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房志武，董事长，北京万户良方科技有限公司
Zhiwu Fang, Chairman, Wanhu Health
房志武教授毕业于美国华盛顿大学商学院及西安交通大学医学院，曾任国务院医改专家咨询委员会第一届委员，美国Express Scripts（ESI）集团副总裁，美国国际医院认证联合委员会（JCI）亚太理事会理事。现兼任社科院《中国医改蓝皮书》系列文献主编，西安交通大学管理学院特聘教授。
Professor Fang Zhiwu graduated from University Washington Business School and Xi'an Jiaotong University School of Medicine. He was the vice president of the American Express Scripts (ESI) Group, and a member of the JCI Asia Pacific Council.
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越来越多公司的纷纷入局PBM领域，但横在所有公司面前的共同难题依旧无解：用药信息数据无法共享、医疗数据标准化无法实现；处方无法大量外流；商保公司无法大规模参与等。2011年，时任美国ESI集团(Express Scripts)副总裁的房志武辞去职位，决定回国创业实现中国版PBM，于是在2013 年创立了万户良方。
PBM的本质就是利益重新分配，通过技术手段“节余分成，百姓优先”。目前国内药品控费面临的三大难题是大量药品浪费、医生大处方以及药价虚高。在“万户健康PBM模式”下，通过医保控费、家庭医生签约、缩短药品流通环节，可以同步实现这些难题。
More and more companies have entered the PBM field, but the common problems remain to be unsolved: sharing of medicine data, standardization of medical information, outflow of prescription, participation of commercial insurers. In 2011, Mr. Fang Zhiwu, vice president of Express Scripts, resigned and decided to return to China. Thus, founded Wanhu Health in 2013 aiming to realize Chinese PBM.
The essence of PBM is redistribution of intereststhrough technical mean, that is "reallocate after saving, give priority to the ordinary". At present, the 3 major problems of medicine cost control in China are massive drug waste, large prescriptions and high drug price. Under the "Wanhu Health PBM Mode", we can work out these problems synchronously through the medical insurance costcontrol, family doctor and shorten the drug circulation link.
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“万户健康PBM模式”3阶段
3 Phases of "Wanhu Health PBM Mode" |
♦ 软件系统建设阶段——研发医保智能控费系统
Constrution of Software System - to develop medical insurance cost control system
♦ 流通改革和硬件基础建设阶段——创新以需方患者为中心的慢病药品中心式供应体系
Circulation Reform &Hardware Infrastructure Construction–to innovate a central supply system of chronic disease drugs centered on demand side
♦ 医保创新阶段——创新老龄社会福利保障模式
Innovation of Medical Insurance– to innovatea social welfare mode of aging society
“万户健康PBM模式”正处于第二阶段，旨在为患者提供会员制慢病健康管理服务，并按照会员患者依从性为其提供额外的福利保障。此外，若患者不与当地社区医院的家庭医生签约，不定期找家庭医生复诊，就不能享受万户良方管理模式所创造的自费部分的减免。患者和家庭医生双向“绑定”，分级诊疗和家庭医生签约服务也得到改进，也带动了门诊量和门诊收入的大幅度提升。
缩短流通环节进而降低药价这一目标，则主要通过药品福利中心药房来实现。在医药分家的大政策引导下，药房逐渐成为医院的成本中心，全国各地出现不少医院逐步剥离门诊药房，医药企业纷纷通过给医院提供供应链管理服务来实现药房托管等模式日渐兴起。而将一部分慢病用药从大医院分离出来亦是大势所趋。
The "Wanhu Health PBM Mode" is in the second stage, intending to provide patients withhealth management service according to their compliance to offer additional welfare. In addition, if the patient does not sign up with a family doctor or not regularly meet with family doctor, they cannot have the benefits as mentioned.
Shortening the circulation thus reducing the price of drugs is mainly achieved through the pharmacy welfare center. Under the guidance of the policy, the pharmacy has gradually become the cost center of the hospital. It is also a general trend to separate some chronic diseases from large hospitals.
| 素材源自：卜艳，《先有蛋再有鸡这家公司要这样在中国跑通PBM模式》，健康点 |
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