All consumables can be negotiated, linked to the lowest price in the country

on March 31st, Jiangsu Provincial Health Insurance Bureau issued theRegulations on the Implementation of Sunshine Procurement of Medical Supplies in Jiangsu Province (Trial) (hereinafter referred to as the Implementation Rules), requiring all connected network supplies on the platform to link the lowest prices in the country.According to the Regulations, armed enterprises shall declare price information to the provincial platform within 20 working days of the new minimum price in the current provincial and municipal listed prices, and the provincial medical insurance department shall organize a national minimum price linkage of similar products once a year to adjust the listed price according to the relevant rules.If the arms enterprises do not declare in time, false declaration or other fraud, once confirmed will be in accordance with the relevant provisions of the suspension of the internet and other treatment.At the same time, the original "six categories" "five categories" centralized procurement has been shortlisted for high-value medical supplies, production enterprises through the provincial platform to declare the country's current provincial (including autonomous regions, municipalities directly under the Central Government) the lowest price, confirmed by the provincial health insurance departments after the lowest price hanging network (including each district and city is currently hanging the lowest price), for the province's medical institutions procurement.For high-value medical supplies products that have not been shortlisted (including non-participation), the production enterprises shall declare relevant information through the provincial platform, and shall be registered at the lowest price after the approval of the expert group organized by the provincial medical insurance department for procurement by medical institutions throughout the province.The filing data include the records of 15 provincial-level registered networks or the recorded procurement records of 10 third-level public medical institutions in the province.General medical supplies, inspection and inspection reagents and consumables, but also take the national provincial and municipal list price of the lowest price.The original municipal centralized procurement has been shortlisted products, production enterprises through the provincial platform to declare the national current provincial and municipal listed network prices the lowest price, confirmed by the provincial health insurance department after the lowest price hanging network, for the province's medical institutions procurement.For price linkage, not only at the provincial level, the national price linkage is also coming.As early as December 5, 2019, the State Health Insurance Administration said in its Response to Recommendation No. 2583 of the Second Session of the 13th National People's Congress that a national price-sharing platform should be established to share information on centralized procurement of drugs and consumables at the provincial level throughout the country.In another reply, the National Health Insurance Administration also said that the establishment of a national monitoring platform for medical supplies, to achieve nationwide data sharing, improve the efficiency of centralized procurement.

all supplies can be negotiated, the hospital to negotiate a singleIn addition to the national minimum price linkage, the Implementation Rules also clearly state that the full implementation of bargaining procurement, provincial platform network supplies can be bargained (except for selected products in the alliance procurement cycle).The Regulations show that medical institutions and production and operation enterprises shall conduct substantive bargaining under the listed price through the provincial platform. The agreed price is disclosed on the provincial platform for reference by other medical institutions. Encourage multiple medical institutions to bargain on a single bill and explore further reductions in purchase prices.Where a medical institution initiates a bargain according to the provincial platform's online price, the system automatically confirms that the enterprise shall confirm that the enterprise has initiated a bargain according to the actual transaction price and the production and operation enterprise, if the medical institution does not confirm the transaction within 5 working days, the provincial platform will carry out price linkage.In addition, arms companies and medical institutions will be carried out bargaining supervision, high prices will be warned. 　　The Regulations require the provincial platform to monitor the variety, quantity and price of consumables purchased by medical institutions dynamically, focusing on the marking and monitoring of bargaining between public medical institutions at the second level and above. 　　The platform will provide early warning and key monitoring of bargaining in the red zone, alert bargaining in the yellow area to promote further bargaining, recommend references to bargaining in the blue area, and encourage medical institutions to purchase transactions in the region.

more than six negotiations a year on consumables 　　The Regulations also show that, following two rounds of provincial negotiations in 2019, the province will continue to form a sunshine procurement alliance, in accordance with the "provincial organizations, alliance procurement, platform operation, result sharing" approach, the high-value medical supplies part of the product implementation of the alliance with volume procurement, price negotiations or health insurance access negotiations. 　　According to the Modern Express, on March 27, Jiangsu Province Health Care Work Conference and the province's annual deployment of special management of health care public services will be held by video conference. 　　The meeting called for the normal promotion of the province's consumables alliance procurement, the whole year to carry out more than 6 provincial centralized belt procurement, promote the provincial platform and all secondary and above public medical institutions procurement, HIS system connectivity, to achieve all public medical institutions in the provincial platform sunshine procurement, public transactions, should be exhausted. 　　At the same time, the Regulations indicate that an alliance procurement monitoring feedback mechanism will be established to facilitate the landing of alliance procurement results. Medical institutions participating in alliance procurement or with the expansion of the bid shall strictly perform the contract during the procurement cycle, purchase according to the agreed varieties, quantities and prices, and shall not conduct secondary bargaining. 　　Priority is given to the selection of selected products to ensure the timely completion of the rated procurement volume, monthly reporting of procurement, use information, to accept the supervision of the medical insurance department. 　　It is understood that in 2019 Jiangsu Province completed a total of two provincial alliance negotiations. 　　According to the Nanjing Daily News, on July 31, 2019, the results of the first negotiations of the Jiangsu Province's Supplies Alliance, which includes 55 third-tier public hospitals in Jiangsu Province, were announced. 　　The alliance procurement negotiations were for the variety of repamycin and its derivative stents and double-cavity pacemakers. Bracket negotiations by individual varieties, the average decline of the selected varieties 51.01%, the highest decline of 66.07%, pacemakers according to the production enterprises negotiations, the average decline of the selected enterprises involved in varieties 15.86 percent, the highest decline of 38.13 percent. 　　On September 29, 2019, Jiangsu Province completed the second negotiation of the Supplies Alliance, which includes 107 third-tier public hospitals, nearly twice as many as the first. 　　Negotiating varieties involving ophthalmology artificial crystals, vascular interventional balloons, orthopaedic artificial hip joints and other 3 categories of more than 300 models. 　　Among them, the average decrease of vascular interventional balloons was 74.37 percent, the largest decrease was 81.05 percent, the average decline of orthopaedic artificial hips was 47.20 percent, the largest decrease was 76.70 percent, and the average decline of ophthalmic artificial crystals was 26.89 percent, the largest decrease was 38 percent. (Jiangsu Provincial Health Insurance Bureau)