对于医保支付标准形成机制的展望.pdfVIP

观察思考 对于医保支付标准形成机制的展望 董朝晖 （人力资源和社会保障部社会保障研究所 北京 100029） 【摘要】本文在总结上世纪 90 年代以来药品价格政策变化和得失的基础上，对医保支付标准形成机制 进行展望，提出医保支付标准应与集中招标采购和加成管制政策的改革同步推进、应调动各主体参与市场 活动的积极性、对于缺乏竞争品的创新药可引入价值评估结果和谈判机制、政府和医保部门应主动收集和 披露药品价格信息、加强对医生处方的监管等建议。 【关键词】药品价格 ；政府定价；医保支付标准 【中图分类号】F840.684 C913.7【 文献标识码】 A 【 文章编号】1674-3830（2015）7-21-4 doi:10.369/j.issn.1674-3830.2015.7.6 Thinking on Forming Mechanism of Health Insurance Payment Standard　Dong Zhaohui (Social Security Institute of Ministry of Human Resources and Social Security, Beijing, 100029) 【Abstract】Based on summarizing the changes, gain and loss of drug price policy since 1990s, and looking forward on medical insurance payment standard system, certain suggestions have been put forward, that is, the standard of insurance payment should be simultaneously propelled with the reform of centralized bid procurement and bonus control policies, and, the enthusiasm of different subjects to participate in marketing activities should be mobilized. For the innovation drugs lacking of competition, doctors’ prescriptions should be intensively monitored based on the price evaluation results and negotiation mechanism, and by drug prices information collected and announced by governments and health insurance departments. 【Key words】drug price, the government pricing, health insurance payment standard 2015年5月，国家发改委等7部 中起决定性作用和更好发挥政府作 年我国药品价格政策发展的路径， 委发布《关于印发推进药品价格改 用”的改革方向。 分析了这些政策的