Research On The Supervision Of Fixed Retail Pharmaciesin Hohhot Under The New Medical Insurance System In China

Medical insurance system is a system that a country or a region raises,distributes and uses medical insurance funds to solve the problem of its residents' disease prevention and treatment in accordance with the insurance principle.China established the national medical insurance system in 2011.In recent years,the system has developed a lot and breakthroughs have been made.Medical system has been integrated for both rural and urban residents in all the provinces,municipalities and autonomous regions in the following six aspects:the coverage of the system,its funding policy,the guarantee of the benefits,the insurance catalogue,the management of the designated medical intistutions,and the management of the medical insurance funds.In March 2018,the National People's Congress deliberated and passed the institutional reform plan of the State Council,established the National Medical Security Bureau,which focused on the price management and purchasing fun ctions of drugs and medical services,as well as the payment and expense management functions of designated medical institutions.As a super purchaser,the Bureau is not only to provide basic security,but also to build a new mechanism for the medical insurance reform.In China's social medical insurance system,medical institutions that meet the corresponding requirements and standards are selected and designated to provide medical services for the insured.As an important part of the medical insurance reform,designated pharmacies are strictly selected from the many pharmacies that meet the corresponding requirements and standards by the government.The supervision and management of the designated pharmacies by the National Medical Security Bureau is an effective measure not only to ensure the operation of the national medical insurance system and protect the effective use of medical insurance funds,but also to improve the service management level of the designated medical institutions,which ensures the interests of the insured and to meet the basic medical needs.This paper takes Hohhot,a city in Inner Mongolia Autonomous Region,as an example.The author first conducts deep research on the regulatory system of designated medical institutions under the representative foreign medical insurance system and the experience of some domestic cities in the process of exploring an effective regulatory system and management system of designated medical institutions,and then a research on the supervision of Hohhot medical insurance and the designated pharmacies in Hohhot is also conducted,from the perspectives of medical insurance institutions,designated pharmacies,and the multi interest needs of the insured.The author then analyses and summarizes some problems and the main causes of the problems existing in the process of authorization,supervision and management of the designated pharmacies in Hohhot,With all the previous research and analysis,the paper aims to put forward feasible suggestions for the establishment of the management mode and management system of the designated pharmacies in Hohhot.The research features and innovations of this article are as follows:First,it puts forward the "graded classification" management principle for the designated retail pharmacies by the Medical Insurance Bureau to strengthen the operability and enforceability of the management standards." Second,build a comprehensive medical insurance management information network platform to improve convenience services.Third,strengthen the communication and coordination of the supply,demand,and insurance of medical insurance,jointly maintain the security of medical insurance funds,regulate market operations,and better promote the medical insurance system The reform achieved a decisive victory.