Bengbu's response to six disputes over drug recruitment

Source: China Health Journal 2015-11-03 recently, the "joint procurement of drugs with volume" in Bengbu City, Anhui Province, was questioned by many parties What has Bengbu City done in drug mining? What's wrong? What role will Bengbu play in the ongoing medical reform? Recently, our reporter made an interview on this matter What is Bengbu's medicine collection? From April 1 this year, Anhui Province, as one of the four pilot provinces of the national medical reform, comprehensively implemented the reform of urban public hospitals One of the main contents of the reform is: all public hospitals in the province will cancel 15% of the drug mark up, and take the price determined by the provincial drug bidding as the payment price of medical insurance On this basis, all localities (cities as units) will organize joint procurement with volume, and then squeeze out the water in the drug price According to the reporter, the joint procurement of drugs with quantity implemented in Anhui Province is carried out by the city, and Bengbu is the first city in the province to launch the procurement with quantity, which has become the "rafter" There are two ways to purchase drugs with quantity in Bengbu: single type and package type Based on the clinical use of 94 public medical institutions in 2014, the drugs ranked top 30 in terms of comprehensive factors such as usage and amount are used as single type with quantity (the purchase price is 100.4 million yuan), and 21 varieties are sold The rest of the drugs are purchased in two batches (2619 kinds and 2850 kinds, respectively, with a total amount of 278 million yuan and 290 million yuan) at the city and county levels, including 10 suppliers in the city (5 in the city and 5 outside the city), 12 at the county level (6 in the city and 6 outside the city), with an average price drop of more than 15% According to the introduction, the starting point of the implementation of the joint procurement of drugs with volume in Bengbu City is to squeeze out the water in the false high price of drugs and reduce the cost of medical treatment for the masses through price negotiation and market competition From the perspective of implementation, the effect is good In addition to the sharp drop in drug prices, drug distribution enterprises have also dropped from more than 100 to 16, which hit the drawbacks of "more, more and less" Chinese drug enterprises, but also caused some people's criticism Why directly determine the enterprise in the purchase? Some media pointed out that Bengbu directly determined the production enterprises in the joint procurement of drugs with volume, which violated the state's anti-monopoly laws and regulations According to the city, they are purchasing activities based on the bid winning catalogue formed by drug bidding launched by the province, not bidding In the provincial bidding varieties, the production enterprises have been determined According to the regulations, they can only purchase in the provincial bidding catalogue, so they can only purchase in the determined production enterprises The relevant market competition has been carried out in the provincial bidding, so their behavior does not violate the provisions of the anti-monopoly law Why has the purchasing body become the municipal health and family planning commission? Bengbu Municipal Health and Family Planning Commission and the municipal public resources trading supervision and Administration jointly set up a joint drug procurement platform After consultation with medical institutions, 94 public medical institutions jointly formed a volume procurement consortium, mainly composed of the backbone of medical institutions specialized in drug procurement, with centralized office work As the main body of this drug volume purchase, the purchasing consortium is neither a government organ nor an independent legal person, mainly engaged in the price negotiation of drug volume purchase However, as the "public hospital drug procurement Consortium" is a temporary organization, there is no official seal When some links need to be sealed, it is replaced by the official seal of the municipal health and Family Planning Commission, which makes the government agencies become the illusion of the market main body Bengbu health and Family Planning Commission has repeatedly stressed that the use of official seal is only "on behalf of the seal", and the procurement subject is still "public hospital drug procurement Consortium".