Comparison of Special Drug Negotiation Mechanism under Medical Insurance in 3 Provinces

doi:10.7664/CHE20170310

Abstract：Objective:To learn about the basic situation of special drug negotiation mechanisms under medical insurance in Qingdao,Jiangsu and Zhejiang.Methods:To compare the differences by consulting the relative policies of medical insurance special drugs from the aspects of negotiation mechanism,medical care object,medical coverage,financing mechanism and reimbursement level.Results:The financial source of Qingdao was financial allocation.The negotiation range covered drugs and medical materials of critical diseases,rare diseases and chronic diseases.There was no additional financing mechanism in Jiangsu.The drug negotiation mechanism was specific to breast carcinoma and chronic myelogenous leukemia.In addition,generic drug was introduced in the negotiation range.In Zhejiang,the risk sharing mechanism of fiscal subsidies and individual contribution was set.The clinical medication indication was unlimited,and reimbursements were given by sectional expenses compensation.Conclusion:In order to implement the system.it needed to courage the medical company to donate drugs during negotiation,broaden rare disease coverage and add more medical materials into negotiation range so as to increase the efficiency of drug negotiation.Moreover,the dynamic adjustment mechanism of medical insurance special drug formulary should be built.