国家医保局副局长李滔在国务院新闻办发布会上介绍,2018年以来医保部门累计新增纳入949种药品,其中包含199种创新药 1。
在未来发展方向上,医保将在"十五五"期间继续每年动态调整药品目录,推动更多创新药进入医保报销范围 1。与此同时,国家医保部门还将推动医保医疗服务项目全国统一均等化,加快医药创新成果进入临床应用 1。此外,医保将进一步优化商业健康保险创新药品目录,推行"基本医保+商业健康险"双重保障模式 1,并落实医疗机构特例单议工作机制,对疑难重症和应用创新疗法缩短审批周期 1。
The National Medical Insurance Bureau announced significant progress in expanding drug coverage, with Vice Director Li Tao presenting the achievements at a State Council Information Office briefing. 1
Since 2018, China's medical insurance system has cumulatively added 949 drugs to its coverage, including 199 innovative medicines. 1 Going forward, the insurance authorities plan to conduct annual dynamic adjustments to the drug formulary during the "15th Five-Year Plan" period, aiming to bring more cutting-edge treatments within the scope of medical insurance reimbursement. 1
Beyond pharmaceutical coverage, the bureau is working to standardize medical service items and consumables reimbursement across the nation. 1 The initiative also encompasses optimizing commercial health insurance drug directories and implementing a "basic medical insurance plus commercial health insurance" dual-protection system. 1 Additionally, the authorities are implementing streamlined review mechanisms for medical institutions handling rare diseases and innovative therapeutic approaches, with the goal of shortening approval cycles for such cases. 1
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