Beijing-Tianjin-Hebei "3+N" Alliance, Coronary Dilation Balloon "Buy with Volume Linkage"

Medical Network, March 19, Beijing-Tianjin-Hebei "3+N" Alliance, Coronary Dilation Balloons "Linked Procurement" March 16, Beijing-Tianjin-Hebei "3+N" Alliance Coronary Dilation Balloons The corporate communication meeting for linkage procurement was held in Tianjin
.
According to the "Notice on Carrying out the Related Work of the Beijing-Tianjin-Hebei "3+N" Alliance Coronary Dilation Balloon Medical Consumables with Volume Linkage Procurement Project" (hereinafter referred to as the "Notice"), this centralized volume linkage procurement product is coronary artery Expand the balloon
.
The procurement entities are all public medical institutions (including military medical institutions) in Beijing, Tianjin, Hebei, Xinjiang and the Corps to form a procurement alliance to support the participation of medical institutions from other provinces (autonomous regions, municipalities) in the "3+N" medical joint procurement alliance
.
Judging from the content of the document, only Xinjiang has joined at present, but judging from the experience of the Beijing-Tianjin-Hebei "3+N" alliance in the centralized procurement of intraocular lenses, it is not ruled out that more members will join in the future
.
In terms of procurement methods, the "Notice" shows that, after fair competition review, the centralized procurement method of coronary dilatation balloons with volume is a combination of volume and two-way selection, that is, based on the use needs of the procurement subject, with reference to the overall price level of the market, and comprehensive quality Factors such as linking the purchase prices of various provinces (autonomous regions and municipalities) across the country with quantity, through the mutual selection of buyers and sellers, determine the selected products, subcontract according to quantity, and implement quantity procurement
.
In other words, the right to choose the market is given to the purchasing entity and the enterprise , and only the two parties agree to determine the selection
.

The procurement cycle is aligned and synchronized with the procurement cycle of centralized coronary stents organized by the state
.
The purchase agreement is signed for the first time for one year, and the purchase amount for renewal of the purchase agreement is determined on a pro rata basis in principle
.
During the procurement cycle, the purchaser will give priority to the use of this coronary dilatation balloon to purchase the selected products, and ensure that the agreed purchase amount is completed
.
On this basis, the purchaser can purchase other appropriate coronary dilatation balloon products in an appropriate amount according to the relevant regulations of the province's centralized procurement management of medical consumables
.
The procurement entity completes the current contracted purchase volume, and the selected company still needs to supply the part that exceeds the agreed purchase volume at the selected price until the expiration of the procurement cycle
.
If the price selected in other regions with volume purchase is lower than the price selected in this volume linkage purchase, price linkage shall be implemented
.
In addition, in the information reporting, if the product is selected in the purchase of coronary dilatation balloons in other regions, the corresponding selected price shall be truthfully reported; at the same time, the proposed supply price shall not be higher than the price of the product selected in the purchase of other regions in principle.
The lowest price
.
Prior to this, many provinces and cities (union) have collected coronary balloons, including Jiangsu, Hubei, Zhejiang, Guizhou, Chongqing, Hainan, Guangdong, Jiangxi, Henan, Guangxi, Ningxia, Qinghai, Shaanxi, Shandong, Sichuan, Shanxi, Inner Mongolia, Liaoning, Jilin, Heilongjiang, Tibet, and Gansu cover almost all provinces of the country
.
The selected prices in centralized procurement are basically at 100 yuan, and the highest drop is 96.
34% of the centralized procurement in the 7-province alliance of Guangdong
.
The Beijing-Tianjin-Hebei "3+N" alliance has combined sourcing from multiple locations.
The purchase volume is large and the market impact can be imagined.
It is inevitable that coronary balloons will face a big price bargain again
.

　　Inter-provincial alliances are frequent, and the weaving of the national centralized procurement network tends to be completed.

On January 29, at the State Council’s policy briefing, Chen Jinfu, deputy director of the National Medical Security Administration, emphasized that there must be alliances in local recruitment and procurement.
The provincial platform is the center, and it is recommended to advocate regional and cross-regional alliances
.
Catalyzed by the policy, procurement of the "Alliance Edition" continued to accelerate, and alliance members continued to expand
.
According to statistics, in addition to the “Beijing-Tianjin-Hebei 3+N Alliance”, domestic procurement alliances that have formed a certain scale include: “Inner Mongolia 14-province alliance”, “Shaanxi 10-provincial alliance”, “six provinces and two district alliances”, “Sichuan 7 "Provincial Union", "Guangdong 7 Provincial Union" and so on
.

　　Beijing-Tianjin-Hebei 3+NUnion
in June 2019, Beijing, Tianjin, Hebei, signed the "joint development of Beijing, Tianjin and medical security cooperation agreement", information about the Medicare designated mutual recognition, direct billing remote medical treatment, medical insurance joint procurement and regulatory co-depth cooperation, as Beijing and Tianjin Hope to explore and implement the cross-provincial alliance procurement of high-value medical consumables has laid a solid foundation
.
In November 2019, Beijing, Tianjin, and Hebei signed the "Beijing-Tianjin-Hebei Pharmaceutical and Medical Consumables Centralized Procurement Cooperation Framework Agreement", and jointly issued the "Beijing-Tianjin-Hebei Medical Consumables Joint Procurement Work Opinions", actively engaged in joint procurement of medical consumables Explore and practice
.
Subsequently, Liaoning, Jilin, Heilongjiang, Shanxi, Inner Mongolia, Shandong and other provinces and municipalities actively followed up and signed the "Memorandum of Cooperation on Heiji, Liao, Meng, Jin and Lu’s Participation in the Purchasing Cooperation of the Beijing-Tianjin-Hebei Medicine and Medical Consumables Alliance"
.
As a result, the procurement alliance was further expanded, and the "3+N" joint volume procurement regional alliance was formed, becoming the country's first cross-provincial volume procurement regional alliance
.
In May 2020, the alliance started the procurement of intraocular lens strips
.
Compared with the centralized procurement in provinces and cities, the alliance's centralized procurement has a wider scope, greater procurement efforts, and a more stable form of payment.
It can achieve greater centralized procurement and lower the price of consumables
.
In the procurement of intraocular lenses, the Beijing-Tianjin-Hebei 3+6 alliance compared with Anhui and Jiangsu provinces, the average price reduction of the proposed selection was 54.
21%, and the highest price reduction was 84.
73%.
The overall price reduction was significantly higher than that of Anhui and Jiangsu provinces.

.

　　The 14- provincial alliance
of Inner Mongolia is led by Inner Mongolia and consists of 14 provinces (districts and corps) including Tibet, Sichuan, Shanxi, Qinghai, Ningxia, Liaoning, Jilin, Heilongjiang, Hainan, Guizhou, Gansu, Xinjiang, and Xinjiang Production and Construction Corps.
The province's largest collection of high-value consumables alliance
.
In January 2021, the Inner Mongolia Medical Insurance Bureau issued the "Announcement of the Medical Security Bureau of Inner Mongolia and other 14 provinces (autonomous regions, corps) on the implementation of the inter-provincial alliance for the first replacement of artificial joints and coronary (PTCA) guide wire centralized procurement work".
The official procurement documents have not yet been announced
.

　　The 10- provincial alliance
of Shaanxi is led by Shaanxi Province, and Ningxia, Gansu, Qinghai, Xinjiang, Xinjiang Construction Corps, Hunan, Guangxi, Guizhou, and Hainan form an inter-provincial alliance
.
In August 2020, the purchase of intraocular lens belts was launched.
The average price of the selected selection dropped by 44%, and the highest drop reached 85%
.

　　The six provinces and two regions alliance
is led by Sichuan Province and is composed of Shanxi, Inner Mongolia, Liaoning, Jilin, Heilongjiang, Tibet, Gansu and other provinces
.
In January 2021, the procurement of coronary dilatation balloons will be launched, and the declared price is required to be less than 418 yuan
.

　　The Guangdong 7- province alliance
is led by Guangdong Province and is composed of Jiangxi, Henan, Guangxi, Ningxia, Qinghai, Shaanxi and other provinces (autonomous regions)
.
In December 2020, the procurement of coronary balloon belts was launched.
The average drop of selected varieties of expandable balloons was 92.
23%, and the average drop of drug balloons was 44.
45%
.

　　The Yangtze River Delta Alliance
On March 15th, Shanghai, Jiangsu, Zhejiang, and Anhui medical insurance bureaus jointly issued the "Key Points for the Integration of Yangtze River Delta Medical Insurance in 2021".
The contents of the document show that Anhui Province will take the lead in exploring and advancing the joint procurement of medical consumables in the Yangtze River Delta.

.
The Yangtze River Delta, which covers 3 provinces and 1 city, has a population of approximately 200 million.
The market for pharmaceuticals and consumables accounts for approximately 30% of the country.
Another super-large alliance is about to be born! At present, the centralized and volume procurement form of alliance and regionalization has become the norm
.
There is national centralized procurement at the top and local alliances at the bottom
.
The establishment of a large national centralized procurement network is approaching completion .

　　The collection of alliances is blooming everywhere, and the disadvantages behind it cannot be ignored
.
The procurement of medical consumables with volume is an inevitable trend.
The trend of centralized procurement of provinces and cities is becoming more and more obvious
.
Large-scale alliance centralized procurement has obvious bargaining advantages, but everything has pros and cons, and the drawbacks in the alliance's mass procurement cannot be ignored
.
1.
Repetitive volume purchases and prices fall into the "wheel war".
Alliance volume purchases are frequent, prices vary from place to place, and price reductions in a province (union) will bring about national price linkages, affecting the national price system of machinery companies, and even companies In the dilemma of participation and non-participation
.
In addition, different regions have different centralized procurement policies, which also makes enterprises tired of coping
.
Chang Zhaohua, member of the Standing Committee of the National Committee of the Chinese People's Political Consultative Conference and chairman and CEO of Shanghai MicroPort Medical, also pointed out that repeated purchases in various regions are issues that cannot be ignored in the current high-value consumables and purchases
.
2.
Only low prices are taken, which leads to the phenomenon of "bad money expelling good money".
At present, there is no scientific method to distinguish the different quality levels or grades of high-value consumables.
The usual practice of winning bids at low prices may lead to "bad money expelling good money".
"Phenomena
.
In the “3+N” alliance’s volume purchases, the imported brand Fred Hollow dropped by 84.
73% in exchange for the purchase of about 29,000 intraocular lenses, which accounted for about 9.
2% of the total volume purchases.
The "dark horse" in this volume purchase
.
It is understood that the brand comes from Nepal and is a very niche brand in the eyes of the industry
.
Small-scale enterprises won the bid at a low price, and there is a phenomenon that the normal supply of products cannot be guaranteed by rapidly increasing production capacity in the short term
.
And companies blindly reduce costs, or the existence of shoddy goods, to a certain extent, it is also a denial and blow to companies that actively improve the quality of consumables
.