内蒙古医保精准扶贫的探索--恶性肿瘤靶向药物纳入医保支付范围

摘要

Bringing tumor targeting drugs into the payment scope of medical insurance in Inner Mongolia has explored a way to eliminate poverty caused by illness and to achieve the goal of precise poverty alleviation. Before the initiation of this policy, the Health Insurance Bureau and Health Insurance Research Association have conducted a intensive and comprehensive investigation, and the results have been adopted by the policy-decision departments for its strong feasibility and sustainability, and been successfully transformed as policies, measures and achievement. After one year of executing this policy, it has prevented 609 patients with malignant tumors from being poverty, and explored a new way of policy-making based on study evidence.%内蒙古自治区将恶性肿瘤靶向用药纳入医保支付范围，为消除因病致贫、实现医保精准扶贫探索出一条路子；实施恶性肿瘤靶向用药纳入医保支付范围之前，自治区医保局、医保研究会组织了深入细致、全面的课题研究，其研究成果以很强的可行性和可持续性被政府决策部门采纳，成功转化为政策措施和防止因病致贫的实效，新政实施一年来全区609名恶性肿瘤患者没有发生因病致贫的，走出了一条以课题研究为前提的新政决策之路。