近日，中共中央、国务院印发《关于深化医疗保障制度改革的意见》，明确提出要优化药品集中采购机制。药品集中采购是国家为降低药价、减轻患者负担、规范医药市场秩序而推行的重要举措。通过‘以量换价’的方式，由国家或省级医保部门统一组织医疗机构联合采购，大幅压缩中间环节成本，促使药企在保证质量的前提下提供更具竞争力的价格。此次优化重点包括：扩大集采药品覆盖范围，从常见病用药逐步拓展至慢性病、罕见病及高值医用耗材；完善中选药品供应保障和质量监管机制，确保中标药品及时足量供应且安全有效；同时探索‘医保支付标准’与集采价格联动，引导合理用药。此外，政策还鼓励创新药通过单独通道纳入医保，兼顾控费与激励研发。优化后的集中采购制度不仅有助于提升医保基金使用效率，还将推动医药行业高质量发展，实现患者、医院、企业与医保多方共赢。
Recently, the Central Committee of the Communist Party of China and the State Council issued the ‘Opinions on Deepening Medical Insurance System Reform,’ explicitly calling for optimization of the centralized drug procurement mechanism. Centralized drug procurement is a key national initiative aimed at lowering drug prices, reducing patients’ financial burdens, and standardizing the pharmaceutical market. By leveraging bulk purchasing power—’trading volume for lower prices’—national or provincial medical insurance authorities coordinate joint purchases among healthcare institutions, significantly cutting intermediary costs and encouraging pharmaceutical companies to offer more competitive pricing while maintaining quality.Key improvements include expanding the scope of centrally procured drugs from common medications to those for chronic and rare diseases, as well as high-value medical consumables; strengthening supply chain reliability and quality oversight to ensure timely, sufficient, and safe delivery of selected products; and exploring linkage between centralized procurement prices and national medical insurance reimbursement standards to promote rational drug use. The policy also encourages innovative drugs to access insurance coverage through dedicated pathways, balancing cost control with incentives for R&D.The optimized procurement system enhances the efficiency of medical insurance fund utilization and drives high-quality development in the pharmaceutical sector, creating a win-win scenario for patients, hospitals, manufacturers, and the insurance system alike.
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