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20省份公布医保目录调整方案 36个品种纳入报销范围

2017-08-29 02:29:41   经济参考报

专家认为,新版药品目录体现了“补缺、选优、支持创新、鼓励竞争”的政策思路,对工伤保险用药、儿童药、创新药、重大疾病治疗用药和民族药给予重点考虑和支持。新版药品目录明显扩大了基本医疗保险用药保障范围,提高了用药保障水平,有利于减轻广大参保人员目录外药品费用负担,有利于支持临床用药技术进步,也有利于促进我国医药产业创新发展。

接受《经济参考报》记者采访的专家表示,对医药企业而言,新版医保目录的调整无疑是一项重大政策动向。一些药企旗下的产品得以进入医保目录,在一定程度上为药企带来利好。不过,近年来医保目录的扩容量巨大,但医保基金有限,目录不可能无限扩容,大量需要增补的药品与有限的调整名额之间的矛盾,是目前各地开展目录调整工作的最大难处。

此外,医保目录动态调整下一步将成为现实。2017年版医保目录公布之前的三个目录版本分别于2000年、2004年和2009年调整发布。此次调整历时8年,周期较长。对此,人社部相关负责人表示,下一步,一方面将抓紧开展谈判药品准入,指导各省(区、市)人社部门进行乙类药品调整;另一方面将着手研究完善医保用药管理办法,建立常态化、动态化的医保用药准入机制,做好目录准入、支付标准、使用管理等环节的有机衔接,逐步实现医保用药的全流程管理,使保障范围与临床用药实际、医药技术进步相适应,在为广大参保人员提供更好保障的同时,进一步发挥医疗保险支持创新、促进发展的作用。

责任编辑:穆启春 CN063
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