Beijing News Recently, the National Health Commission and other departments issued a notice on printing and distributing the key points of work to correct unhealthy practices in the field of medicine purchase and sale and medical services in 2024. The full text is as follows:
Notice on Printing and Distributing the Key Points of Correcting the Ill Practices in the Field of Medicine Purchase and Sales and Medical Services in 2024
Health committees, education departments (education commissions), competent departments of industry and information technology, public security departments (bureaus), finance departments (bureaus), competent commercial departments, audit departments (bureaus), SASAC, market supervision departments (bureaus, committees), medical insurance bureaus, Chinese medicine bureaus, competent disease control departments, drug regulatory bureaus, and various provinces, autonomous regions The tax bureaus of municipalities directly under the Central Government and cities specifically designated in the state plan, the Health Commission, the Education Bureau, the Industry and Information Bureau, the Public Security Bureau, the Finance Bureau, the Commerce Bureau, the Audit Bureau, the State owned Assets Supervision and Administration Commission, the Market Supervision Bureau, the Medical Insurance Bureau, and the disease control authorities of the Xinjiang Production and Construction Corps:
The Key Points for Correcting Unhealthy Practices in the Field of Medicine Purchase and Sales and Medical Services in 2024 are hereby printed and distributed to you. Please carefully implement it in light of the actual situation.
Ministry of Education, National Health Commission
Ministry of Industry and Information Technology Ministry of Public Security
Ministry of Finance and Ministry of Commerce
CNAO State owned Assets Supervision and Administration Commission of the State Council
State Administration of Taxation Market Supervision
State Medical Insurance Bureau State Administration of Traditional Chinese Medicine
State Administration for Disease Control, State Food and Drug Administration
May 17, 2024
(Form of information disclosure: active disclosure)
Key points of correcting unhealthy practices in the field of medicine purchase and sale and medical service in 2024
In 2024, the general requirements for correcting unhealthy practices in the field of medicine purchase and marketing and medical services are: to take Xi Jinping's thought of socialism with Chinese characteristics for a new era as the guide, comprehensively implement the spirit of the 20th National Congress of the Communist Party of China, thoroughly implement the spirit of the Third Plenary Session of the 20th Central Commission for Discipline Inspection and the Second Conference of the State Council on Clean Government Work, carry out overall planning At the same time, we will promote the centralized rectification of corruption in the pharmaceutical industry nationwide, the unhealthy tendencies around the people and corruption issues, deepen the coordinated promotion of the system construction in the pharmaceutical purchase and marketing field, promote the legal operation, law-abiding operation, public welfare operation and service to the people of all kinds of institutions and personnel in the pharmaceutical industry, and provide guarantee for the high-quality development of health care.
1、 Continuously standardize the order of pharmaceutical production and circulation
（1） Implement the main responsibility and operate in good faith and law-abiding. We will promote the implementation of the high-quality development action plan for the pharmaceutical industry, and implement incentive policies in terms of fiscal and tax incentives and achievements transformation. We will improve the market led drug price formation mechanism, strengthen the supervision, inspection and law enforcement of drug price behavior, carry out special audit investigations on public hospitals and the production, distribution and use of drugs and medical devices, carry out special cost price investigations, and focus on illegal acts that drive up drug prices, disrupt the order of drug circulation, and illegal acts of commercial bribery in the pharmaceutical field, Urge the production and supply enterprises to implement the main responsibility of compliance operation.
（2） Accelerate the purchase with quantity and purify the circulation order. We will promote the construction of a modern drug distribution system and reduce distribution costs. Standardize and institutionalize the centralized procurement of drugs and high-value medical consumables in quantity, and gradually expand the coverage of varieties. Improve the management level of medical institutions in the use of selected drugs and medical consumables, strengthen monitoring and analysis of medical personnel's prescription behavior, and guide the priority use of selected products. Promote the implementation of centralized purchase of drug consumables and the retention of medical insurance surplus funds. Further improve the medical equipment procurement policy of medical institutions at all levels. Organize the bidding procurement of vaccines and traditional Chinese medicine formula granules according to laws and regulations. We will crack down on the illegal and illegal behaviors of evading industry supervision, such as money laundering through ticket passing and price increase of medical devices, manipulating state-owned enterprises through mixed reform to drive up prices and erode state-owned rights and interests.
（3） Focus on key links and increase handling efforts. We will strengthen the control of commercial bribery in the field of medicine purchase and sale, focus on the risks in the medicine field with concentrated power, funds and resources, such as project bidding, catalog preparation, price determination, project application, new drug declaration, payment collection and settlement, and focus on the illegal use of funds for illegal acts in the form of false invoices, false transactions, and false activities, so as to maintain a high pressure situation. Strictly investigate the illegal behaviors in bundling sales and "sales with money" in the form of various conferences, donations, scientific research cooperation, experimental promotion, etc.
（4） Consolidate the effectiveness of rectification and improve the long-term mechanism. Compact the responsibilities of the leading department and consolidate the effect of centralized renovation. Strengthen the compliance guidance for pharmaceutical production and operation enterprises to prevent commercial bribery in the pharmaceutical field, and urge the implementation of the main responsibility of compliant operation. Guide social organizations to earnestly fulfill their responsibilities to promote the development of the industry, strengthen their own management, and prevent them from becoming a platform for conveying illegal interests. Strengthen access standards and behavior guidance, constantly improve the management of medical representatives, and build a systematic supervision system for preventing commercial bribery in the field of medical device purchase and sale. We will further improve the "two ticket system" policy for drug procurement in public medical institutions, standardize the order of drug circulation, and strengthen supervision and crackdown.
2、 Concentrate on rectifying unhealthy practices and corruption around the masses
（5） Optimize internal management and standardize business service behavior. Implement the president responsibility system under the leadership of the party committee of public hospitals, compact the main responsibility of the internal management of medical institutions, refine and improve the organizational system of the hospital's professional conduct management, rationalize the collective decision-making mechanism for "three priorities and one major" issues, strengthen the decision-making analysis and supervision system, establish and improve the internal control system, and effectively prevent and control internal operational risks. We will improve and implement the core medical system, and ensure that patients receive reasonable examinations, medication, treatment, and fees. Focus on the issue of accepting rebates by taking academic lectures for remuneration, sending out for inspection, dispensing prescriptions, online drug prescribing, etc., and the issue of taking advantage of their positions to ask for and illegally accept property.
（6） Focus on "two keys" and implement management requirements. Focusing on the management of "key minority" and key personnel in medical institutions such as "famous hospitals" and "famous doctors", focusing on punishing themselves or instructing relatives and friends, taking advantage of business enterprises to "rely on doctors for medical treatment", receiving kickbacks from suppliers and other issues; Taking "platform lecturing" and "table meeting" as the starting point, adhere to the "integration of wind and corruption" governance, thoroughly rectify the behavior of accepting the disguised benefit transfer of pharmaceutical enterprises, and seriously deal with it in accordance with the Physicians Law of the People's Republic of China and other laws and regulations. Urge medical institutions to implement the main responsibility of hospital management, focus on management requirements, supplement the weak points of system measures in key areas such as administrative power, bidding and procurement finance, cooperation outside the hospital, standardized behavior, and risk prevention, and increase the inspection and accountability of problem clues.
（7） Improve the policy system and innovate the supervision mode. We will improve the medical supervision and management methods, improve the precision supervision capability of informatization big data, and develop the implementation path and measures of "institutional supervision, behavioral supervision, functional supervision, penetrating supervision, and continuous supervision" in the field of medical supervision. Carry out the intelligent and embedded supervision pilot based on the information on the home page of medical records, increase the sampling evaluation of high cost cases, and promote the construction of the credit system of the medical industry. Implement the main responsibility of the hospital and carry out the patrol work of large hospitals. We will build an evaluation system for the industry style of medical institutions, and formulate and promulgate the key points of the core system for the industry style management of public medical institutions.
3、 Resolutely Rectify the Disorder in the Industry
（8） Strengthen supervision and law enforcement and crack down on illegal acts. We will strengthen cross departmental joint law enforcement in medical supervision, and focus on tackling prominent problems. We will continue to crack down on the illegal practice of medicine by unqualified institutions and personnel. We will crack down on illegal drug recycling, "medical care", "scalpers" and other illegal behaviors. Focus on violations of laws and regulations in the fields of assisted reproduction, medical testing, physical examination, medical beauty, Internet medicine, etc., and firmly punish high-voltage lines.
（9） Standardize the live broadcast with goods and purify the network environment. We will strengthen the supervision of medical network live broadcast of goods, information content, and communication order. Focus on cracking down on illegal advertising of medical treatment, drugs, medical devices, etc. in disguised form, as well as spreading medical rumors and other illegal behaviors. Continue to compact the main responsibility of the website platform, seriously investigate the person responsible for spreading false information, and constantly improve and improve the joint disposal mechanism for medical webcasts.
4、 Effectively maintain the safety of medical insurance fund
（10） Strengthen the supervision of medical insurance funds and maintain the high pressure situation of combating fraud and insurance fraud. The specific rules for the supervision and management of the use of medical insurance funds were implemented and refined, and the legal system of medical insurance was improved. Perfect the working mechanism of daily supervision and inspection, and compact the supervision responsibilities at all levels. Carry out flight inspection jointly to achieve full coverage of all provinces and strengthen follow-up supervision of follow-up rectification. Strengthen the management of medical insurance payment qualification of relevant personnel of designated medical institutions, and explore the mechanism of "supervision to people". Deeply carry out special rectification of medical insurance fund violations, rely on the advantages of medical insurance big data screening and analysis, carry out comprehensive supervision such as data sharing, joint law enforcement, line disposal, supervision and supervision, and earnestly maintain the safety of medical insurance fund.
（11） We will improve price governance and continue to promote the reform of medical insurance payment methods. Steadily promote online drug price control, focus on rectifying unfair and discriminatory high prices, and continue to promote online price balance and transparency. Strengthen the inspection and disposal of drug consumables with abnormal price fluctuations such as the first price rise, extreme value and large price difference, promote the use of drug quality, efficacy evaluation and other indicators as factors in drug purchase review, and implement the credit evaluation system for price bidding and procurement. Promote third-party departments to deal with complaints in the process of drug recruitment and purchase, and strengthen supervision over drug recruitment and purchase. We will continue to improve the management and adjustment of the core elements of medical insurance payment, the collection and feedback of opinions, grouping adjustment, negotiation and other mechanisms, implement the dynamic adjustment of medical service prices on a regular basis, guide local governments to carry out the price adjustment assessment of this year according to the regulations, and carry out the price adjustment according to the assessment results within the total amount control range.
5、 Deepen and consolidate the results of centralized rectification
（12） Classified disposal and joint punishment. Make good use of such working means as patrol inspection, audit supervision, statistical investigation, complaint reporting, big data analysis, self inspection and self correction, and pay attention to the "penetrating" supervision and "case" supervision of problem clues. We will keep the policy tone stable, handle clues at different levels and by categories, and focus on the "integration of wind and corruption" governance. Adhere to the joint investigation of bribery, focusing on the investigation and punishment of illegal acts such as repeated bribery, huge amount of bribery, and bribery to many people by pharmaceutical enterprises and individuals. Explore and implement the "blacklist" system of bribe givers, and establish a joint punishment mechanism for bribe givers.
（13） Take cases as examples and strengthen industry education. Insist on educating people around you with the things around you, sort out and analyze the typical cases investigated and dealt with, carry out industry warning education in a solid way, deepen case based learning, case based warning, and case based reform. Deeply carry out education on Party spirit, Party conduct and Party discipline, and build a clean ideological defense line. Increase the education on honest employment of industry leaders, medical personnel, logistics procurement personnel, etc., strengthen the management of medical representatives, especially the publicity, implementation and explanation of key laws, regulations, systems, and medical insurance policies, to ensure that the industry is understood, followed, and implemented as a whole. Vigorously publicize the advanced and typical deeds of excellent medical workers and establish a positive image of the industry.
（14） Carry out rectification and construction simultaneously, and strengthen the establishment of rules and regulations. Continue to do a good job in the "second half" of the article, which focuses on the rectification of problems and the handling of clues. Deepen the reform of systems and mechanisms, and strengthen the construction of clean government in the field of medicine and health. Compacting the responsibilities of the industry directors of all departments, strengthening the standardized guidance of the operation and promotion personnel of pharmaceutical enterprises, and implementing the regular supervision responsibility of the medical body on its medical institutions. Guide the relevant academic associations and other social organizations to improve their internal management regulations, carry out academic activities in accordance with laws and regulations, and strengthen self-discipline in the industry.
（15） Close cooperation to form joint efforts. Adhere to the principle of "who is in charge, who is responsible" and "who is in charge of the industry must manage the work style", and resolutely shoulder the political responsibility of building a clean government and fighting corruption in the medical and health field. We will improve the level of information connectivity, break through linkage barriers, and ensure policy convergence. We will improve the medical policy release mechanism, do a good job in pre event communication and information notification, and avoid the disconnection between policy formulation and supervision and law enforcement. Close horizontal cooperation, strengthen vertical scheduling, establish and improve the work scheduling and information reporting system, and coordinate to promote the implementation of key work points. Strengthen the linkage and communication with the discipline inspection and supervision authorities, and promote the connection between discipline and law.
Editor in charge: Zhang Di
