After being fired, I became the light of medicine

Chapter 202: Medical Insurance Price Announcement (Please subscribe and give me a monthly ticket)
Director Dai couldn't help feeling relieved when seeing the patient in front of him walk out of the clinic with a happy face and even a little excitement.

It is not common to see such a smile on the face of a patient with early-stage lung cancer.

After a moment, he let out a sigh and slowly put down the phone in his hand.

But as soon as he put the phone on the desk, he picked it up again.

He quickly found Zhang Yang's WeChat and sent a message to him before the next patient came in:
"Mr. Zhang, thank you! The price you gave is really amazing!"

After sending this message, Director Dai put down his phone again, but before he could turn off the screen, a new message suddenly appeared in the chat box.

"Haha! I didn't expect that Director Dai was also paying attention to this!"

"But this is not a surprise, it's just our normal pricing."

Director Dai never expected Zhang Yang to reply so quickly. Seeing the patient just walked in, he simply continued:
“It’s already a great surprise!”

"Today I was in the outpatient clinic, and a patient just mentioned the price of 'solidifying ablative agent'. I opened my phone and saw the price you published!"

"Not only me, but also the patient was very excited after learning about it. Thank you so much!"

Director Dai sent three messages in quick succession, until the last one, when he suddenly thought of another question.

Medical insurance reimbursement.

As a grassroots doctor, he is well aware that although the price of Qingshan Pharmaceutical's "lung cancer solidification ablation agent" has been announced, countless cancer patients must have a more concerning topic:
Can this medicine be reimbursed? If so, how much can it be reimbursed?

Director Dai hesitated for a moment as he saw several messages had already been sent on WeChat. Since the topic had come to this point, he simply continued to ask:

"Mr. Zhang, I have something else I want to ask you. Is our 'solidification ablation agent' included in the medical insurance?"

"Or, can you briefly tell us about the current medical insurance reimbursement status of this drug? Have we discussed it with the Medical Insurance Bureau?"

"Of course, if you are not comfortable with it, I understand. I think if a patient asks, I can explain it and I will have a rough idea in my mind."

This time, after the message was sent, Director Dai even waited for a while.

To be honest, medical insurance is very important for ordinary people. It can be said to be the topic that all patients are most concerned about.

But Zhang Yang still hadn't replied after half a minute. Just as Director Dai was about to start seeing the next patient, a message alert appeared on his phone.

Director Dai quickly picked it up and took a look:
"Director Dai, it's not inconvenient."

"To be honest, we haven't discussed the issue of 'solidifying ablative agent' with the medical insurance company yet, and they haven't made any clear statement yet."

"Uh...so I'm afraid it won't be covered by medical insurance in the short term."

"Haven't we talked yet?"

Director Dai was slightly disappointed:
"Okay, Mr. Zhang, I won't bother you anymore. I also need to see the outpatient!"

"Ok!"

A slightly disappointed mood spread in Director Dai's heart. Not only Director Dai, but Zhang Yang was also quite confused.

In fact, every time Tsingshan Pharmaceutical develops a significant or groundbreaking drug, the National Health Insurance Center will be the first to visit and discuss the inclusion of the drug in the medical insurance.

For example, Afenprovir, which was previously used to cure hepatitis B.

But this time, not only did he not receive a call from his old acquaintance, Liu Weiguo from the "Drug Tendering and Procurement Department" of the Medical Insurance Center, but even Ren Xiaomin did not receive any information from the Medical Insurance Center.

This is so weird!

Just when Zhang Yang was somewhat confused, far away in Beijing, in the headquarters building of the Medical Insurance Bureau, a high-level meeting was taking place.

The theme of this conference is exactly about Tsingshan Pharmaceutical's newly developed "lung cancer solidifying ablation agent".

"Dear leaders, I have just made my point very clear!"

"Qingshan Pharmaceutical has always had a good cooperative relationship with our Medical Insurance Bureau. Now that their 'lung cancer solidification and ablation agent' has passed clinical trials, according to convention, we should now start negotiations with Qingshan Pharmaceutical to discuss the inclusion of it in medical insurance!"

"In this way, once the product is on the market, countless patients will be able to enjoy our medical insurance reimbursement policy at the first opportunity!"

"So I suggest that all leaders quickly approve it and allow us to start negotiations with Qingshan Pharmaceutical immediately!"

The person speaking in the conference room was Liu Weiguo, deputy director of the Drug Tendering and Procurement Department, who had a close relationship with Zhang Yang.

In front of him were several real senior leaders of the Medical Insurance Bureau.

After a moment, a leader in the front left suddenly coughed and said:

"Deputy Director Liu, your suggestion is good, but I have also explained to you that this 'lung cancer solidification and ablation agent' from Qingshan Pharmaceutical is not an ordinary drug, but a surgical agent. This is one reason!"

"Second, this drug must be a high-value drug."

"According to the internal regulations of our Medical Insurance Bureau, all high-value drugs must be included in the medical insurance with extreme caution. We must first confirm whether their therapeutic effects are irreplaceable, then analyze the price and the reimbursement ratio of the included medical insurance, and finally go through the process and pass the approval of various departments before we can start negotiations with pharmaceutical companies!"

"The current situation is that this drug has not been truly marketed, and even the price has not been announced! If we go to Qingshan Pharmaceutical to negotiate its inclusion in medical insurance at this time, even if they prescribe 10 yuan per dose, will we negotiate? Can my medical insurance fund afford it?"

"So, I explicitly refuse to start medical insurance negotiations with Qingshan Pharmaceutical now. Even if we want to include it in medical insurance, we will do so after it goes public!"

As soon as the words fell, another leader beside him took over.

"I also agree with what Deputy Director Yang said just now."

"This drug is used to treat lung cancer, so the price is definitely not cheap. It is not appropriate to hastily start negotiations with Qingshan Pharmaceutical at this time, as the initiative will fall into the hands of Qingshan Pharmaceutical!"

The two leaders refused without hesitation, and Liu Weiguo couldn't help but sigh in his heart.

In fact, a month ago, he and his colleagues in the bidding and procurement department were ready to start negotiations with Qingshan Pharmaceutical on including the company in the medical insurance catalogue.

However, the Medical Insurance Bureau does have regulations that high-value drugs must wait until they are put on the market and confirmed through clinical research that they need to be included in medical insurance before going through the negotiation process.

He also knew that he was a little anxious!

However, he worked his way up from the bottom to the position of deputy director, and he has seen too many sufferings in the world!
After a moment, he raised his head and prepared to try again.

"Leaders, I know there are regulations in the bureau, but!"

"This drug from Qingshan Pharmaceutical has been unanimously recognized by major hospitals and patients during the clinical trial stage, and the surgical effect is beyond doubt!"

"And as far as I know, countless early-stage lung cancer patients across the country are waiting anxiously for this drug to be launched..."

"They are not only waiting for this drug to be launched, they are also looking forward to our inclusion in medical insurance as soon as possible!"

"Everyone knows that early-stage lung cancer cannot be delayed. The sooner we resolve this issue, the more patients with lung cancer can enjoy the benefits of medical insurance reimbursement and receive better treatment!"

As soon as the words came out, the atmosphere in the entire conference room suddenly became heavy.

After a few seconds of silence, a leader sitting at the top finally coughed and spoke slowly:
"Guowei, I understand your concern for these patients. In fact, I also hope that these effective drugs can be included in medical insurance as soon as possible!"

"But, Qingshan Pharmaceutical's 'Lung Cancer Solidification and Ablation Agent' is indeed a high-value drug. They have just developed it, there are no competitors on the market, and the effect is really good. They can't just sell it for thousands of yuan per tube, right?"

"So, when we include it in the medical insurance, we must also consider the affordability of our medical insurance funds..."

"If you insist on starting negotiations with Qingshan Pharmaceutical right away, unless... their drug is cheaper than traditional lung resection surgery or is about the same, otherwise just follow the normal process!" Liu Weiguo's expression suddenly collapsed in frustration. The cost is about the same as traditional resection surgery? !
Isn't this bullying?
How can it be!

"Director Zhang, if you say that, I really have nothing to say. What you said is completely impossible!"

"How can their new drug cost as little as traditional surgery..."

But before he could finish his words, there were several crisp knocks on the door of the conference room.

After getting permission, the door was pushed open a crack, and a cautious head appeared.

Liu Weiguo was slightly stunned. This was his assistant.

"Xiao Zhu, what's wrong? What's the emergency?!"

The young man surnamed Zhu's eyes lit up, and his face suddenly showed excitement:
"Director, the price of Qingshan Pharmaceutical's 'lung cancer solidifying contrast agent' that you asked me to pay attention to has been announced!"

"Announced?"

Liu Weiguo was stunned and a little surprised!

"Ok!"

Xiao Zhu hurriedly said:
"The prices just announced have three price ranges in total: 15 yuan for 30 ml, 45 yuan for ml, and yuan for ml!"

"For general lung cancer patients, 15 ml is enough! I just asked a professional doctor, and they said that if you include the cost of surgery, it would be around yuan at most!"

"How much? About fifty-five thousand?!"

"Yeah! It's about fifty-five thousand! This price is almost the same as traditional minimally invasive surgery before reimbursement!"

Two seconds after he finished speaking, Liu Weiguo suddenly burst into laughter.

After a moment, he turned to look at the leaders sitting next to him:

"Director Zhang, you just said that if the 'solidification ablative agent' is similar to traditional minimally invasive surgery, you would support immediate negotiations with Qingshan Pharmaceutical!"

"I will start negotiating with Qingshan Pharmaceutical to include it in the medical insurance!"

The leaders sitting above were also slightly stunned and looked at each other. No one expected that the pricing newly launched by Qingshan Pharmaceutical would be so "reasonable".

……

Patients, doctors and even the Medical Insurance Bureau were all surprised by the pricing of Tsingshan Pharmaceutical's "lung cancer solidification ablation agent". Zhang Yang soon noticed the comments about himself and Tsingshan Pharmaceutical on the Internet.

Looking at the words of thanks, Zhang Yang felt very relieved at this moment. It was all worth it!
In the Qingshan Pharmaceutical office, Zhou Xiaomei took the opportunity to deliver information and sneaked over to see Zhang Yang.

Seeing Zhang Yang laughing at the comments on his phone from time to time, Zhou Xiaomei couldn't help but chuckle:

"Brother, I know you have a good reputation online now... Look at your face, it's almost crooked from smiling. If you look at the comments, I'm afraid you'll be so proud of yourself."

Zhou Xiaomei's relationship with Zhang Yang has developed rapidly in the past two years, and the two have already confirmed their romantic relationship.

"What's wrong with me smiling? The patients all praised me, which means I was doing the right thing! Can't I be happy for a moment?"

"Ok, Ok!"

Zhou Xiaomei quickly walked behind Zhang Yang, gently massaged his shoulders, and said:
"I can completely understand the gratitude that patients on the Internet have for my brother. After all, I was one of them."

"Even now, I still think it was my brother who saved me."

Zhang Yang smiled slightly. He knew that Zhou Xiaomei was talking about her previous experience of suffering from "aplastic anemia".

It was also because of his development of "ITG human myelopoietin" that he finally saved his younger sister.

"By the way, brother, isn't this medicine included in the medical insurance yet?"

Zhang Yang also frowned and shook his head. To be honest, he wanted to call Director Liu Weiguo.

But at this moment, the cell phone on the desk suddenly rang crisply. He glanced and suddenly sat up straight.

"Little sister, you really are 'what you say is what you do', whatever you say comes true!"

"Look, Director Liu from the medical insurance department called. I guess he's here to discuss serious matters!"

After saying that, Zhang Yang immediately pressed the answer button.

"Hello, Director Liu, I haven't received your call for a long time..."

……

Medical insurance is fast.

To be precise, Liu Weiguo is very efficient.

That afternoon, Liu Weiguo and his three colleagues flew to Qingshan Pharmaceutical. After several hours of negotiations, Liu Weiguo and his two colleagues flew back to Beijing early the next morning.

time flies,

Just one week before the "lung cancer solidifying ablation agent" obtained production approval and was ready to be launched on the market, a bombshell news suddenly leaked among major lung cancer patient groups.

The National Medical Insurance has officially issued a document to exceptionally include "lung cancer solidifying ablation agent" in the medical insurance list. After it is officially launched on the market, all patients will be able to enjoy the relevant medical insurance reimbursement policies at the first time!
After seeing the reimbursement amount, all lung cancer patients were deeply moved!
"Lung cancer solidification ablation agent" has been included in the category B clinical drugs, with a reimbursement rate of 40%. That is to say, for a 15ml injection of yuan, the national medical insurance will reimburse yuan, and the individual will pay yuan. In addition, the surgery and hospitalization fees will be reimbursed at a higher rate.

It only costs a little over 30,000 yuan to perform a solidification ablation surgery for early lung cancer!

This price is even cheaper than previous traditional minimally invasive surgeries!
For a time, heated discussions arose in major patient groups.

"I have to say, the country is still good. It really solved a huge financial burden for us!"

"Yes, but the initial pricing of Qingshan Pharmaceutical is also the key to its rapid and smooth entry into the medical insurance reimbursement list!"

"I am so lucky to live in China with Qingshan Pharmaceutical. It's great!"

……

Zhang Yang didn’t care much about the discussions on the Internet this time.

Ever since he and Liu Weiguo successfully negotiated the inclusion of the drug in the medical insurance catalogue, his work focus has gradually returned to "Lung Du Clearing Granules".

The clinical trial of the Lung Toxin Clearing Granules that has been going on these days has also come to an end. Zhang Yang couldn't sit still, so he came to Chengdu Third People's Hospital again.

As soon as Zhang Yang entered the office this time, Director Feng Gang knew the purpose of Zhang Yang's visit.

"Zhang Yang, what can I say about you? Why are you so concerned about the clinical trial of this granule?"

"But I looked it over for you yesterday. The clinical trial data is just average. There's no difference from other placebos. Only the T14-specific protein index you mentioned does have a significant effect!"

"But it's OK. The clinical trial of Chinese patent medicine is just a formality. I estimate that the data submitted will be approved quickly."

"Of course, I'm just talking about this in private. You know, clinical trials of Chinese patent medicines are just formalities."

(End of this chapter)