Big shuffle! Hunan Pharmaceutical bidding may change face again

Source: sabilan 2016-12-12 Hunan drug collection is famous for its ferocious price In 2014, there were four disputes on drug collection in Hunan The key words such as "walking", "singing songs of Hunan, Hunan" and "bombardment" caused by the disputes are still haunting Not long ago, the author got an opinion on the implementation of joint volume purchasing and two vote system in public medical institutions in Hunan Province (hereinafter referred to as the "opinion") The content of the opinion is briefly read as follows for readers' reference: a new round of drug purchasing face change: allowing all regions to carry out volume purchasing in full bloom relative to June 16 The latest "opinions" quietly changed the face of the purchasing body in the "pilot plan for deepening the comprehensive reform of the medical and health system in Hunan Province" officially released on Tuesday According to the requirements of the pilot program, "adhere to the principles of integration of bidding and procurement, quantity price linkage, double envelope system, etc., centralized bidding in the whole province, quantity procurement in all regions, contract management and strict supervision throughout the whole process After the operation of the medical big data system, it gradually implemented the procurement with quantity by province, which became the "procurement consortium with city and state as the unit, and carried out the procurement with quantity in a unified way" in the opinion The central and provincial medical institutions can form a separate consortium, or join the municipal and state consortia according to the principle of territorial management, and "provincial drug recruitment office is responsible for guiding the provincial drug volume procurement, provincial drug centralized procurement platform is responsible for providing technical support and ensuring the smooth progress of the volume bargaining procurement of various consortia" This means that from the traditional provincial "centralized drug purchase" to the "belt purchase" in various regions and cities, it has become an unstoppable tide with the popularization of Fujian, Guangxi, Henan, Anhui and Jiangsu, and Hunan is no exception The biggest impact of this change is the fragmentation of drug purchase! The originator of this kind of fragmentation is actually "16 + 1" of Anhui Province, which pioneered in 2015 Then Fujian creatively achieved a compromise: provincial shortlisted, regional procurement - and Guangxi is the only one that really carried forward the fragmentation Nowadays, Hunan is determined to continue to follow suit, and the provincial drug recruitment platform will become the technical support and service support, and gradually become the role of the "fourth official" from the original "executive referee" The provincial bidding price is regarded as the payment standard of medical insurance, and the price difference is directly compensated to the medical institutions The opinion emphasizes that for the drugs in the medical insurance catalog, the medical insurance agency shall settle the payment standard according to the provincial bidding price The difference between the price of drugs purchased with quantity and the provincial bidding price is used to compensate for the operation cost of medical institutions such as storage and personnel compensation system reform After a period of implementation, the space saved by purchasing with quantity is used to reduce the payment standard of drugs and adjust the price of medical services It can be seen from this that first, Hunan is gradually establishing and improving the negotiation mechanism and responsibility sharing mechanism between medical insurance agencies, medical institutions and drug suppliers to control the unreasonable growth of related costs The second is to compensate the difference between the actual purchase price and the provincial bid price to the hospital, which is also a question mark of how much the burden of the masses can be reduced Third, it is an unimaginable challenge for pharmaceutical companies to use the space saved by volume purchasing to reduce the payment standard of drug costs If the price falls again and again, will the tragedy of "killing the pig price" be staged again?! According to the relevant documents issued by various departments in Hunan Province since 2016, the author has combed and speculated that the most likely way to realize the new round of drug procurement in Hunan Province is: 1 Adjust the provincial online transaction price to become a new ceiling To put it plainly, according to the principle of leveling, the lowest online transaction price newly emerged in China is confirmed on the centralized mining platform of Hunan Province Under the new centralized mining environment, the provincial price is not the final unified price of the whole province, which is likely to become the ceiling of the provincial purchase price! Under the ceiling, enter the bargaining process 2 On the basis of the provincial price adjustment, other regions follow-up the pilot of volume procurement, which is similar to the procurement model of Fujian region (Fuzhou first, other regions follow-up), starting from the first, with "central and provincial medical institutions" For the pilot project, first try, formulate the procurement plan and procurement catalogue, and promote it immediately after the operation is mature, that is, the volume procurement of drugs ranked in front of the varieties can be implemented, or the whole drug packaging volume procurement can be implemented Mature one, influence one, mature one, influence one, spread it, a single spark can start a prairie fire! We will implement the requirements of the opinion on two vote system for drugs, and implement the two vote system in public medical institutions throughout the province from December 31, 2016 Be careful! This is either for trial implementation or for implementation! If the two vote system is implemented in the whole province, the medical market in Hunan will be shuffled From pharmaceutical companies, small and large-scale contractors to various commercial companies, they will all be involved in it, and it is difficult to stay out of it After the implementation of the two ticket system, the tickets will be issued from the manufacturers, the funds will be paid from the manufacturers, and a single channel will hit, the business system will be reconstructed, and the circulation field will be shuffled In this way, it will be a shockwave Hunan, as the "upstart" of the national comprehensive health care reform pilot province, believes that since it is unwilling to live in Anhui and Fujian, it is more bold to try all kinds of medical reform and innovation, and wants to break new ground In 2017, Hunan pharmaceutical procurement will surely perform a wonderful play! For pharmaceutical companies and businesses, a new round of "price and circulation" reshuffle is coming.