A device section chief can receive 3.96 million rebates supplies national collection of price reduction space is how much?

TextTan Zhuoyu Wu Jing brewing high-value supplies national edition collection is about to starttoday (July 10), is the last day of the first round of national collection of suppliesOn July 3,, the State Medical Insurance Administration commissioned the China Medical Device Industry Association and the China Medical Equipment Association to conduct the "National Organization Coronary Bracket Concentration Band Purchase Program (Draft for Comments)" for comments, and requested feedback by July 10medical supplies inflated prices is a long-suffering problema public hospital director said in an interview: "a domestic heart stent, the factory price is only 3000 yuan, to the hospital became 27,000;", in June this year, Hu Jinglin, director of the State Health Insurance Bureau, in the deepening of the reform of the health care system training course, "let reform become the most distinctive undertone of the health care banner" in the industry, which mentioned: the fund supervision situation is seriousfor a long time, the supervision of health insurance funds "lost to wide, lost to soft", fraud insurance, drug supplies prices inflated swallowing the health insurance fund, over-treatment caused by "micro-waste", these seemingly ordinary, "ant move"-style behavior accumulated into more, serious erosion of the health insurance fundthe rebate of the circulation link, is an important part of the price of consumables moistureAccording to a judgment issued by theon June 8, 2020, Lin, head of the Medical Devices Section of Guilin People's Hospital, received a rebate of RMB 3.96 million according to 9% of the value of the supply of supplies company to the hospitaland the device department is only part of itfrom his already judgmentd cases of bribery, bribery, supplies into the hospital need to do a lot of links, from bidding to renewal, to daily use, from the health bureau leadership to the president, to the equipment department and clinical department director, doctors, can see the shadow of kickbacksrebates are not just an erosion of health care funds, but also an injury to patients' healthdriven by kickbacks, excessive medical behavior breedswell-known cardiologist, the first domestic introduction of heart stent advocate Hu Dayi has publicly pointed out that China's abuse of heart stent problem has been quite serious, "from a clinical point of view, 12% of patients were overtreated, 38% of the stent belongs to the available." "s "the fight against commercial bribery is one of the key tasks in the State Council's reform program for high-value medical supplies, but in addition to individual cases, there is also a way to systematically address them on August 1 last year, Li Tao, deputy director of the State Administration of Health Insurance, said at a regular state council policy briefing that centralized procurement is one of the most effective ways to reduce the price of high-value medical supplies year passed, the national edition of the collection finally really came supplies national collection early to pave the ground on May 28, 2020, the official website of the State Health Insurance Administration released a meeting news of only 54 words: On the morning of May 28, Chen Jinfu, deputy director of the State Administration of Health Insurance, presided over a symposium on centralized procurement reform of high-value medical supplies, and listened to the opinions and suggestions of some enterprises and association representatives The fewer words , the bigger the matter this is an important point in time in early May, Hu Jinglin, director of the State Health Insurance Administration, attended the Tianjin and other nine provinces, including the alliance procurement of high-value medical supplies declaration information open conference he expressed the hope that the alliance region to this procurement as a starting point, will be more high-quality and affordable products into the scope of procurement, for the country's general high-value medical supplies concentrated tape procurement exploration experience In June, The 2020 key work of hu Jinglin, presented by the second item: This year, the State Health Insurance Administration will summarize the experience of local procurement in the early period, on the basis of the national organization of coronary bracket and other high-value medical supplies centralized band procurement pilot traders and selectors have already appeared and before, the local edition collection has been picked many times before for example, the multi-site joint collection of two "alliances" The first was the "Sanming Alliance" in Sanming, Fujian Province, with 16 provinces and 25 prefecture-level cities covering a population of 140 million since its formation at the end of 2015, completed the joint price limit procurement of 3 batches of medicines and 6 batches of medical supplies the second is the Beijing-Tianjin-Yuan and Heji Liaomeng Jinlu Pharmaceutical Joint Procurement Office (referred to as: 3-N Collection Alliance), in May 2020 completed the collection of artificial crystals, led by the implementation of this national collection: Tianjin Pharmaceutical Procurement Center has selected 53 catalogues and 172 related products around artificial crystals previous years, the annual purchase amount of these products in the 3-plus-N-harvesting alliance area was 642 million yuan, with preliminary estimates that the successful collection could save 385 million yuan in the year after the successful collection this collection adopts a combination of bidding and bargaining, for different types of products to adopt different negotiation methods the actual number of declared enterprises in the same group is greater than or equal to 2 products, that is, competitive products, using the bidding method, selecting the lowest price; from the whole process of negotiation, a total of 7-8 enterprises to participate in the same group of bidding, 4 of the lowest bidder of the enterprise, market share will be based on the price of high and low to be allocated in turn the collection speed of the 3-N is quite fast, the whole process lasts only three weeks: April 29 official release of procurement documents, May 9 bid, 25 product specifications successful May 18, the negotiation of the bargain, 19 product specifications successfully failed products, either without a corporate offer, or by bidding for elimination and failure to negotiate How much can the coronary bracket collection drop? "The first shot hit the coronary stent, which is the most sick of supplies, not one of the " an industry insider said of the national collection of selected The cardiovascular department, which often used to coronary stents, was the focus of last year's anti-corruption unit from May to November last year, five cardiovascular specialists fell in Jiangsu province alone One of the is Qiu, director of cardiovascular medicine at Taicang Chinese Medicine Hospital, according to the judgment issued on May 27 this year, from June 2009 to June 2019, Qiu received rebates from three agents, totalling 910,000 yuan, of which the rebate of coronary stents was 15% to 20% with several subject leaders have fallen, Jiangsu Province group alliance of the volume of procurement negotiations also started synchronously the first round of negotiations in the was held on July 24th, with 55 three-level public hospitals participating, the main types of negotiations being the commonly used cardiovascular stents and double-cavity pacemakers in cardiovascular medicine most brackets have dropped by an average of 40%-50% after negotiations the average pacemaker fell by 15.86 per cent, with the highest drop of 38.13 per cent starting in October, these price-reduced supplies are entering the hospital According to local media in Nanjing, on October 8, a patient, Mr Qin, installed four stents at the first hospital in Nanjing because of coronary artery stenosis, "I have four stents in two blood vessels." price from 13,400 yuan a drop to 7100 yuan a, implanted four stents save more than 20,000 pieces." and the scale of national collection, will be much larger than Jiangsu Province, and according to the total procurement base of 80% to determine the agreed procurement volume, and the requirements of each selected product procurement volume is not less than 80% of the procurement base of the product declared by each medical institution, the proportion is not low , prices are expected to be lower and even more reduced by then consumables collection is more complex than drugs, consumables collection has more complex problems the National Health Insurance Administration in a representative of the National People's Congress ,"to reduce the high price of medical supplies" in the reply explained the complex place: First, medical supplies do not have a generic name; the scope of the procurement products, such as cobalt-chromium and platinum-chromium alloys, the type of drug carrier is rapamycin or derivatives, and the drug carrier coating is non-Poly4fluoroethylene crown stents the aforementioned industry insiders said to the eight-point health, "May be down this material, but the price of another material has increased, because there is no inclusion in recruitment, patients still rely on the doctor's recommendation, the doctor will recommend the high price." he reminded: "So supplies collection of supporting measures can keep up, it is very important." what can be done to avoid a similar situation? Preventing people in the industry from drilling holes? "The method used in drug collection is a double-word , for example, the treatment of diabetes acapo sugar, there are dozens of species on the market, now only allow two rules into the hospital, so there is no room to drill such a method, Sanming medical reform in the use of more stringent and supplies collection, Sanming also has relevant experience a Sanming supplies collection participants told the eight-point health, "to bid before, we set up a tender directory, has all kinds of (drilling holes) possibilities have been moved out." will allow all enterprises to provide their own supplies of all models and specifications, and, according to the material, different specifications, different sizes, different functions to different supplies set prices." and some supplies, different rules also set a price she gave an example, orthopaedic steel supplies, originally according to the number of holes to determine the price of different standard, three holes of a price, five holes of another price ", "Not here, all the holes are at a price this is not called simplicity classification, it is specialized I've studied them, they're basically the same ex-factory price, so let them quote about the same If you don't, do you know what's going to happen? A patient, five holes, six holes, seven holes of steel plate can be used, but the hospital will usually profit, with the maximum number of holes of the steel plate, the price is also the highest (but not necessarily the most suitable) now if the price is the same, the doctor need not be embarrassed, this wound should use a few holes of steel plate with a few holes of steel plate." there is no consistency evaluation, will bad currency expulsion of good currency? Another difference between consumables and drugs is that drug consistency evaluation has matured, and the consumables consistency evaluation, although listed as one of the tasks of the Health Insurance Bureau, has not yet landed under such circumstances, how to avoid low-quality products at low prices to win the bid? Chang Zhaohua, Chairman and Ceo of Micro-Invention Medical, recommended prudent lying on high-value consumables-load procurement during the 2019 session he believes that there is no scientific way to distinguish between high-value consumables of different quality levels or grades, if the use of low-cost winning the usual practice, will inevitably lead to the "bad currency expulsion of good currency" phenomenon the participants in the aforementioned Sanming supplies collection also think that" the national collection, in fact, if the general to recruit, is certainly not possible, 2000 yuan bracket and 10,000 yuan bracket is certainly different " Jiangsu Province in the two supplies collection, the enterprises involved have set a threshold, small and medium-sized enterprises do not participate in the qualification, which is undoubtedly good for the leading enterprises involved in the negotiations avoids small and medium-sized enterprises to win at low prices, eliminating high-quality enterprises Will use this method in national collection? It is not known yet what impact will national collection have on the industry? The collection of consumables puts some medical device vendors under pressure 's main products are spinal implant supplies, trauma implant supplies of san-friend medical, in the Initial Public Offering Letter of Intent issued on March 18, indicated 22 risks policy risks in terms of collection sanfriendty medical use the average price reduction of 55.9% as a simulation parameter, the calculation is that the company's existing product average price of 2370.12 yuan / piece, the average selling price under the volume purchase will be reduced to 1045.22 yuan / piece, after deducting the impact of service charges, the average net price fell to 760.27 yuan / piece, the decline is very large ", from the current implementation of high-value consumables tape procurement situation, the price of the winning products than the original price of a relatively large decline, even if the company's products to achieve the winning bid, there is a sales increase can not make up for the impact of the decline in the price, and thus lead to the company's profit level of the risk of decreasing ", however, may also be an opportunity for some businesses in view of the domestic, import bracket price difference, some industry insiders pointed out that supplies collection of the promotion or will accelerate the domestic enterprises in the market share of the increase According to data released by the 21st National Interventional Cardiology Forum, China's heart stent (also known as coronary artery stent) market share of the top three enterprises, namely, Lepu Medical (24%), minimally invasive medical (23%) and Jiwei Medical (20%), are domestic brands imported brands include Boston Science, Medtroni, Abbott and others at present, according to the forward-looking industrial research institute statistics, the proportion of domestic coronary bracket market share has been more than 70% media pointed out that the import of three people Medtroni, Poco, Abbott's vast majority of products are in line with the collection standards minimally invasive FireCondor, Firehawk is made of cobalt-based alloys, and Firebird 2 is made of cobalt-chromium alloy, which is also expected to meet the collection requirements Of the exCROSSAL of Gylvie is made of cobalt-chromium alloy, and TheguReater of Lepp is expected to meet the collection requirements eight news contact Abbott, Medtronifa related market access departments, said that the current inconvenience to public response Bohang Capital Partner Zhang Wei told the eight-point Jianwen, the national collection of supplies, manufacturers profit margins are bound to be squeezed especially products with serious homogenization competition, the price reduction will be very severe, manufacturers will be more affected if manufacturers have a relatively high technical barriers to the product, can become the top three domestic, plus reasonable cost control, it is an opportunity In another dimension, tightening the belt can still make a living an industry person to speak bluntly, "These high-value supplies companies to put it bluntly, gross margin is certainly 89 percent, or can go down a little bit." " after the implementation of the volume procurement, in the relevant areas to deal with the hospital costs, after-sales costs will be significantly reduced if sales rise significantly, revenues will not necessarily grow .