City and county individual band procurement was "slammed on the brakes"

TextPan Shilin at the end of 2018, the State Health Insurance Administration began to organize the "4 plus 7" band procurement pilot, to September 2019 "4 plus 7" expansion, to April 2020 the second round of collection landing, until the current third round of belt procurement is about to start, the national belt procurement has entered the normal, "with volume procurement as a principle, no quantity procurement is an exception" mechanism is being formedin this context, provinces, and even cities and counties, have carried out a specific drug volume procurementbut in the meantime, due to the lack of unified guidance and rules, the regions are divided, resulting in deviation from the original intention of the national procurement policyin view of this, the 18th of last month held a national collection online meeting pointed out that the encouragement of inter-provincial joint production of belt procurement, it is recommended that the city do not do tape procurementat the same time, Shandong Province also for a single city or county unit of the band procurement "call stop."industry insiders said that in the future, with the expansion of national and provincial band procurement scope, more and more drugs, supplies into it, the price "water" more crowded less, each city alone to engage in the purchase of the volume of significance is not muchthe State Health Insurance Administration recommended that the city do not do the volume of procurement for nearly a year or two, under the influence of the national volume procurement, in addition to the provinces, cities, and even county-level cities have also begun to carry out so-called "belt procurement.", such as last October, 78 hospitals in Jinan City, Shandong Province, formed a drug consumption procurement consortium, on infusions, retention needles and other 15 kinds of low-value supplies, to carry out joint band procurement and use of the pilotagain, as at the beginning of this year, Wuhan City, Hubei Province, the first time to carry out the purchase of centralized band of drugs, launched the special band of insulin volume bargaining of the national "first talk."total bargaining total of 1.70569 million units, the total market size of more than 130 million yuanis understood that the insulin special band bargaining price to refresh the lowest price in the country, from May 1 in Wuhan area all public medical institutions, medical insurance fixed non-public medical institutions and outpatient critical (chronic) disease pharmacy landing, such as Jinhua City, Zhejiang Province, in June for anti-infective drugs and Chinese medicine two major categories of drug production, involving 274 drug regulations, including 24 original research anti-infective drugs, non-original research anti-infective drugs 70, 180 Chinese medicine, involving a total procurement amount of 600 million yuanfor the recent upsurge of the local market area procurement phenomenon, Anhui Haiwang Pharmaceutical Group sales director Shen Ming analysis, the reason for the volume of procurement throughout the country, one is recognized at the national level, the city will not make directional errors;obviously, under the guidance of national and provincial volume procurement, under the demonstration of some cities, this kind of municipal band procurement is becoming more and more expandedbut is in this "good" situation, according to media reports, June 18 held the national collection of online meeting pointed out that to encourage inter-provincial joint production of volume procurement, the city is advised not to do tape procurementfor the latest information delivered at the meeting, Shen Ming said that due to the large number of cities, but the use of a single city is limited, not to achieve the effect of the volume of procurement even if a few cities add up the amount, it is difficult for manufacturers to sell prices sharply and several provinces united, this "quantity" is considerable, but also has and manufacturers to negotiate the "chips." the meeting was also reported to have criticized eight cities in Anhui for participating in the purchase of supplies in Nanjing without the consent of the provincial bureau (this news is only media, of course, and has not seen official information) shen Ming, , commented on the media news: "Anhui 8 cities to join The Nanjing Supplies Procurement Alliance, by the national collection of criticism, can be said to be unexpected!" Personally, I think that the eight cities, led by Hefei, are very motivated and have the courage to try new models, which should be encouraged The key to 's criticism may be 'without the consent of the provincial authorities' "Shandong" stop a single city or to the county as a unit of the volume of procurement in the national collection of online meetings in the heat has not dissipated, June 24, Shandong Province Medical Security Bureau issued "on the regulation of municipal drugs and medical supplies joint procurement of the notice" to regulate the classification of procurement at all levels the notice pointed out that improve the improvement of drugs and medical supplies national, provincial and municipal classification of centralized band procurement mechanism the state responsible for organizing the competition is more full, through the consistency evaluation of generic drugs corresponding to generic drugs, as well as some categories of medical supplies for the basis of the volume procurement, the provincial responsible organization has never been included in the national organization of centralized volume procurement of drugs and medical supplies selected some varieties for provincial belt procurement, municipal responsible for organizing joint procurement, has never been included in the national and provincial centralized volume procurement of varieties, to ensure the concentration of quantity, to ensure the amount of price-for-value Shandong Province can be said to be the first province to respond to the call of the state, the system classification procurement norms, which has obvious demonstration significance to other places for the latest initiative simply in Shandong Province, Shen Ming said, the core of the volume procurement model lies in the "volume", there is not a sufficiently large amount, it is impossible to exchange manufacturers for price reduction for the country and provinces have not purchased varieties, encourage the local level city organizations joint procurement, can play a complementary role, rather than separate, you pick yours, I me Shandong Province's notice also stressed that "the state and provincial concentrated procurement of varieties of repeated recruitment." shall not be purchased in a single city or in a county unit "for this "special emphasis", Shen Ming analysis, some products, since the state has organized a volume of procurement, you in a province can also make a price reduction? Similarly, the province has organized a volume of procurement of products, a city at the local level can not do much price most of this belongs to "repeated labor" and will only make pharmaceutical companies feel "labour and people hurt their wealth" in addition, a province often has more than a dozen cities, if each city is engaged in recruitment, not only "not a small amount", but also let enterprises "tired to die"! Now, Shandong Province has clearly defined the classification of the recruitment mechanism, in line with China's current national conditions, more reasonable! However, Shandong Province is not the city and county with the volume of procurement "one stick to kill", but left room notice pointed out that, "in accordance with the principle of voluntary, collaborative formation of cross-city volume procurement alliance, each procurement alliance range of not less than 3 districts and cities, expand the advantages of the band, reduce the burden of pharmaceutical enterprises." " Shen Ming said such a rule was pragmatic in fact, cross-city volume procurement alliance has been gradually emerging in recent years, all over the country are groping, such as the Sanming Alliance as the "pioneer" of medical reform, Sanming has been walking in the forefront of the country, the influence of the Sanming Alliance is not to be underestimated now, many cities have joined the Sanming Alliance, or follow the Sanming Alliance, their own organization of the Alliance for joint procurement Shen Ming further analysis: "After, the scope of the belt procurement at all levels gradually clear, the national, provincial, several municipal alliances, each of their duties, more and more drugs, supplies into the recruitment, prices are getting lower and lower, less water squeeze, each city and then engage in separate collection of significance is not much." " to look at the local area volume procurement dispute in two, in fact, the previous local cities carried out the volume of procurement, has been caused by different rules caused by the controversy , for example, Wuhan insulin band procurement, to reduce the range of prices, price reduction absolute value to obtain market share conditions in particular, Wuhan City in this volume procurement to adopt the "gradient price reduction" rule: for each increase of a certain amount, the need for a 5% gradient price reduction there are insulin industry people in this regard, Wuhan City bargaining rules and improve the drug centralized procurement and price formation mechanism of the purpose of contradiction, can not fully reflect the effect of the purchase of the amount of drug price adjustment, but will cause enterprises unfair competition, and competition is not sufficient, the proportion of drug price difference further increase, is not conducive to the formation of reasonable prices, but also difficult to ensure that medical institutions regulate drug use but Shen Ming believes that, at present, from the overall point of view, the volume of procurement is still in the first stage, the pursuit is "price reduction", to see is "how much price fell." however, in the implementation process, the health care sector has found that some product prices, although down, the source can not be guaranteed, quality problems Shen Ming also believes that from the second stage, we should consider: how much price reduction is reasonable? Is it the lower the better? He also stressed that this should not be decided by people, it is best to be decided by the market! ,,,,,()10%,,()20%。 such a mandatory 10 per cent, or even 20 per cent, ban has also caused controversy in the industry, with many companies saying the mandatory price cuts are too "naked" Shen Ming think that this can not be completely denied, must look at the actual effect, "enterprise acceptance, it is reasonable; for the city now a separate volume of procurement generated by the controversy, Shen Ming analysis, this should be divided into two places to see, controversial, indicating that all over the country are concerned, are groping, this is a good thing! Even if there is some deviation, the correction is! He also believes that can not stop the city-band procurement, the whole of China is so large, can not only have a model! Shen Ming finally stressed that in the future, the country-wide volume of procurement, the level will gradually become clear, which varieties of national recruitment, which varieties of provincial recruitment, will be a "dust settled." the whole country and the provinces have not recruited, the local cities will continue to explore, the free combination of alliances, cross-provincial alliances, will still appear of course, there will be problems, the news will have...