JINRI,YOUGUOJIAFAZHANGAIGEWEIJINGJITIZHIYUGUANLIYANJIUSUOHEZHONGGUOYIYAOSHANGYEXIEHUILIANHEJUBANDE《PBMSHANGYEMOSHIDUIZHONGGUOYIGAIDEJIAZHIYUSHICHANGHUANJINGYANJIU》KETIJIETIHUIZAIJINGZHAOKAI。YUHUIZHUANJIAYIZHIRENWEI,MUQIANZHONGGUOBANDEPBM(C-PBM)YIJIBENCHENGXING,WEILAIYOUWANGCHENGWEIYIGAIDEZHONGYAOTUPOKOUHE“SANYILIANDONG”DEDONGLIYUAN。
YIYAOFULIGUANLI(Pharmacy Benefit Management,JIANCHENG“PBM”)YUANYUMEIGUODEYIBAOKONGFEIHEYAOPINLIUTONGCHUANGXINMOSHI,ZHONGGUOBANDEPBM(C-PBM)MOSHITONGGUOHULIANWANGXINXIJISHUYUGONGYEZIDONGHUAJISHUDERONGHE,DUIJICENGYILIAOJIGOUPUTONGMANBINGHUANZHEDEYAOPINGONGYINGHEZHIFUTIXIJINXINGJIEGOUXINGGAIGESHENGJI,JIANGSHENGYUSHANGYELIYIZHUANHUAWEIHUANZHEFULI,DAFUJIANGDIMANXINGBINGYAOPINZONGFEIYONG。TONGSHIYOUZHUYUTUIJINJIATINGYISHENGQIANYUEFUWUHEFENJIZHENLIAOZHIDUJIANLI,TISHENGMANXINGBINGGUANLISHUIPING。
POJIE“YIYAOYANGYI”NANTI
JINNIANLAI,SUIZHERENKOULAOLINGHUAJIAJU,RENMENDUIYILIAOBAOJIANXUQIUSHANGSHENG,YIBAOZHIFUYALIZHENGZAIJIADA。YUCITONGSHI,YOUYUQUEFAKEXUEDEMANXINGJIBINGGUANLI,BINGRENDEYICONGXINGCHA,RONGYIDAOZHIGENGWEIYANZHONGDEBINGFAZHENG,CONGERJINYIBUZENGJIALEHUANZHEDEJINGJIFUDAN。
SHISHISHANG,ZHENDUIMANXINGBINGYINFADEKANBINGGUIWENTI,DIFANGYIJINGZHANKAIXIANGGUANTANSUO。ZAOZAI2015NIAN11YUE,ANHUIWUHUSHILVXIANZAIYIJIANGQUYINRU“MANBINGPBM”GUANLIMOSHISHIDIAN,CHANGSHIYI“JIANGYAOJIA、BAOYIBAO、HUIMINSHENG”WEIHEXINDEKEJICHUANGXINXINGMANBINGFANGKONGSHOUDUAN,CUJINMANBINGFANGKONGXIANGZONGSHENFAZHAN。
ZAIZHEIZHONGGUANLIMOSHIXIA,MANBINGHUANZHEYUJIUJINDESHEQUWEISHENGFUWUZHONGXINQIANDING“JIATINGYISHENG+PBMLIANHEFUWU”,QUERENJIARUXINXINGYAOPINFULIJIHUA;QIANYUEDEMANBINGHUANZHEMEIYUEQUERENSHIFOUYUANQUSHEQUZHONGXINFUZHENHEQUYAO,ZHUYAOWEIZHANGQIZHONGFUFUYONGYAOPINDEMANBINGHUANZHEFUZHENXUFANG;YOUMUQIANZAIGAISHISHIDIANSHISHIDEBEIJINGWANHULIANGFANGKEJIYOUXIANGONGSIWEIQIANYUEHUANZHEZHUNBEIHAOSUOXUYAOPINPEISONGDAOSHEQUZHONGXIN;QIANYUEHUANZHESHOUDAOTONGZHIHOUDAOSHEQUZHONGXINJIESHOUQIQIANYUEJIATINGYISHENGTIGONGDEFUZHENJIANCHABINGLINGQUYAOPIN;MANBINGHUANZHEKEZAISHEQUZHONGXINLINGQUDAOBUDIYUYAOPINJIAGEZONGEDE20%DEEWAIBAOXIAOFULI,ZIFEIFUDANDAFUJIANGDI。
WUHUSHITONGGUOMANBINGPBMMOSHIDETUIGUANG,DAFUJIANGDILEMANBINGHUANZHEDEJINGJIFUDAN。JIEZHI2018NIAN11YUEDI,WUHUSHICANYUQIANYUEDEJICENGYILIAOJIGOU(XIANGZHENWEISHENGYUAN、SHEQUWEISHENGFUWUZHONGXIN、FUWUZHAN)132GE、QIANYUEHUANZHE10WANYUMING、SHIJIFUWUHUANZHE7WANDUOREN,LEIJIFUWUCHAOGUO100WANCI、WEIHUANZHEJIANQINGYONGYAOFUDAN1350WANYUAN。
“C-PBMGUANLIMOSHIFUHEDANGXIAZHONGGUOYILIAOGAIGESHIYEDEPOQIEXUQIU。”ZHONGGUOYIYAOSHANGYEXIEHUIZHIXINGHUIZHANGFUMINGZHONGRENWEI,SHOUXIAN,ZHENGFUZAIBUZENGJIAEWAIZHICHUDEQIANTIXIATUIXINGFENJIZHENLIAOZHIDU,KONGZHIMANBINGYAOFEIZHICHUBINGTISHENGGONGYINGLIANDEANQUANHEXIAOLV;QICI,JICENGSHEQUYIYUANKETISHENGMANBINGGUANLIZHUANYEXINGHEBINGRENLIAOXIAO,YUGUBINGRENJIUZHENLIANG,JIESHENGYIYUANYAOFANGKAIZHI;DISAN,YAOPINGONGYINGSHANGKEHUODECHIXUKEYUCEDEYAOPINYONGLIANGYUCE、KAIFANGHETOUMINGDECAIGOULIUCHENG,CONGERBAOZHANGYAOPINGONGYING;ZUIHOU,MANBINGHUANZHEDEYIJIANGDIYAOFEIZIFUBUFEN,JIESHENGJIUYISHIJIAN,GUDINGYISHENGWENZHEN,CONGERTISHENGYICONGXINGHELIAOXIAO。
GUOJIAFAZHANGAIGEWEIJINGJITIZHIYUGUANLIYANJIUSUOCHENGXIANGYUQUYUSHIZHUREN、KETIZUZUZHANGCHENWEIYANJIUYUANRENWEI,“WUHUMOSHI”TONGGUOJIANSHAOZHONGJIANHUANJIE、LINGSHOUSHANGYUSHEQUYIYUANJINMIPEIHE、JIEHEYAOGUANZHONGXINRENSHIGUANXIHUAZHUANHEJIBENYAOWULINGCHALVXIAOSHOUDENGZHENGCE,QIEDUANLEYAOPIN、RENYUAN、JIGOUJIANDELIYIGUANXI,NENGGOUYOUXIAOKONGZHIYILIAOFEIYONGGUOKUAIZENGZHANG,YOULIYUZHILIXIANDAIYIYAOSHANGYEHUILU,YEWEIPOJIE“YIYAOYANGYI”NANTITIGONGLEZHONGYAOTUJING。
TISHENGMANBINGGUANLISHUIPING
GUOWUYUANDIYIJIEYIGAIZHUANJIAZIXUNWEIYUANHUICHENGYUANFANGZHIWUJIAOSHOURENWEI,ZAIPBMGUANLIMOSHIXIA,MANBINGHUANZHEKEJIUJINYUSHEQUWEISHENGFUWUJIGOUQIANDING“JIATINGYISHENGFUWU”,BUDANLUOSHILEJIATINGYISHENGQIANYUE,ERQIEBAOZHENGLEZHENSHILVYUE,QIESHITISHENGLEMANBINGHUANZHEDEJIANKANGBAOZHANGSHUIPING。
2018NIAN6YUE,ZAI“WUHUMOSHI”DEJICHUSHANG,TAIYUANSHIQIDONGSHEQUWEISHENGFUWUJIGOUMANBINGYAOPINGONGYINGBAOZHANGZHIDUGAIGEPBMXIANGMU,ZAIJIANCAOPINGQU、WANBOLINQUXIANXINGSHIDIANYINRU“MANBINGPBM”GUANLIMOSHI。
JIAZHUWANBOLINQUYIFENYUANXIAOQUDEDUXIANSHENG,XIANNIAN67SUI,BUJINYOUGAOXUEYA,HAISHIYIMINGJIAZHUANGXIANJIBINGHUANZHE,SHIZUIZAOYIPIJIARUWANHULIANGFANGPBMMANXINGBINGGUANLIFUWUXIANGMUDEJUMIN,JINGGUOJIGEYUEDESHIJIAN,QINSHENGANSHOUDAOLEPBMDEHAOCHU。“YOULEZHEIGEXIANGMU,JIANGYAYAOBAOXIAOGAOLEJIAGEBIANYIBUSHUO,HAIYOUBEIJINGDEZHUANJIALAIKANBING,YOUSHEQUDAFUJIANDUYONGYAO,HAISUISHIJIANKONGWODEYONGYAOFANYING,ZHEIRANGWOJUEDEFEICHANGTIEXIN,MANXINGBINGJIUXUYAOYOUGEZHUANYEDAFUPEIZAISHENBIANJIZHIZHAO。”DUXIANSHENGSHUO。
CONG2018NIAN6YUEZHIJIN,DUANDUANJIGEYUE,TAIYUANSHIYIYOU1WANYURENJIARULE“JIATINGYISHENGYOUCHANGQIANYUEFUWUWANHUJIANKANGPBMXIANGMU”。
TAIYUANSHIYIGAIBANFUZERENGAOSUJIZHE,GAIXIANGMUDESHISHI,YIFANGMIANNENGJIANQINGMANXINGBINGHUANZHEFUDAN,LINGYIFANGMIANYENENGTUIJINJIATINGYISHENGQIANYUEFUWUHEFENJIZHENLIAOZHIDUJIANLI,RANGHUANZHEJIANSHAOWANGDAYIYUANPAODEPINLV,TANSUOCHUYITIAOMANXINGBINGJIANKANGGUANLIXINMOSHI,TISHENGMANXINGBINGGUANLISHUIPING。
CIWAI,TONGGUOPBMXIANGMUDEDAIDONG,TAIYUANSHIJIANGJIAQIANGCHENGSHIZHONGXINYAOFANGJIANSHE,JIANGYAOPINPEISONGDAOJICENGYILIAOWEISHENGFUWUJIGOU,ZAIYOUJIATINGYISHENGKAICHUFANGJIHUANZHE,CONGERSUOJIANMANBINGYAOPINLIUTONGHUANJIE,TIGAOSHEQUYONGYAOANQUANXING,JINERQUANMIANTISHENGQUANKEYISHENGDEZHENLIAOSHUIPING。
ZHULISHIXIAN“SANYILIANDONG”
FANGZHIWURENWEI,PBMDEHEXINJIAZHIZAIYUTONGGUOHULIANWANGDENGXINYIDAIXINXIJISHUBANGZHUZHONGGUOMANXINGBINGHUANZHECONGWUXUJIUYIZHUANGTAIBIANWEIYOUXUJIUYIZHUANGTAI,SHULIBINGZHONGSUMEIGECHENGSHIPINGJUN50WANLAONIANMANXINGBINGHUANZHEDEJIUYI、QUYAO、FUFEIQUANLIUCHENG。
JULEJIE,BEIJINGWANHULIANGFANGKEJIYOUXIANGONGSIFENBIEYU2015NIAN11YUEHE2018NIAN9YUEZAIWUHUHETAIYUANCHENGLIZHONGXINYAOFANG,ANZHAOQIANYUEMANBINGHUANZHECHUFANGXUQIUJIANGYAOPINANRENTOUDABAO,FAZHIGEYILIAOJIGOU(HUANZHEYAOPINDEWEITUOBAOGUANDIAN),HUANZHEDINGQIDAOSHEQUYIYUANFUZHEN、JIESHOUQIANYUEJIATINGYISHENGFUWUBINGQUYAO。
FANGZHIWUJIESHAOCHENG,ZHONGXINYAOFANGXIANYIHUODEJICENGYILIAOJIGOUSHEQUWEISHENGFUWUZHONGXINDENGDEQIANYUESHOUQUAN,HEZUOBINGYINGYONGZIZHUYANFADE“WANHUJIANKANGPBMGUIZEYINQING”JIANLIDUILAORENHEMANBINGHUIYUANTONGYIGAOXIAODEZHIHUIGUANLIJIZHI。YIFANGMIAN,TONGGUOXITONGNEIDASHUJUFENXI,GENGJIAJINGZHUNDIJINXINGMANBINGHUANZHEGEXINGHUAJIANKANGGUANLI,JIDADIGAIBIANLEGUOQUSHEQUYIYUANDEZHENLIAOFANGSHIYUMUBIAO,YOUXIAODIPOJIELEHELIYONGYAO、GONGYAOBAOZHANG、JIANGDIYAOFEI、JIATINGYISHENGQIANYUEFUWU、YUANCHENGJIANHU、ZHINENGFENXI、YAOXUESHENHEJIZONGHEJIBINGGUANLIDENGYIGAIGENGZUWENTI,TIGONGYONGYAO、ZHENLIAOFANGANDENGHELIJIANYIFUZHUYISHENGJUECE,BINGDUIYISHENGCHUFANGHELIXINGDENGZHENLIAOXINGWEIJINXINGJIANKONGYUPINGGU,JIANLIQIKEXUEWANZHENGDEYIHUANSHUANGXIANGPINGJIATIXI;LINGYIFANGMIAN,TONGGUODUOZHONGCHUANGXINKEJIDAJIANDEZHINENGKONGFEIXITONG,NENGGOUYOUXIAOKONGZHIYIBAOYUHUANZHEZHICHU,XINGCHENGFEIYONGHELIGUANLIYUYAOFEIJIEYU,BINGJIANGJIEYUYONGYUTIGONGMANBINGHUANZHE20%DEEWAIYAOFEIBAOXIAO,SHIQIANYUEHUANZHEDEYIYAOFEIZIFUBUFENLIJIJIANBAN。
“GAIGEZUIDAHONGLIYINGGAISHIFANGJILAOBAIXING,ZHEIYESHIWOGUOSHENHUAYIYAOWEISHENGTIZHIGAIGEDEZHONGYAOMUBIAO。”CHENWEIBIAOSHI,C-PBMJIEHE“YIYAOFENKAI”POJIE“YIYAOYANGYI”DENGNANTI,YOULIYUCUJINFENJIZHENLIAODESHISHI,SHIXIANYIBAO、YILIAO、YIYAO“SANYI”LIANGXINGLIANDONGXUNHUAN,JINERGAISHANSHEHUIDEFULI。
GUOJIAFAZHANGAIGEWEIJINGJITIZHIYUGUANLIYANJIUSUOSUOZHANG、YANJIUYUANYINWENQUANJIANYI,C-PBMZUOWEIYIGAICHUANGXINMOSHI,YAOJINYIBUWANSHAN、XIHUAHETISHENG,YOUXIAOJIEJUEJIUYINANKANBINGGUIDENGWENTI。“YIGAIMOSHISHEJIMIANFEICHANGGUANG,XUYAOQIYE、XINGYEXIEHUI、ZHENGFUGONGTONGNULIHETANSUO,JIAKUAIJIANLIXINGYEBIAOZHUN,JINYIBUTUIDONGC-PBMFAZHAN。”
LAIYUAN:JINGJICANKAOBAO
SHIJIAN:2019-01-08