Are there any drug hospitals in the medical insurance catalogue?
Do we know that the country is now carrying out medical reform? Centralized drug procurement? This is also to reduce the drug burden of consumers.
In the medical insurance catalogue, some countries negotiate drugs. The so-called national negotiation of drugs means that the staff of the National Medical Insurance Bureau negotiate with pharmaceutical companies to conduct centralized procurement and reduce prices. When a drug goes on the market, the hospital will first ensure that these countries negotiate drugs, then introduce class A drugs, and finally class B drugs.
And some class B drugs, there is no clear stipulation that hospitals must be equipped with this medicine. When there is no such medicine in the hospital, then patients naturally cannot reimburse.
Pharmacies are funded by hospitals and need to make a profit.
The hospital in the case is the investor of the pharmacy downstairs, and the drugs purchased by the patients at their own expense are not in the pharmacy of the hospital, but in the pharmacy they invest in. This situation directly proves that the hospital introduced this drug, which allows patients to reimburse and does not generate profits. After all, the hospital also wants to make money by investing in pharmacies, otherwise it is impossible to waste manpower, material resources and financial resources to open this pharmacy.
However, making money depends on different situations. The way to make money by scratching the ball and drilling loopholes will cause more and more patients' dissatisfaction!
How to accurately define the limitation of medical insurance indications
Drugs in medical insurance are not reimbursed by doctors when they prescribe drugs to patients, and some have indications.
For example, the patient's father in the case needs to use albumin drugs, and many of these drugs are highly adaptable. For example, the scope of application of albumin requires that human serum albumin be less than 30g/L to be reimbursed. This range is usually difficult to define. For example, patients with albumin content higher than 30g/L need this medicine, which is obviously not reimbursable.
Although the patient in this case said that his father's albumin content was below 30g/L, he was also asked by the doctor to buy the medicine at his own expense, mainly because there was no such medicine in the hospital catalogue.
Medical reform still has a long way to go, and all parties still need to work hard.
Medical reform is a major reform involving all aspects and cannot be achieved overnight.
The patient in this case is mainly because the hospital has not introduced albumin drugs. However, as a hospital, it also needs a little profit to survive. It costs money to feed so many medical staff and introduce all kinds of equipment. These expenses must also be solved by the hospital itself.
However, we also see that the country is trying to carry out medical reform. I believe that in the near future, more and more drugs will make patients feel affordable!