At least 10%, the second negotiation price in Sichuan will be reduced by percentage!

Source: Lianzhong medical network 2015-05-27 is always very busy at night Now the key words of the pharmaceutical market, "second bargaining" ranks first, so I want to make a simple analysis of the impact of the second bargaining on the Sichuan Pharmaceutical Market in the dead of night The so-called second bargaining is that the medical institutions, on the basis of the results of drug bidding at the provincial level, bargain again when the winning drugs enter the hospital for purchase At present, it is generally believed that "margin" is not included in the bid price There are different opinions on the second bargaining On the one hand, a researcher from the Institute of economics of the Academy of Social Sciences roughly said: "to eliminate the inflated drug price, it is necessary to make the drug price return to its original value through the invisible hand of market economy and through the competition between supply and demand The current bidding and procurement mechanism is still a product of planning The government has too much heart and too much heart As the main body of drug procurement, the hospital has no voice, which is not like the market economy So only the real buyer's independent bargaining is the real secondary bargaining -- return the independent purchasing right of the medical institution, and the price difference belongs to the hospital " Of course, the opposition is even more common For example, before 2013, there were ministerial documents that made it clear that the "second price negotiation" of drugs was not compliant 2 The second negotiation violates the bidding management law and the contract law, which affects the credibility of provincial bidding and leads to the inconsistency of provincial procurement prices After the bidding procurement is publicized, but the procurement obligation cannot be fulfilled according to the price publicized by both parties, which makes the upgraded bidding sponsor suffer from the query of breach of contract and non calculation And the second bargaining, from the perspective of mathematical reasoning, using the same bidding scheme as the provincial hanging network, will get different answers? If the second bargaining is conducted in different ways, is the difference between the price negotiated and the price obtained by the provincial bidding procurement to show who has better bargaining power? This undoubtedly affects the authority of the provincial bidding agency 3 It will increase sales costs and expenses for production enterprises In the past, 31 provinces and cities across the country (2 special zones and Taiwan do not invite bids) To focus on procurement, the manufacturers are basically equipped with the corresponding government affairs department and bidding specialist Now, even if a consortium is established with the city as the unit for secondary bargaining, the workload has suddenly increased dozens of times It is estimated that each manufacturer can set up secondary bargaining liaison officers with one or two provinces as the unit For example, in the past 12 years, Chongqing has engaged in 40 district / county consortia procurement, which is a symbolic negotiation of individual price points and distributors It seems that many enterprises have a large amount of feedback work, and many manufacturers have made mistakes in this respect, which leads to sales being restricted and affected 4 There may be a new round of commercial bribery and corruption in large-scale medical institutions or government procurement departments; It's an interesting phenomenon Before 2010, many provinces were bidding by local units At that time, the government was keen to compete for drug bidding and procurement There were many HH e-commerce companies that benefited from the government's drug bidding information work But now, the response of all levels of government to the second price negotiation of drugs is not as enthusiastic as the central ministries and commissions! This is a meaningful phenomenon In fact, from the level of policy decision to the level of front-line medical workers, it is very clear that the price reduction of the national development and Reform Commission and drug bidding procurement will never reduce the medical expenditure of the common people（ The common people's demand is how much can I reduce the drug cost for the treatment of this disease After the government has reduced the price of the drugs used by the common people before, the doctors will not prescribe this medicine Immediately, there will be a drug with the same price as the original online price to occupy this prescription vacancy In the eyes of the government, the price of drugs has been reduced In the eyes of the common people, the cost of drugs for treatment has not been reduced at all In a market without a real market-oriented competition mechanism, the more government intervention, the more problems No matter how superior your design scheme is, getting a market-oriented system can only become a kind of props for secondary distribution However, the second negotiation came to Sichuan market as promised Before the implementation of the second bargaining in other provinces, most of them are sold to patients with zero margin after the purchase of hospitals Through the second bargaining, a discount rate is set, and the distribution enterprises turn back this discount rate to the competent departments and hospitals to make up for the loss of hospital zero margin sales It is obvious that this kind of scheme is to support the medical staff with medicine by way of extra standard rebate, and the hospital, as a non-profit unit, will give the rebate to the hospital after the second negotiation How will the hospital deal with the rebate tax ticket problem? However, the second negotiation in Sichuan is in the form of volume purchase, which has a bright spot compared with the previous model 1 Sichuan Provincial online price did not adopt the scheme of bidding with the same product type, but only the lowest five provincial average price of the drugs from its own manufacturer as the online price limit, which is equivalent to just giving a price ceiling Although the bidding scheme at that time did not talk about the secondary price negotiation, it has already set the stage for the subsequent secondary price negotiation 2 At present, there are only Nanchong, Guangyuan and Panzhihua as the pilot cities for the second negotiation Before that, there was a precedent for the health and Family Planning Commission to stop the second negotiation outside Shaoxing, Ningbo, Zhejiang Province The pilot has not yet implemented the policy summary experience What's the reason for non pilot areas to rush to the scene? 3 The result of Sichuan health and Family Planning Commission's second bargaining price reduction is to benefit the people and not as the purchaser's income, and this price will be input into the provincial centralized procurement platform, and the provincial online price may be adjusted accordingly This makes it lucky that there is no direct return for hosting the second bargaining In addition to the in-depth development of the anti-corruption campaign, holding a "second bargaining" work is not as good as before, and it is not known how many relatives who want to offend the plea reasoning The two sleeves were clean and nothing happened Maybe after the event, the gossip came to the door So it's very difficult for this sponsor to do it In addition to the current three pilot cities, there are also rumors of secondary price negotiation in many places For example, it is reported that large hospitals in Chengdu will form a consortium to conduct a secondary price negotiation In East Sichuan, a top three hospital convened a distribution business meeting on 19th of this month It is required that the price of each single product must be reduced by more than 10% If the price cannot be reduced, the purchase will be cancelled; There are even reports that the largest hospital group in Southwest China will organize hospitals in its own system to have a second bargaining As far as we know, in addition to their own noble spirit of serving the interests of patients, the interview of the provincial health and Family Planning Commission is also an important driving force Originally, it was agreed that the city-based consortia would operate volume based procurement, but now the city consortia have not made public, no wonder the competent department is worried At last, there are several guesses about the second bargaining in Sichuan 1 The extent of the reduction Reduce 10%? Many enterprises are saying that just after the lowest five provincial average price reduction, Sichuan's online price has become the top three in the country, and another 10% can't be cut down There is also news that the leader of a hospital requires to reduce it to 15% Yes, I believe there is also a record decline, because it has been said before that the second bargaining has no economic interest with the sponsor, and that the thing that has nothing to do with its own interests is a political task urged by the competent department, so we still don't take the attitude to die After this game, hospitals, doctors, agents, distributors and the government all take their own interests 2 The tangle of the pharmaceutical factory Unlike the provincial bidding variety bargaining, you can also appeal your own patent or advantage, and use the rules alone to make the quality level tough without price reduction or to give up one decimal place; The second negotiation is based on the percentage reduction Pharmaceutical companies can only choose whether to agree or not No matter the import joint venture, Sichuan products or exclusive varieties, they must reduce by one range! Reduce! Reduce! If you agree, you can get orders from this region, but the price reduction will affect the secondary bargaining results of other regions in the back of this province and even change the online price of this province, and ultimately affect the national online price The loss to get this order is too great The basic attitude of the manufacturers would rather give up the forest than lose the national market 3 The lowest price of the same kind Before that, many friends were worried about whether they would go online in the whole province, and then negotiate for the second time, competing with each other to win the bid I think this worry is superfluous The price only low price scheme is not consistent with the current online bidding rules of Sichuan Province 4 Finally, it should be emphasized that the appeal of the national health and Family Planning Commission for the second price negotiation has always been a stifling and opposing attitude It is also reflected by friends who have deep contact with the provincial health and Family Planning Commission The failure of Chengdu drug exchange in the second price negotiation for the provincial standard in the early days also fully explains the problem Although the State Council stressed this time, it is normal for different departments to have different voices on controversial issues In the pharmaceutical industry before, there were also those who did not perform after playing drums The key is to implement the idea of which department Author: Meng Xiang