瞄准虚高药价背后违规行为，医药信用评价制度新规将出

Core Viewpoint - The upcoming revision of the medical pricing and procurement credit evaluation system aims to enhance the accountability of untrustworthy companies by encouraging them to voluntarily reduce prices to correct their misconduct [1][3]. Summary by Sections Credit Evaluation System Overview - The National Healthcare Security Administration (NHSA) will soon release the revised medical pricing and procurement credit evaluation system, which includes the 2025 version of the list of dishonest practices and operational guidelines [1]. - The revision focuses on expanding source information, maintaining strict standards, increasing the cost of dishonesty, and promoting proactive correction by companies [1][3]. Issues Addressed - The system was established in response to issues such as commercial bribery, which has led to inflated drug prices and rapid growth in medical costs, resulting in significant losses to the medical insurance fund [3][4]. - The 2020 version of the dishonest practices list targeted behaviors that contribute to high drug prices, including kickbacks to medical staff and price manipulation [3][4]. Implementation and Impact - Over the past five years, the NHSA has regularly reported dishonest behaviors and published ratings of severely dishonest companies, enhancing social oversight [4]. - As of the end of 2024, there were 735 existing dishonest companies, including 7 classified as "particularly severe" and 40 as "severe" [4][5]. - The credit evaluation system has prompted many dishonest companies to acknowledge their issues and take corrective actions, such as price reductions [4][5]. Revision Directions - The upcoming revisions will adjust the evaluation standards, expand the sources of dishonest practices, and strengthen punitive measures [7][8]. - The classification will change from four tiers to three, with a lower threshold for "particularly severe" cases [7][8]. - Enhanced collaboration among departments will incorporate findings from audits and investigations into the credit evaluation system [8]. Recommendations for Improvement - Suggestions include lowering the threshold for "particularly severe" cases to include bribes of 500,000 yuan and detailing specific malicious behaviors for stricter ratings [8]. - There is a call for improved inter-departmental cooperation to include various forms of misconduct in the credit evaluation system [8].