Big price adjustment of consumables in 15 provinces and cities

Fifteen provinces and cities include: Beijing, Tianjin, Jiangsu, Zhejiang, Guangdong, Chongqing, Anhui, Fujian, Jiangxi, Shandong, Henan, Hebei, Liaoning, Hubei and Hunan On January 20, Shanghai Sunshine pharmaceutical purchasing network issued the notice on further optimizing the rules of price negotiation for medical devices on the Internet, and the prices of consumables in 15 provinces were greatly adjusted According to the news, in 2019, the general office of the State Council issued the notice on printing and distributing the reform plan for the treatment of high value medical consumables In order to implement the requirements of the general office of the State Council on "improving the price formation mechanism and reducing the virtual high price of high value medical consumables", further improve the work of "sunshine purchase" of medical devices, and strengthen the supervision and management of the whole process, we hereby propose to optimize the medical devices The relevant matters of the price rules are notified as follows: In order to improve the comparability of prices in other provinces and cities, since February 1, 2020, the sunshine platform will collect the prices of fifteen provincial (city) platforms in a unified way; if there is no provincial price in fifteen provinces (city), the prices of prefecture and city under fifteen provinces (city) can be filled in Fifteen provinces and cities refer to Beijing, Tianjin, Jiangsu, Zhejiang, Guangdong, Chongqing, Anhui, Fujian, Jiangxi, Shandong, Henan, Hebei, Liaoning, Hubei and Hunan This means that the prices of 15 provinces will be linked, all of which will be compared and displayed on one platform, one province will be linked to the Internet, and a large-scale linkage will be officially formed For the bargaining rules, not only manual monitoring and comparison, but also alarm interception will be started According to the notice, in order to further reduce the virtual high price of medical devices, the whole process supervision mechanism of "green line reference, yellow line reminder and red line interception" will continue to be implemented Specifically: The first alarm line: price negotiation reference (green line), the lowest price of the same product (same medical insurance code) purchased in the first three months by the same level (medical insurance payment level) medical institutions in this city The second alarm line: Bargaining alert (yellow line) If the bargaining result is higher than the yellow line, the system will alert The yellow line includes: ① the highest price currently negotiated by medical institutions in this city for similar products (under the most subdivided category of the fourth level catalog of medical devices in this city); ② the price originally negotiated The third alarm line: price negotiation locking (red line): if the result of price negotiation is higher than the red line, the system price negotiation is locked, and the price negotiation cannot pass The highest purchase price in other provinces and cities shall be used as the red line (if there are five provincial prices, no reference shall be made to ten provincial prices; if there are provincial prices, no reference shall be made to prefecture and city prices) What happens if you touch the yellow line frequently? In particular, the notice pointed out that for hospitals with frequent Bargaining Results exceeding the yellow line, the pharmacy will regularly issue inquiry letters to medical institutions, and the medical institutions will provide information within a time limit If necessary, the relevant information shall be submitted to the relevant supervision department to start the interview mechanism What if the price is higher than the red line? According to the notice, if the result of the original negotiation is higher than the red line, the medical institution shall negotiate with the terminal supplier again within 45 days If the price is not renegotiated or the result of renegotiation cannot be reduced to within the red line, the pharmacy will suspend the purchasing qualification of the code in the medical institution It can be seen that this mechanism is closely related to procurement qualification and will involve many dealers According to the notice, since April 15, 2020, sunshine platform will classify the negotiated results of medical institutions and medical device operators: ① For medical insurance reimbursement equipment, the red line of negotiation will be lowered to the middle price of 15 provinces and cities, and the lowest price of 15 provinces and cities will be added as the green line; ② The price red line of self paid equipment was lowered to the lowest price in 15 provinces and cities The sunshine platform is adjusted and updated in half a year From this trend, we can see that the national price linkage has become a fact On December 5, 2019, the state health insurance bureau issued the reply of the state health insurance bureau to the proposal No 2583 of the second session of the 13th National People's Congress, which clearly stated that the national consumables price sharing platform should be established The State Health Insurance Bureau replied that it will focus on the following work: establishing a national price sharing platform, realizing the sharing of centralized procurement information of provincial drugs and consumables nationwide; establishing and improving the linkage mechanism between the payment price of medical insurance and the bidding price At the same time, the state health insurance bureau also said in another reply that at present, except Tibet, 31 provinces (districts and cities) have established online centralized procurement platforms and realized sunshine procurement Some provinces form regional alliance and realize price linkage, such as Western Alliance (14 inter provincial alliance), Beijing Tianjin Hebei integration alliance, Sanming alliance, etc The next step is to establish a national monitoring platform for medical consumables, realize nationwide data sharing, and improve the efficiency of centralized procurement In addition, recently, the Department of system reform of the national health and Health Commission issued the notice of the leading group of the State Council on deepening the reform of the medical and health system on further deepening the reform of the medical and health system by taking the centralized purchase and use of drugs as the breakthrough point, which also stressed that the national price linkage should be promoted.