90% price cuts become a trend?

Orthopedic consumables have become the target of national and local collections.
From joints to spine and trauma, the varieties of orthopedic consumables are constantly expanding
.

Under the expansion, both policies and enterprises are facing changes

In terms of policy, consumables are different from medicines.
There are many classifications of medical consumables, and the classification standards are not uniform, lacking an authoritative quality evaluation standard
.

However, with the accumulation of experience in centralized procurement in various places, the centralized procurement policy of orthopedic consumables has become more mature, and the balance between quality and price is improving; for companies, the short-term boom of a single main business is no longer a company can rely on.

Many types of orthopedic consumables are included in the centralized procurement, and the reference price is announced

On July 22, the centralized procurement documents for orthopedic implant spine products in Anhui Province were officially released (hereinafter referred to as "procurement documents)
.

The "Procurement Documents" announced that the items purchased this time are orthopedic implants-spine
.

Intentional procurement volume is calculated by accumulating 80% of the total procurement requirements submitted by various medical institutions according to the procurement category
.

Products that need to be assembled and used should maintain a reasonable quantity relationship

Before March 31, 2021, the products that belong to the scope of the set purchase product and obtain the medical device registration certificate within the validity period, and the products that have been linked to the provincial drug procurement platform can be declared
.

The period of this centralized purchase with quantity is 2 years, which will be calculated from the actual implementation date of the selected results.
After the expiration, the purchase period can be extended according to the actual conditions such as market development and changes, procurement and supply
.

During the purchase cycle, a purchase agreement is signed every year

As the first person responsible for payment settlement, the medical institution shall settle the payment with the enterprise in a timely manner according to the agreement
.

The time for the medical institution to settle the payment shall not exceed the end of the month after the date of delivery inspection and receipt of the invoice

With reference to Anhui Province's 2019 provincial public medical institutions' high-value medical consumables with a quantity of high-value medical consumables and the successful product selection negotiations, after experts' agreement, the product category reference prices are as follows:

The "Procurement Document" requires that the selected company or its entrusted distribution company shall provide necessary accompanying services to the medical institution that purchases the selected product.

The accompanying service shall at least include logistics and distribution, warehouse management, and compliance technical service support, supporting tools and other operations Necessary related services, service content, quality, and standards shall not be lower than before the centralized procurement

The ratio of matching tools to the agreed purchase volume of the first year assembly should not be less than 1:50.

For medical institutions with high demand, the number of matching tools should be appropriately increased; the disinfection fees incurred by medical institutions using matching tools shall be borne by medical institutions according to regulations

Eliminate directly below 50 points

Experts conduct a comprehensive technical review of the declared companies in the same package (see Annex 4 for specific technical review indicators and score tables) to form a comprehensive technical score for the package
.

According to the order of the scores from high to low, the sets with a score greater than or equal to 50 points are divided into two groups, and the set with a score less than 50 points is directly eliminated

The declared product is based on the product category reference price, combined with the comprehensive score of the technical review of the set, and the product limit is calculated.
The product limit is notified to the participating companies before the bidding
.

Product price limit = product category reference price × comprehensive set technical review score / 100

(See the end of the article for "Technical Evaluation Index and Score")

Companies that declare a comprehensive decline must accept price limits for all component products in the package
.
If the enterprise does not accept the price limit of any product in the package, it will not accept the reduction declared for that package
.
On the basis of the product price limit, the enterprise declares the comprehensive reduction rate according to the set (declared as a percentage, with two decimal places and no less than zero)
.

The purchase price with volume is formed through open bidding and negotiation and bargaining.
It is the actual supply price of the product, including but not limited to the cost of distribution and accompanying services
.
And it is not higher than the lowest value of the actual purchase price in our province since 2019, the national provincial centralized purchase price, and the provincial purchase price with volume
.

When the number of effective declaration enterprises in the same group is one, the method of on-site negotiation and bargaining shall be adopted
.
On the basis of the comprehensive reduction of the package submitted by the enterprise under the product price limit, the expert negotiates and negotiates the price to form a purchase price with a quantity
.

When the number of validly declared enterprises in the same group is ≥2, the public bidding method will be adopted, and the comprehensive decline in the same group will be eliminated from small to large according to the grouping situation
.
When the comprehensive decline is the same, the lower-ranked technical score of the set is eliminated; when the comprehensive decline and the ranking of the technical score of the set are both the same, the number of reported medical institutions with a small number of needs is eliminated
.
The products of the enterprises to be selected will be calculated according to the price limit and comprehensive decline of each product to form a purchase price with a quantity
.
The maximum number of bid-winning companies in each group is shown in the table below
.

For products with the same serial number involving multiple catalogue declarations, the lower value shall be taken as the purchase price with quantity
.

The purchase price of the products to be selected in the same group in the same group with quantity shall not be higher than 1.
5 times the minimum purchase price of the products to be selected in the same group (the most obvious subdivision group, the same below)
.
The purchase price of the selected product with quantity higher than the above price will be adjusted at 1.
5 times the lowest purchase price of the similar product; if the selected company does not accept the adjustment, the package of the product to be selected will be regarded as unselected and the same package No repetition is made
.

The purchase price of the products in the same set of B group with quantity shall not be higher than the lowest purchase price of the similar products in group A with quantity
.
The volume purchase price of the proposed product that is higher than the above price will be adjusted at the lowest purchase price of the similar proposed product in Group A; if the proposed company does not accept the adjustment, the package of the proposed product will be deemed unselected, and the same The set will not be supplemented
.

If the products of each category requested by the medical institution are in the selected range, the corresponding intended purchase volume shall be included in the agreed purchase volume of the selected product; if the product requested by the medical institution is not in the selected range and the set technical review score is ≥50 points , The corresponding intended purchase amount is allocated as the amount to be allocated in the group according to the following order: first, no less than 30% of the amount to be allocated is allocated to the selected product with the largest comprehensive decline in the group of companies with the most complete list of sets; The remaining amount to be allocated is determined by the medical institution's independent choice among the products selected in this group
.

Intentional purchases with a product technical review score of less than 50 points submitted by medical institutions are regarded as the amount to be allocated and determined by the medical institutions independently within the scope of the selected products
.

Continuous bargaining, with an average drop of nearly 90%

Many types of orthopedic consumables are being included in the volume procurement by the country, alliances and provinces due to their large clinical use, high purchase amount, mature clinical use, sufficient market competition, and high level of homogeneity
.

After continuously testing the water in the local area, on June 21, the National Organization for High-Value Medical Consumables Joint Procurement Office issued the "National Organization for Centralized Procurement of Artificial Joints (No.
1)".
All provinces across the country formed a purchasing alliance and appointed representatives to form the country.
Organize a joint procurement office for high-value medical consumables to implement centralized procurement of artificial joints on behalf of public medical institutions in various regions and voluntary medical insurance designated social medical institutions.
Tianjin Medical Procurement Center will undertake the daily work of the joint procurement office and be responsible for the specific implementation
.
Since then, the national direction for the centralized procurement of orthopedic consumables has been clear
.

At the time when the country is collecting artificial joints, the latest price of orthopedic consumables from the local alliance has been announced
.

On July 20, the Procurement Information Disclosure Conference of the Orthopedic Trauma Medical Consumables Alliance of the 12 provinces (autonomous regions and municipalities) of Henan, Jinxi, Jiangxi, Hubei, Chongqing, Guizhou, Ning, Qingxiang and Hebei was held in Luoyang
.
According to Huazhao Equipment Network, after negotiation, the average price drop is close to 90%
.
details as follows:

Ordinary bone plate system: the lowest price is 208.
71 yuan, the highest price is 821.
86 yuan, the overall average drop is 87.
05%, and the highest drop is 95.
54%
.
Among them: 18 companies in group A are to be selected, the total demand of the alliance is 68,420, and the average declared price is 573.
475 yuan, an average decrease of 87.
76%; 24 companies in group B are to be selected, the total demand of the alliance is 13,126, and the average declared price is 630.
97 yuan, an average decrease of 86.
53.
%
.

Locking compression plate system (including universal): the lowest price is 394.
78 yuan, the highest price is 1161.
6 yuan, the overall average drop is 89.
45%, and the highest drop is 95.
78%
.
Among them: 21 companies in group A are going to be selected, the total demand of the alliance is 492,819, and the average declared price is 890.
76 yuan, an average reduction of 90.
48%; 34 groups in group B are proposed to be selected, the total demand of the alliance is 86,114, and the average declared price is 1046.
55 yuan, which is an average decrease of 88.
82.
%
.

Intramedullary nail system: the lowest price is 523.
89 yuan, the highest price is 1495.
33 yuan, the overall average drop is 89.
12%, and the highest drop is 95.
52%
.
Among them: 20 companies in group A are to be selected, with a total demand of 116,332 alliances, with an average declared price of 1,200.
20 yuan, an average decrease of 89.
74%; 30 companies in group B are proposed to be selected, with a total demand of 16,814 alliances, with an average declared price of 1319.
33 yuan, an average decrease of 88.
71 %
.

The centralized procurement of provincial regions and multi-provincial alliances is the "main force" in the centralized procurement of consumables.
Their procurement methods and bargaining power largely represent the overall direction of the procurement
.
Judging from the current trend, the price reduction of orthopedic consumables will not be lower than last year's coronary stents
.

Attached:

Technical review indicators and scores