Artificial crystal prices dive! A number of hospitals will be deeply affected

Pharmaceutical network December 14th, after the collection of artificial crystals, the price also dived! With the high-value medical supplies belt procurement continued to advance, the hospital collection in the selection of artificial crystal reflects the big diving price reduction.
132 million people (45-89 years old) will have cataracts in China by 2020, according to a report released by the International Association for the Prevention of Blindness.
and artificial crystal implantation as the only effective means to treat cataracts, the domestic market demand is huge.
, Gansu Province officially implemented the results of artificial crystal collection.
According to the province's official media reports, compared with the original purchase of the lowest price, the average purchase price decreased by 53.26 percent, the highest decline reached 84.21 percent, according to the agreed procurement volume is expected to save about 11.857 million yuan in the first year.
the above-mentioned Gansu Province selected artificial crystal price waist cutting reason can be traced back to the recent 10 provincial alliance artificial crystal collection.
Not long ago, 10 provinces (districts, corps) led by the Shaanxi Provincial Health Insurance Bureau of the Alliance of public medical institutions artificial crystal collection results show that: a total of 17 enterprises 49 products selected, selected products according to different quality levels, from 350 yuan to 23,000 yuan per piece, an average decline of 44%, the highest decline of 85%.
According to the agreement, the ningxia, Gansu, Qinghai, Xinjiang, Xinjiang Construction Corps, Hunan, Guangxi, Guizhou, Hainan, Shaanxi, a total of 10 provinces (regions, corps) to confirm the selected products and procurement quantity, in accordance with the determined procurement volume, responsible for the allocation to the province's specific medical institutions, and by medical institutions and selected enterprises to sign a volume procurement contract.
the scope of artificial crystal collection at present? From a national perspective, the national coverage rate of artificial crystal belt procurement provinces as high as 70.97 percent, throughout the country's 22 provinces and 1 corps, is currently medical supplies to carry out belt procurement of the highest regional coverage of varieties.
price has been reduced since the collection of artificial crystals? According to Dongxing Securities, as of September 2020, artificial crystals have been purchased six times centrally, and the overall average decline in artificial crystal negotiations is about 35%.
, the cost of cataract surgery consists mainly of artificial crystals, examination fees and surgery costs.
the water in cataract surgery is squeezed out by collecting water.
impact this will have on public health facilities and medical personnel? "First of all, there will be less spending on health care and more patients willing to operate, but the revenue from ophthalmology in public hospitals will be less than it used to be."
" Yu Wei, executive director of Beijing's Ophthalmology Department, said in an interview with The Medical View.
Yu believes that with the increase in the number of patients, low-year doctors will have more opportunities to learn practice, conducive to the development and growth of the team of ophthalmologists, but on the other hand, public hospitals will do cataract surgery are high-level doctors, when the gray income is squeezed, high-year doctors surgery enthusiasm will decline.
On the other hand, for high-income patients with low price sensitivity, collection has led to restrictions on the use of high-end artificial crystals in public hospitals, which may be lost from public hospitals and more likely to go to private hospitals to meet treatment needs.
Private ophthalmology profit model is also or will be reconstructed it is understood that in recent years, the marketization of the field of ophthalmology accelerated, the number of private ophthalmology medical institutions, according to the "2020 China Health Statistics Yearbook" data show that by the end of 2019, the number of public ophthalmology hospitals in the country is only 55, the number of social ophthalmology hospitals reached 890.
ophthalmology hospitals have also been included in the medical insurance designated medical institutions.
yuxuan believes that artificial crystal collection price reduction, non-medical insurance fixed-point private hospitals have little impact.
According to Xu Weicai, a columnist for "Looking at the Medical Community" and deputy director of the Health and Safety Bureau of Shanyang County, Shaanxi Province, unlike artificial crystals and other medical supplies from production to access to public medical institutions, in a set of links embedded interests, private medical institutions are completely market-oriented operation, it will save as much as possible costs.
" private hospitals through market means to buy artificial crystals, it is likely to be lower than the public hospital health insurance collection.
" industry insiders to "look at the medical community" analysis, for the medical insurance fixed-point private hospitals, with the reduction of artificial crystal collection, ophthalmology hospital profit model will usher in reconstruction.
It is understood that "Southern Weekend" has reported that "a suspected fraud case to open the price secret: cataract surgery why so expensive" case: a private hospital in Zhejiang, artificial crystals real purchase price of 1666 yuan / piece, but the purchase price on the hospital invoice is 5200 yuan / piece.
the same artificial crystal at a public hospital in Zhejiang Province, which cost 5480 yuan per piece in December 2016.
The city's medical insurance data show that the cost of cataract surgery is about 8000 yuan, the proportion of reimbursement given by health insurance is about 52%, for the private hospital's medical insurance reimbursement, including artificial crystals, including the total cost of surgery, the health insurance fund pays about 4,600 yuan.
an ophthalmologist at the hospital once told the medical community that the cost of their surgery can not be counted, the hospital's profits only need to earn artificial crystal price and health insurance settlement between the difference.
this is also a lot of into the medical insurance fixed-point private eye hospital common profit model.
similar to public hospitals, the value of a doctor's labor has not been legally reflected, and between a falsely high price discount rebate to achieve.
, for private hospitals with access to health insurance, a distorted profit model similar to the one mentioned above, with the difference between the low purchase price of artificial crystals and the settlement price of health insurance, will be withdrawn from the stage.
industry analysis, this kind of private hospital profit model will usher in the reconstruction, the value of doctors' labor will eventually be reflected.
service charges urgently need to be restructured" the core of medical service price reform is 'cage for bird', where is the space for price adjustment? Liang Wanying, former director of the National Health and Health Commission's Department of Physical Reform, has said that the standard of "cage for bird" in the price adjustment of medical reform is to adjust the structure of hospital income, the proportion of drug consumption has dropped significantly, and the proportion of labor technology has been greatly improved.
said that "Teng cage for birds", it must be mentioned that the current round of medical reform affects China's pharmaceutical industry the most profound Sanming medical reform, it is understood that Fujian Sanming has been to break the "drug-based medicine", Teng cage for birds as the ultimate goal of reform.
, according to public data, the average increase in Fujian Province in 2011-2018 was calculated, with a cumulative reduction of 7.3 billion yuan in medical expenses.
average annual salary of medical staff increased from 422,000 yuan to 1134 thousand yuan in 2018.
almost doubled compared with before the reform.
reform measures have also been affirmed by the State Council's leading group on deepening health care reform.
in the industry's view, the greatest achievement of Sanming health care reform is not to reduce prices, but to rationalise the interests of the relationship.
"reduce the real income of medical personnel, has never been the goal of health care reform, health care and health care must reach a consensus."
" in the field of health care researchers, in the view of the "cage" of inflated drug consumption and high prices, should emphasize the technical labor value of medical services - hospital pay distribution and doctors sunshine income reform should be launched.
Xu Weicai believes that medical reform has been more than 10 years of exploration, the experience gained in practice is that "three medical linkage" is the key, medical insurance is the lever, drug supplies collection is a breakthrough, whether it can really play a role ultimately depends on the volume of procurement of reduced drug supplies prices to benefit medical personnel, and ultimately benefit patients.
to this, Yu also suggested that the heart stent, orthopaedic supplies, artificial crystal price reduction, the next step should be the corresponding surgery costs should be appropriately raised, so as to be conducive to the growth of the team of excellent doctors and the development of medical cause.
" In reality, in cardiology can do stent implant surgery, in orthopaedics can do joint replacement surgery, in ophthalmology can do crystal replacement surgery, these experts are the industry leader, they should get more sunshine income.
"