Pharmaceutical procurement and reimbursement schedule in Taiwan
10.3969/j.issn.1674-2982.2015.12.004
- VernacularTitle:台湾地区医保药品的采购模式和支付价格
- Author:
Yanan WANG
;
Haijing GUAN
;
Guoen LIU
;
Lihua SUN
- Publication Type:Journal Article
- Keywords:
Taiwan;
Pharmaceutical procurement model;
Medical insurance payment price;
Pharmaceutical reimbursement price
- From:
Chinese Journal of Health Policy
2015;8(12):18-22
- CountryChina
- Language:Chinese
-
Abstract:
Object:The paper aims to analyze Taiwanese experience in pharmaceutical procurement, pharma-ceutical benefits and reimbursement schedule, and make references for the Mainland China. Methods:Through read-ing and analyzing the Taiwanese government policy and the literature published to find out the pharmaceutical pro-curement measures, different medicines’ pricing strategy and its reimbursement mode compared with the Mainland China. Results: Hospitals can purchase medicines based on their own needs, and the purchase price was formed through negotiating with providers and buyers. It has been found that Taiwan only controls the medicines reimburse-ment prices. The international reference pricing is adopted for new medicines, and the originators, bioequivalence/bioavailability generic medicines and general generics reimbursement prices are very high at international reference prices, and need to be weakened in order to fit the requirements. Moreover, the medicine quality is one of the stand-ards considered in case of making decisions on the reimbursement prices. In addition, the reimbursement price is as-sociated with procurement price. When the spread is larger than 30%, the government will adjust the reimbursement to fill the gap. Conclusions: Through the system design and adjustment, the Taiwanese Government have set up a better procurement and reimbursement co-ordination in the pharmaceutical segment, and formed the reasonable prices for the case. The Taiwanese experience can be taken as a reference for the mainland China to refine its procurement reforms and reimbursement policy.
