What is meant by health insurance negotiation

Medicare negotiation refers to the negotiation between the experts of the National Health Insurance Bureau and the drug companies to negotiate the drug prices, so as to make the drug prices lower and reduce the economic pressure on the patients. In the negotiation process, "price for quantity" is the general policy of health insurance price negotiation, i.e., to promote the substantial reduction of drug prices through volume purchasing. The so-called volume procurement is the centralized purchasing negotiation commitment to purchase quantity, which facilitates the pharmaceutical enterprises to arrange production to reduce the cost of production and circulation, thereby reducing the price of drugs, thus both reducing the price of medicines and share the market risk of pharmaceutical enterprises, can be realized "**** win". In short, as long as the production capacity is sufficient and is not sold at a loss, the increase in sales can fully cover the diluted profits, price negotiation is therefore also widely accepted by the pharmaceutical companies.

I, health insurance

1, health insurance refers to social health insurance. Social health insurance is the state and society in accordance with certain laws and regulations, in order to provide protection to the workers within the scope of the basic medical needs of the workers in the event of illness and the establishment of the social insurance system.

2. The basic medical insurance fund consists of a centralized fund and individual accounts. The basic medical insurance premiums paid by individual workers are all credited to individual accounts; the basic medical insurance premiums paid by employers are divided into two parts, one of which is credited to individual accounts and the other is used to set up a general fund.

3. Individual account of medical insurance is a special account set up according to the basic medical insurance policy, which is specially used for storing the medical insurance premiums paid by the insured person and a certain proportion of the funds transferred from the employer's contribution, and recording the medical consumption. The funds in the individual account are used to pay for the out-of-pocket portion of the costs of medical treatment and the purchase of medicines.

Second, the process of reimbursement of medical insurance

1, prepare hospitalization information.

This is when you are ready to be discharged from the hospital, the day of discharge your attending physician will prepare some for you.

Prepare discharge records, medical records, disease diagnosis. These are the ones that you tell your doctor will be prepared for you, and after they are given to you, you can immediately take them and make two copies. Because the latter is required to submit this to the medical insurance reimbursement side. You make two copies in case you need them later. At the same time, these information must be stamped! Usually the doctor will get it, if not, remember to talk to the doctor.

2, discharge checkout. (Invoice, hospitalization list printing!)

Don't lose the invoice, the medical insurance office receives the original!

Hospitalization list: is a list of hospitalization list of daily expenses incurred list details. I was taking the invoice to the window to print it after checking out, there is a special window. Print out you don't have to make another copy yourself, keep it for yourself without much use, you only need to hand in a copy to the medical insurance office.

3, back to the local, with good information to the health insurance reimbursement department to reimbursement.

Bring the discharge information (discharge record, medical record, disease diagnosis, invoice, list), the patient's ID card, the patient's local bank card (if you use another family member's bank card, you need the family member's ID card and local bank card). Both ID card and bank card need to be photocopied. You can prepare them in advance or make copies when you get there, there is a copying place right next to it for a fee.

4. After the information is handed over, a simple confirmation of the basic information will give you a receipt. The reimbursement will be made within fifteen working days.