Are you going to cut the price? Anhui medicine

Anhui medicine bidding came a big move: cutting prices at the waist Recently, there is a news about the trend of drug bidding in Anhui Province: first, the distribution business of public medical institutions in Anhui Province has maintained the original distribution business before the Mid Autumn Festival, and it is expected that before the national day after the Mid Autumn Festival, the single variety and quantity procurement (antibiotics, anti-tumor, chronic disease drugs, excluding 4 + 7 drugs) of public medical institutions in Anhui Province will be carried out, led by Anhui Medical Insurance Bureau , the price is about to be cut Second, Hefei Medical Association is expected to continue to use 5518 products in the 2018 edition of the catalogue of drug centralized purchase of public medical and health institutions in Hefei reported at the end of 2018 for on-line procurement, and the specific time is unknown I'm afraid that there are some big moves in Anhui drug bidding and purchase From August 22 to 23, 2019, Anhui medical security work promotion meeting was held in Hefei In particular, the meeting stressed that it is necessary to continue to explore the implementation of negotiation and negotiation on the centralized volume of drugs and high-value medical consumables, organize negotiation on the centralized volume of procurement of single drug varieties at the provincial level, and continue to squeeze the virtual high water content of drug prices We should carry out the price adjustment of medical services in medical institutions in accordance with the idea of "controlling the total amount, making room for space, adjusting the structure and ensuring the connection" Going back to the provincial level in Anhui, it will be back to 2012 After the national day of that year, Anhui was the first to carry out centralized drug procurement at the county level nationwide (this method was later followed by Shandong Province), and quietly completed the 1048 procurement catalogue in the bidding process In 2014, Anhui carried out the bidding procurement of basic drugs (1118) in the whole province, produced the bidding results of basic drugs in 2014 at the beginning of 2015, and established the reference price of medical insurance payment = provincial bidding price of basic drugs procurement in 2014 At the beginning of 2015, the state established four national level medical reform pilots, and Anhui was listed on the list Soon, Anhui's procurement plan with volume came out, and 16 + 1 stepped onto the stage, with an average decrease of about 15%, which is equivalent to the previous drug addition rate of public hospitals In 2016, we will continue to reduce the reference price of medical insurance payment, replace it with the price of medical service at the same time, and organize joint procurement again Reviewing the bidding history of Anhui Province is actually a process of self innovation, breakthrough and re innovation How to reduce the drug price in Anhui under the new situation is unknown, but the price reduction of medical consumables is real According to relevant media reports, in July this year, Anhui took public medical institutions procurement consortium as the main body to jointly purchase orthopedic implant (spine) and ophthalmic (intraocular lens) products The procurement volume is 70% and 90% of the procurement volume of two types of consumables in 2018 Meanwhile, it is stipulated that the procurement volume of medical institutions shall not be less than 80% of that in 2018 The average price of spine materials in orthopedics is 53.4%, the maximum reduction of single component is 95%, the average price of domestic products is 55.9%, and the average price of imported products is 40.5%; the average price of intraocular lenses is 20.5%, the average price of domestic products is 18.1%, and the average price of imported products is 20.9% It is estimated that the annual savings of the two products are 370 million yuan and 29 million yuan respectively It is understood that the relevant departments of the state have fully affirmed the effect of belt purchase in Anhui "The scale is not large, but the effect is obvious." How should the price of medicine in Anhui fall? The author considers the following common factors worth reference: first, to ensure the priority of purchase and use, no second bargaining 2、 Clinical priority We must give priority to purchasing products with quantity, simplify purchasing procedures and ensure clinical needs 3、 Ensure the purchase quantity is implemented The purchase volume of medical institutions within one year shall not be less than 80% of the consumption of the previous year 4、 Strengthen the guarantee of payment collection 5、 Guarantee the supply of products (meet the requirements of two vote system) Based on the above analysis, the author speculates that the new round of drug bidding model in Anhui Province should have the following two situations: 1、 The provincial bidding department is responsible for the selection and price reduction of a limited number of varieties (mainly with large purchase amount, more clinical use and strong competitiveness) The bid winning price generated is used as the reference price for medical insurance payment This time, the difference is that the bid winning varieties will not carry out secondary price negotiation in all cities 2、 All cities and counties shall make statistics on the varieties other than those purchased at the provincial level, carry out procurement with quantity, or organize by themselves or entrust commercial companies to carry out packaging procurement In any case, on the basis of medical consumables, 4 + 7 and anti-cancer drugs bidding, it is expected that Anhui Province will strengthen the firepower of exchanging quantity for price and carry out substantial price reduction Many pharmaceutical companies should also make psychological expectations in advance, and deal with price reduction Statement: this opinion only represents the author, not the position of yaozhi.com, welcome to exchange and supplement in the message area; if you need to reprint, please be sure to indicate the author and source of the article.