Another comprehensive medical reform pilot province issued a letter, accelerate the promotion of one-vote system

On April 21, the Shaanxi Provincial Health and Health Commission issued the Implementation Opinions on Further Promoting the Experience of Deepening the Reform of the Medical and Health System in Fujian Province and Sanming City (hereinafter referred to as the Implementation Opinion), which made it clear that by the end of June, cities and counties should implement concrete implementation measures for the healthy Shaanxi action, comprehensively promote the implementation of the healthy Shaanxi action and deepen the medical reform work, and ensure that the objectives of the healthy Shaanxi action are fulfilled
The Implementation Opinion points out that the implementation of the pilot project on centralized procurement and use of drugs by national organizations will be expanded in the region, and the scope of centralized procurement and use of drug varieties by national organizations will be expanded in accordance with the unified national deployment in 2020We will accelerate the settlement of payment by medical insurance operators directly with pharmaceutical production or circulation enterprises
As early as November 2019, the Notice on Further Promotion of the Experience of Deepening the Reform of the Medical and Health System in Fujian Province and Sanming City clearly states that in 2020, in accordance with the unified deployment of the State, the scope of centralized procurement and use of pharmaceutical varieties by national organizations will be expandedThe pilot provinces of comprehensive medical reform should take the lead in promoting the settlement of payment by the medical insurance operators directly with the pharmaceutical production or circulation enterprises, and other provinces should actively explore
The industry believes that this document in Shaanxi Province coincides with the above-mentioned notice, the medical insurance operators directly and pharmaceutical production or circulation enterprises to settle the purchase price, that is, can be considered to be in the direction of one-vote system evolution
It is reported that the pilot provinces of comprehensive medical reform include Jiangsu, Anhui, Fujian, Shanghai, Zhejiang, Hunan, Chongqing, Sichuan, Shaanxi, Qinghai and NingxiaAt present, in addition to Shaanxi Province, there are many provinces and cities explicitly encourage the "one-vote system", some areas have even begun to implement a one-vote system
For example, as early as August 2, 2019, the Guangdong Provincial Drug Trading Center issued "on further doing a good job in our province's medical institutions drug trading "two-vote system" bill upload work and publicnotice of the first batch of the identification as a one-vote situation audit results notice, the first batch of the case identified as a one-vote audit results to be announced
On November 12, 2019, Hunan Provincial Public Resources Trading Center issued the "2019 Public Medical Institutions Special Centralized Procurement Notice for Antibacterial Drugs", the document mentions the implementation of centralized procurement of 54 antimicrobial drugs, in procurement, settlement, medical insurance payment, guaranteed use and other aspects of the national procurement model, to encourage pharmaceutical companies to be directly assigned to the hospital in the form of a one-vote system
On March 31, the Medical Security Bureau of Xianning City, Hubei Province, issued the Guidance on Building a Unified and Open Drug Circulation Market throughout the city, which mentioned in the document that local production and circulation enterprises should be encouraged to participate in market competition and support the distribution of drugs (one-vote system) directly to public medical institutions
Also in March, Fujian for ketones, cyclophosphamide and other 99 Western drugs and Angong hemostatic particles, musk chasing wind relief cream and other 58 traditional Chinese medicine (a total of 157 drugs) to carry out a public inquiry declaration, the document proposed that the drug distribution inquiry network drug strictly implement the two-vote system, to encourage the implementation of a one-vote systemIn addition, on February 26, Fujian Province issued the "Fujian Province drug centralized band procurement document" pointed out that the selected varieties of the band procurement strictly implement the "two-vote system", encourage the implementation of the "one-vote system", the selected drugs by the medical insurance agency unified for the settlement of the purchase price
With the introduction of these pilot provinces documents, accelerate the promotion of the one-vote system, as well as the normalization of collection, provincial and local centralized procurement boom, the industry believes that the one-vote system of the national implementation or will be possibleAt the same time, the income structure of pharmaceutical circulation enterprises will change, the concentration of the industry will continue to improve, there will be a number of small and medium-sized enterprises out.