Preamble:
With the continuous development of society, people's demand for medical security is getting higher and higher, and medical insurance policy has always been one of the focuses of attention. Recently, a corruption case involving the field of medical insurance has once again aroused heated discussions in the society, this time in the case, it was involved in the field of centralized procurement of medical insurance, the party to the case turned out to be a major leader of a local government, he was accused of taking advantage of his position, there are corruption problems, and these problems occur in the process of centralized procurement of medical insurance.
Once such a case is exposed, it immediately arouses great attention from all walks of life, and also makes people have great doubts about the centralized procurement mechanism of medical insurance, because there is a very large space for operation in such a mechanism, once there are some criminals, it will provide them with opportunities, which will lead to the loss of medical insurance funds, and will also bring great hidden dangers to the safety of patients.
The emergence of the centralized procurement mechanism of medical insurance is intended to reduce drug prices, optimize the medical insurance catalogue and improve the level of medical security through centralized procurement, but in actual operation, there are frequently some problems, especially some local governments and medical insurance centers, there are convenient conditions for using centralized medical insurance procurement to seek private interests, resulting in the waste of medical insurance funds.
Such a case also allows people to see some weak links in the centralized procurement mechanism of medical insurance, such as in the procurement process, there is a serious problem of excessive prices, and the procurement results are also lack of publicity, and the blind spot of supervision is relatively large, which provides an opportunity for some criminals;
In view of these problems in the current centralized procurement mechanism of medical insurance, how should we carry out reforms, so as to better play the role of centralized medical insurance procurement, ensure the safety of medical insurance funds, and allow patients to enjoy more benefits?
1. Problems in centralized procurement of medical insurance
1. The original intention of the centralized procurement mechanism for medical insurance
The emergence of the centralized procurement mechanism of medical insurance is to reduce the purchase price of drugs through centralized procurement, so as to save drug costs for more patients, improve the efficiency of the use of medical insurance funds, and also promote the research and development and production of drugs, and make positive contributions to the development of medical and health undertakings.
2. Problems in the centralized procurement of medical insurance
However, in the current centralized procurement mechanism of medical insurance, there are frequently some problems, such as a corruption case exposed some time ago, the parties to the case are using the convenience of centralized medical insurance procurement to carry out various corrupt behaviors, from which to obtain illegal benefits, resulting in a large number of medical insurance funds being misappropriated, such a situation also makes people doubt the transparency of medical insurance centralized procurement, but also questioned the convenience of its operation.
For example, in the specific operation of centralized procurement of medical insurance, there is a serious problem of exceeding the standard, the centralized procurement price of some drugs is significantly higher than its market price, and this situation is repeatedly prohibited, which requires the relevant departments to conduct a comprehensive review of the results of centralized procurement of medical insurance, find out the existing problems, and carry out targeted reforms from the system and management.
In addition, in all aspects of the centralized procurement of medical insurance, there are some operating space, some criminals are often able to seize such an opportunity to carry out a variety of illegal and criminal acts, which brings great hidden dangers to the safety of medical insurance funds, and will also affect the safety of patients' medication, so in the later supervision work, it is also necessary to strengthen the comprehensive supervision of all aspects of medical insurance centralized procurement, find and solve problems in a timely manner, and ensure the safe and effective use of medical insurance funds.
Second, how to improve the centralized procurement mechanism of medical insurance
1. Introduce blockchain technology to ensure the transparency and data security of centralized medical insurance procurement
The biggest problem in the current centralized procurement mechanism of medical insurance is the lack of sufficient transparency, resulting in some criminals can exploit loopholes in it, so in the future work, we can consider introducing blockchain technology to record all aspects of the centralized procurement of medical insurance, ensure the security and traceability of its data, and also realize the openness and fairness of procurement results to prevent corruption.
2. Establish a social credit evaluation system for centralized medical insurance procurement
In addition, in the medical insurance centralized procurement of enterprise access links, there are also some loopholes, some enterprises that do not meet the qualification requirements can also participate in it, and the bid is successful, which requires the establishment of a complete set of social credit evaluation system, to participate in the centralized procurement of enterprises for a comprehensive credit rating, only through the rating of enterprises, can participate in the centralized procurement of medical insurance, which can effectively improve the integrity of enterprises, reduce the occurrence of non-standard behavior.
3. Promote the combination of centralized procurement of medical insurance and drug price negotiation mechanism
In addition, we can also reduce the purchase price of drugs and reduce the drug burden of patients by promoting the combination of centralized procurement of medical insurance and drug price negotiation mechanism, and at the same time strengthen the supervision of drug quality to ensure that the drugs used by patients are safe and effective, so as to truly realize the economical use of medical insurance funds and benefit patients more.
Epilogue:
The emergence of the centralized procurement mechanism of medical insurance has brought a great impetus to the implementation of the mainland's medical insurance policy, and also for patients to enjoy more benefits and improve the level of medical security, but in actual operation, there are frequent various problems, which requires the joint efforts of relevant departments and all sectors of society to find out the existing problems and put forward targeted reform measures, so as to better play the role of centralized procurement of medical insurance, ensure the safe and effective use of medical insurance funds, and also benefit the majority of patients.