高醫遭罰1.5億 傳轉嫁藥商 「犯錯拿別人錢還」 癌病患權益恐受損

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高醫遭罰1.5億 傳轉嫁藥商 「犯錯拿別人錢還」 癌病患權益恐受損
2010年04月16日蘋果日報
http://0rz.tw/eTS6X

【周昭平、甯瑋瑜、許佳惠╱連線報導】高雄醫學大學附設醫院因婦產部前主任許世正割取健康者子宮、詐騙保險金並Ａ健保案，恐遭罰一點五億元，多家藥廠本周收到高醫重新報藥價通知，疑要「Ａ藥價」預籌罰款，部分回扣少、價格高的癌症原廠藥價格若談不攏，可能被換成回扣多、價格低的非原廠藥。民間監督健保聯盟批，「高醫犯錯拿別人的錢來還，未真正認錯！」高醫強調，是因藥價偏高才做檢討。

再惹爭議

據了解，高醫要求藥廠，專利期內的藥要重新報價，若過專利期，也要與其他廠商學名藥比價，預計下周五提新報價。一名外商藥廠經理昨表示，自家兩款抗乳癌、前列腺癌等腫瘤用藥供應給高醫，本周一接獲高醫重新議價通知，但換約還有一段時間，「不能不和他們被罰做聯想！」另家藥廠主管也說，現在各家負責高醫的業務員都「剉咧等」，預期一定會被高醫再剝皮。

原廠藥恐被撤換

有藥廠透露，過去醫院虧損，即會要求藥廠按進藥佔比「分攤」，如佔進藥一成的藥廠、分攤一成虧損，擔心高醫此次恐也會按罰金比例要藥廠分攤。
一名藥廠行銷人員透露，健保局雖進行六次藥價調查，欲消弭健保價和醫院進價間的藥價差，但醫院回扣沒有少拿，專利期的藥約一成、逾專利期的藥可能也有六、七成，「高醫還再多拿回扣，實在付不起了。」
由於原廠藥價差小、有外商藥廠擔心和高醫「談不攏」被換藥，一名外商藥廠經理說：「原廠藥有品質，希望高醫能幫病患想，繼續採用。」
高醫醫務秘書陳榮祥強調，三周前該院院內會議確曾要求檢討癌症的原廠藥藥價，若有普遍在其他醫學中心使用的非原廠藥，也可評估使用，「此舉單純是就醫院管理考量，當時還未有遭罰事件。」且健保局裁處是該院婦產部停約一年或罰一點五億元，就算最後接受裁罰，或許會和健保局協商分期扣款，「我們減薪共體時艱也可能」，不會為籌罰款就壓低藥品進價賺藥價差。

督保盟：該停約

對此，衛生署署長楊志良昨表示，「我會去進行了解。」民間監督健保聯盟發言人滕西華說，她反對高醫停約處分用錢抵銷，該停約就停約，「高醫要面對，不能從別人口袋掏錢還！」
醫療改革基金會執行長劉梅君則表示，「若醫院只想到最大藥價差，與病人最適切用藥背道而馳，真的有失醫學倫理與專業！」

報你知
醫院進價愈低 藥價差愈大

民間監督健保聯盟發言人滕西華表示，同一種藥品，各醫療院所向藥廠採購的價格及折扣皆不同，大醫院採購量大、折扣高，藥品成本價格也較低；但是健保局給付給藥廠的藥價則統一，醫院進價和健保給付額之者的價差，就是所謂的「藥價差」。
根據健保局訪查，去年全國健保藥品花掉一千兩百億元，藥價差即高達兩百億元。

[MK]

【藥價差】這一把火...

很快會燒到大醫院了...

呵呵...

看來醫界團結的日子不遠了...

[poyoung]

最好全部都停約好了
下一個專挑公立醫院開罰
然後全國醫療院所停約停滿滿
給你方便卻越來越隨便

[forester]

無憑無據
用推論的
也能上報
仇醫文化
現正火紅
(打小人) (打小人)

[WINDOW]

督保盟：該停約

這輩子第一次支持盟主！

[無名氏]

對,就是停約.否則任何舉動都會被污名化.以後如果趕病人出院,病人會說是不是趕我出院省錢幫你付1.5億......

[image]

完全看不懂

通篇看下來

就是損及藥商權益啊(而且以前就沒在議價嘛?)

為啥會損及病患權益?

在健保一個價到底的政策下,藥錢都給藥商賺走

醫院無力聘請更多醫護人員

到底對病患是利多還利空?

本來每年就會重新議價,藥商想利用新聞熱潮謀私利嘛?政治人物腦袋是怎麼啦,竟隨之起舞?

[yoshi100]

滕盟主真是為特定藥廠發聲不遺餘力，高醫砍藥廠錢關病人權益何事?難道會有高醫特殊劑型?
病人還是吃到一樣的藥，會有差嗎?
一名外商藥廠經理說：「原廠藥有品質，希望高醫能幫病患想，繼續採用。」滕盟主如果對學名藥如此沒信心，請跟衛生署說，是衛生署說可以的。不然成立監督衛生署聯盟?
當初很多原廠藥被逼離台灣，是你們說可以的，現在我們用學名藥，你們又說不可以。那意思是說我們拿學名藥的錢去買原廠藥? 你要不要問一下外商或台廠?

況且下次藥費大調查時，健保局會依發票在大砍特坎，這不會節省健保資源嗎?

病人權益不受影響，對健保財務似有幫助，滕盟主為維護誰的利益不可言喻? (咦)

[yoshi100]

衛生署署長楊志良昨表示，「我會去進行了解。」
最好是啦。公衛人趕快回去誤人子弟。號稱健保XX者，對這種有"圖利"之言沒能力更正且任由擴大。
要不要再罰高醫1.5億外加庭大內科一年(署基一般外科都可以擴大成大外科，順便宰了泌尿科加神經外科，那腫瘤科擴成大內科應不足為奇)。外商藥廠絕對會感激。

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