Medical insurance negotiations have always been the focus of social attention. Recently, some netizens broke the news that the current medical insurance negotiation process is seriously "process-oriented", and drug pricing lacks openness and transparency, and it is suspected that it is only "showing the poor". This statement quickly caused a strong response on the Internet, and many netizens questioned the credibility of the current medical insurance negotiations, calling on relevant departments to improve the mechanism and effectively protect the rights and interests of the people.
First, medical insurance negotiation problems are frequent
The original intention of the establishment of the medical insurance negotiation system is good, through the negotiation and pricing between the government and pharmaceutical companies, more and cheaper drugs will be included in the medical insurance list, so as to reduce the medical burden of patients. However, due to the many opaque links in the current medical insurance negotiations, the drug pricing mechanism is inevitably questioned by the outside world.
The specific problems are mainly focused on the single subject of negotiation and the unclear evaluation criteria. Most of the review experts are appointed by the government medical security department, and there is a lack of supervision by a third-party review agency; The evaluation criteria and detailed process of drug pricing are also not publicly disclosed, and it is difficult to make follow-up evaluation and adjustment. These problems make the so-called "expert review" in medical insurance negotiations a mere formality and cannot play its due supervisory role.
Second, netizens collectively burst out with doubts
The above problems lead to a deviation between the drug-efficacy ratio reflected in the pricing of medical insurance and the actual situation. For this reason, many netizens collectively complained about "acting for the poor" and questioned the serious lack of medical insurance negotiations. Netizens bluntly said: "The current medical insurance negotiation is just a formality, in fact, the agreement has already been agreed in private, and the so-called expert review is purely for people to see." ”
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