHENGJIJIZHONGCAIGOUJIGOUDINGQISHULIHUIZONG、CAIJIXIAOYANYIYAOQIYESHIXINXINXI。HOUXUGUOJIAYILIAOBAOZHANGJUJIANGJIJITUIDONGYUXIANGGUANBUMENJIANLIANYUANXINXIDEGONGXIANGbbinGUANFANGJIZHI,BUDUANTIGAOXINXIHUOQUDEJISHIXING、ZHUNQUEXINGHEWANBEIXING。

bbin官方SISHIJIANLIYIYAOQIYEXINYONGPINGJIJIZHI。SHENGJIJIZHONGCAIGOUJIGOUYIJUFAYUANPANJUEHUOXINGZHENGCHUFAJUEDINGRENDINGSHISHIKAIZHANXINYONGPINGJI,GENJUSHIXINXINGWEIXINGZHI、QINGJIE、SHIXIAO、YINGXIANGQUEDINGYIYAOQIYEZAIBENDIZHAOBIAOCAIGOUSHICHANGDEXINYONGDENGJI,DONGTAIGENGXIN。

bbin官方WUSHIJIANLISHIXINXINGWEIFENJICHUZHIJIZHI。SHENGJIJIZHONGCAIGOUJIGOUGENJUYIYAOQIYEXINYONGPINGJI,FENBIECAIQUSHUMIANTIXINGGAOJIE、YITUOJIZHONGCAIGOUPINGTAIXIANGCAIGOUFANGTISHIFENGXIANXINXI、XIANZHIHUOZHONGZHIXIANGGUANYAOPINHUOYIYONGHAOCAITOUBIAOGUAWANG、XIANGSHEHUIGONGKAIPILUSHIXINXINXIDENGCHUZHICUOSHI。QINGJIETEBIEYANZHONGSHI,SHIXINQIYEJIANGMIANLINSANGSHIJIZHONGCAIGOUSHICHANGDEFENGXIAN。

bbin官方LIUSHIJIANLIYIYAOQIYEXINYONGXIUFUJIZHI。SHIXINXINGWEICHAOGUOYIDINGSHIXIANHUOYIFACHEXIAODE,BUZAIJIRUXINYONGPINGJIAFANWEI。JIYUYIYAOQIYESHENSUHEZHENGGAIQI,GULIQIYECAIQUTICHUJIAGEZHONGDEXUGAOKONGJIAN、TUIHUIHUOGONGYIXINGJUANZENGBUHELISHOUYIDENGQIESHICUOSHIZHUDONGXIUFUXINYONG。

3、问: 国家医疗保障局部署建立的医药价格和招采信用评价制度有哪些创新和亮点?

答: bbin官方信用评价制度最主要的创新包括三个方面。

SHOUXIANSHIZHIDUYIMAIMAIHETONGGUANXIWEIJICHU。ZHEIXIANGZHIDUBUTONGYUCHUANTONGSHANGJIYUXINGZHENGGUANLIGUANXIDEXINYONGJIANGUAN,ZHUYAOSHIZAIJIZHONGCAIGOUDESHICHANGFANWEINEI,YIMAIMAIHETONGGUANXIWEIJICHUYUNXING。CAIQUDEZUOFASHIYIJIZHONGCAIGOUPINGTAIWEIYITUO、YISHOUXINCHENGNUOWEINIUDAILIANJIEMAIMAISHUANGFANG,YINDAOHUOYAOQIUYILIAOJIGOUXIANGCHENGXINQIYECAIGOUYIYAOCHANPIN,JIANSHAOHUOZHONGZHIXIANGSHIXINQIYECAIGOUYIYAOCHANPIN。YILIAOBAOZHANGBUMENBINGBUDUIQIYECAIQUXINGZHENGXINGDEYUESHUCUOSHI,QIYEYUANYIZHIZAIJIZHONGCAIGOUSHICHANGZHIWAIJINGYINGYIYAOCHANPINDE,YEBUZAIXINYONGPINGJIAZHIDUDESHIYONGFANWEI,XINYONGPINGJIJIEGUOYEBUYANSHENYINGYONGDAOGONGGONGGUANLILINGYU。

QICISHIPINGJIAJICHUYIKAOBUMENXIETONG。YILIAOBAOZHANGBUMENZHIDAOSHENGJIJIZHONGCAIGOUJIGOUJIANLIZHIDU,SHENGJIJIZHONGCAIGOUJIGOUWEIZHIDUYUNXINGDAJIANPINGTAI。DANWULUNSHIYILIAOBAOZHANGBUMEN,HAISHISHENGJIJIZHONGCAIGOUJIGOU,ZISHENBINGBUDUIYIYAOHUIKOUDENGWEIFAWEIGUIXINGWEIJINXINGDIAOCHA、DINGXINGHECHACHU,ZHUYAOYITUOFAYUANPANJUEYIJIBUMENXINGZHENGCHUFASUOQUEDINGDESHIXINSHISHI。DANGRAN,RUGUOPANJUESUOQUEDINGDESHIXINSHISHIBIANGENGHUOZHECHEXIAO,SHENGJIJIZHONGCAIGOUJIGOUTONGYANGHUIJISHIDIAOZHENGXINYONGPINGJIJIEGUO。CIWAI,WEIJISHIZHUNQUEWANZHENGDIHUOQUANYUANXINXI,GUOJIAYILIAOBAOZHANGJUJIANGJIJITUIDONGBUMENZHENGTIHEZUO,TANSUOYUFAYUAN、SHUIWU、SHICHANGJIANGUANDENGGEBUMENJIANLIbbinGUANFANGHEZHENGCELIANDONGJIZHI。

ZAICISHIZHILIMUBIAOQIANGDIAOYUFANGYINDAO。JIANLIXINYONGPINGJIAZHIDU,ZHONGDIANZAIYUSHIQIANHUADINGJIAGEHEYINGXIAOHONGXIAN、MINGSHISHIXINFENGXIAN,YINDAOYIYAOQIYEZHUDONGJIAQIANGHEGUIbbinGUANFANG,CHENGXINSHOUFAJINGYING。ERQIE,ANZHAO《ZHIDAOYIJIAN》YAOQIU,GESHENGJIJIZHONGCAIGOUJIGOUBUDUI《ZHIDAOYIJIAN》SHENGXIAOQIANYIJINGPANJUECHULIDESHIXINXINGWEIJINXINGZHUISU,DUIYUCHAOGUOYIDINGSHIXIANDESHIXINXINGWEIYEBUHUIFANFUBEINARUPINGJIHECHUZHI,MUDEYESHIJINGSHIXIANGGUANYIYAOQIYEJIAKUAIZHUANXING,YUJIYUHUIKOUDENGBUZHENGDANGDEJIAGEHEYINGXIAOXINGWEICHEDIQIEGE,YINDAOSHICHANGJINGZHENGZHONGXINHUIGUIYIZHILIANGLIAOXIAOHECHENGBENKONGZHIWEIZHONGXINDEZHENGCHANGGUIDAO。

4.问: 国家医疗保障局印发《指导意见》的同时,还公布了信用评价的目录清单,确定了纳入评价范围的具体事项,能否介绍一下有哪些具体考虑?

答: bbin官方首先是维护人民群众切身利益。目前纳入评价范围的具体事项,包括医药商业贿赂、涉税违法、实施垄断行为、不正当价格行为、扰乱集中采购秩序、恶意违反合同约定等7类有悖诚实定价、诚信经营的行为。有的直接造成药品和医用耗材价格虚高、费用过快增长、群众不合理负担增加;有的通过制造或导致医药产品供应紧张影响价格,同时还影响患者健康权益。

bbin官方QICISHIWANSHANCHUANGXINZHILIZHIDUHEFANGSHI。MUQIAN,ANZHAO《JIAGEFA》GUIDING,JINGYINGZHEDINGJIAYINGDANGZUNXUNGONGPING、HEFAHECHENGSHIXINYONGDEYUANZE,ZAISHICHANGJINGZHENGZHONGHUOQUHEFALIRUN。《YAOPINGUANLIFA》YEGUIDING,GEDINGJIAZHUTIYINGDANGANZHAOGONGPING、HELIHECHENGSHIXINYONG、ZHIJIAXIANGFUDEYUANZEZHIDINGJIAGE,WEIYONGYAOZHETIGONGJIAGEHELIDEYAOPIN,JINZHIBAOLI、JIAGELONGDUANHEJIAGEQIZHADENGXINGWEI。TONGSHI,JUEDABUFENYAOPINHEQUANBUYIYONGHAOCAIDEJIAGESHIXINGSHICHANGDIAOJIE,YOUJINGYINGZHEZIZHUQUEDING。XUYAOWANSHANZHILIZHIDU,CHUANGXINFANGSHI,SHIYIYAOQIYEJINENGZHENGDANGXINGSHIQUANLI,YEYAOLUOSHIFALVFAGUIDEGEXIANGYAOQIU。

ZAICISHIJIANCHIYIFALVFAGUIWEIYIJU。LIRUJINZHIJIYUYIYAOHUIKOUDENGBUZHENGDANGLIYISHI《YAOPINGUANLIFA》GUIDINGDE;JINZHISHISHILONGDUANXIEYIHELANYONGSHICHANGZHIPEIDIWEISHI《FANLONGDUANFA》GUIDINGDE;JINZHINIEZAO、SANBUZHANGJIAXINXI,HONGTAIJIAGE,TUIDONGJIAGEGUOGAOSHANGZHANGDENGBUZHENGDANGJIAGEXINGWEISHI《JIAGEFA》GUIDINGDE;JINZHIYIQIZHA、CHUANTONGTOUBIAO、LANYONGSHICHANGZHIPEIDIWEIDENGFANGSHIJINGBIAOSHI《JIBENYILIAOWEISHENGJIANKANGCUJINFA》GUIDINGDE。DANGRAN,XINYONGPINGJIADEMULUQINGDANBUSHIYICHENGBUBIANDE,GUOJIAYILIAOBAOZHANGJUJIANGGENJUFALVFAGUIHEDIFANGSHIJIAN,DONGTAIDIAOZHENGGENGXIN。

5.问: 信用评价制度多处涉及药品和医用耗材不正当价格行为、剔除虚高的价格空间等内容,是否国家医疗保障局要以行政手段强制治理医药价格虚高?

答: bbin官方有的医药企业担心信用评价、失信约束,是不是药品和耗材领域不再坚持市场机制起主导作用的改革方向,是不是要用行政的方式限制企业自主经营、自主定价的权力。这些都是对信用评价制度的误读。

SHOUXIAN,ZHIYAOYIYAOSHENGCHANJINGYINGLIANTIAOZHONGRENYIZHUTISHISHISHANGYEHUILUDENGXINGWEIBEICHASHI,BAOLUCHUYIYAOCHANPINCUNZAIJIAGEXUGAOWENTI,JIUBAOLUCHUYIYAOQIYEDINGJIAXINGWEIWEIFASHIXINDEBENZHI。

QICI,XINYONGPINGJIAZHIDUSHIJIYUMAIMAIHETONGGUANXI、JIYUQUANZEDUIDENG、JIYUYIYAOQIYEJINRUHETUICHUJIZHONGCAIGOUSHICHANGDEZIYOU。YI“TICHUJIAGEDEXUGAOKONGJIAN”WEILI,ZHEISHISHIXINQIYEXIUFUXINYONGDEYIZHONGFANGSHI,KEYIXUANZE,YEKEYIBUXUANZE,ERBUSHIYILIAOBAOZHANGBUMENDUISHIXINQIYECAIQUDEXINGZHENGQIANGZHICUOSHI。

ZAICI,JIYUHUIKOUDENGWEIFAWEIGUIXINGWEIYUSHICHANGJINGJISHIBUNENGHUADENGHAODE。SHICHANGJIZHIFAHUIZUOYONGBINGBUDENGYUMEIYOUJIANDUYUESHU,FANERSHIYOUHONGXIAN、YOUDIXIAN。JIUXIANGYOUJIAOTONGGUIZECAINENGGENGHAODIBAOZHANGXINGCHEZIYOU,YINGZAOQIGONGPINGGUIFAN、FENGQINGQIZHENGDELIUTONGZHIXUHEJIAOYIHUANJING,CAIHUIYOUSHICHANGJIZHIFAHUIZUOYONGDEKONGJIAN。DUICI,GUANGDACHENGXINJINGYINGDEYIYAOQIYESHIYOUGONGSHIHEGONGMINGDE。

6.问: 《指导意见》主要是对制度框架和失信事项提出要求,那么国家医疗保障局将如何确保各地在实施过程中规范开展、合理把握尺度?

答: 为了提升信用评价标准化规范化程度,加强区域间信用评价工作的协调性和均衡性,促进各地统一信用评价的尺度,公平有序地开展信用评价工作,国家医疗保障局医药价格和招标采购指导中心同步研究制定了与《指导意见》相配套的操作细则。

DIYIXIANGSHI《YIYAOJIAGEHEZHAOCAIXINYONGPINGJIADECAOZUOGUIFAN》,ZHUYAOSHIZHENDUIPINGJIAGUOCHENGZHONGSHEJIDEXIANGGUANGAINIANJIYUTONGYIDEJIESHISHUOMING,FENBIEWEIRAOMULUQINGDAN、QIYECHENGNUO、XINXIJILU、XINYONGPINGJI、FENJICHUZHI、XINYONGXIUFUDENGGEXIANGJIZHI,MINGQUELECAOZUODEZHUTIKETI、FANGFABUZHOU、SHIJIANYAOQIU、ZHUYISHIXIANGDENG,BINGQIEJIUYIXIELIJIESHANGRONGYICHUXIANFENQIDESHIXIANG,CAIQUJULIDEFANGSHIJINXINGSHUOMING。

DIERXIANGSHI《YIYAOJIAGEHEZHAOCAIXINYONGPINGJIADECAILIANGJIZHUN》,DUIYURUHEJIANGYIYAOQIYEJUTIDESHIXINSHISHIZHUANHUAWEIDUIYINGDEXINYONGPINGJIJIEGUODEWENTI,ANZHAO“BILIYUANZE”JIANLILIANGHUADEGUIZETIXI,SHISHIXINCHENGDUHEZERENDAXIAOJIBENDUIDENG,SHIQUYUZHIJIANDECAILIANGCHIDUGONGPINGTONGYI。TONGSHI,HAIHUIMINGQUEYIYAOQIYEKEYIXIUFUXINYONGDECUOSHIHEDUIYINGDEXIUFUXIAOGUO。

JINQI,CAOZUOGUIFANHECAILIANGJIZHUNLIANGGEWENJIANYIJINGGONGKAIZHENGQIULESHEHUIYIJIAN。CONGGEFANGFANKUIQINGKUANGKAN,SHIGAODURENTONGDE。ZHIDAOZHONGXINHUIJINKUAIXIUGAIWANSHAN,JISHIYINFAGESHENGJIJIZHONGCAIGOUJIGOUCANKAO,ERQIEJIANGLAIYEHUIGENJUSHIJIANQINGKUANGBUDUANXIUGAIWANSHAN、DIEDAIGENGXIN。

7.问: 医药领域给予回扣等问题存在很长时间,国家持续给予严厉打击。对于上述问题,国家医疗保障局还会采取哪些措施?

答: bbin官方根治医药回扣问题,首先必须坚持系统治理、依法治理、综合治理、源头治理,多部门联动、综合施策,构建使医药企业“不敢、不能、不想”给予回扣的治理体系。

GUOJIAYILIAOBAOZHANGJUJIANGZAIJIUZHENGYIYAOGOUXIAOLINGYUBUZHENGZHIFENGDEXINGDONGZHONG,CHONGFENFAHUIYIYAOJIAGE、ZHAOBIAOCAIGOUDENGGEXIANGZHINENG,ZHUDONGZUOWEI,JIJITUIDONGYIYAOHUIKOUYOUXIAOZHILI。JIANLIYIYAOJIAGEHEZHAOCAIXINYONGPINGJIAZHIDUSHIZHONGYAOJUCUOZHIYI,KEYIYIDINGCHENGDUSHANGJIEJUECHUANTONGZHILITIXIXIA,ZERENGUIJINAN、CHUZHINANDEWENTI。ERQIEYIYAOQIYEDUIYUHUIKOUGEANDEFAKUANWANGWANGBUMINGAN,DANJIYUHUIKOUHUIDAOZHISANGSHIJINRUJIZHONGCAIGOUSHICHANGDEJIHUI,JIUHUICHANSHENGQIANGDADEZHENSHEXIAOGUO,CONGERXINGCHENGJUYIFANSANDEXITONGZHILIXIAOGUO。

CIWAI,GUOJIAYILIAOBAOZHANGJUHAIJIANGCONGGAIGECENGMIANCHIXUFALI,YISHIYIQUANMIANSHIXINGJIZHONGDAILIANGCAIGOUWEIMUBIAOSHENHUAYAOPINHAOCAIJIZHONGCAIGOUZHIDUGAIGE,GONGGUHEWANSHANCAIGOUGUIZEHEZHENGCETIXI,SHIXIANCHANGTAIHUAYUNXING。ERSHIWANSHANYIBAOJIJINZONGEYUSUANGUANLIHELIANGHUAKAOHE,TUIXINGANBINGZHONG、ANJIBINGZHENDUANXIANGGUANFENZUFUFEIDENGDUOYUANFUHEDEYIBAOZHIFUFANGSHI,CUJINGONGLIYIYUANQIANGHUACHENGBENYISHI,PEIHEJIANGDIYAOPINHAOCAICAIGOUJIAGE。SANSHIWENTUOYOUXUTUIJINYILIAObbinGUANFANGJIAGEGAIGE,TONGGUODIAOKONGYILIAObbinGUANFANGJIAGEZONGSHUIPING、LISHUNBIJIAGUANXI,SHIGONGLIYIYUANGENGDUOTONGGUOYIWUXINGSHOURUHUODEHELIBUCHANG,JIANGDIDUIYAOPINHAOCAICAIGOUSHIYONGZHONG“HUISE”LIYIDEYILAI。

链接: 国家医疗保障局关于建立医药价格和招采信用评价制度的指导意见

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