Guangdong Provincial Health Insurance Bureau issued: These supplies provisions for 5 years.

12 implementation points, the implementation of 5 years 1, supplies procurement guidance issued july 17, Guangdong Province Health Insurance Bureau issued "on the procurement of drugs and medical supplies" guidance.
content points out that by 2022 will basically achieve the unity of procurement process management and performance management, and by 2025, the basic realization of the standardization, institutionalization and normalization of procurement of pharmaceutical and medical supplies will form a fair, transparent, convenient and efficient public procurement market environment, and constantly promote the "three-medical linkage" reform.
according to the Cypress Blue Instrument Observation, the "Opinion" at the end of the text pointed out that "this opinion from the date of issuance, valid for 5 years", the important content combed as follows: ▍ implementation point 1: the full implementation of the Group procurement "Opinion" pointed out that the group procurement will be carried out in a comprehensive way.
the use of medicines and medical supplies by public medical institutions at all levels in the province should be purchased through the procurement platform, and social medical institutions and retail pharmacies should be encouraged to voluntarily participate in the procurement platform procurement platform.
to play the group procurement scale effect, adhere to the combination of recruitment, volume price linkage, to promote the normalization of procurement of the group in our province.
▍ Implementation Point 2: Supplies prices will return to the future, will continue to support conditional regional exploration in regional alliances, medical unions, medical community, hospital joint and other ways to carry out group procurement.
each procurement platform may take the form of bidding, bargaining, online or negotiation to carry out procurement.
encourage each procurement platform to give full play to its respective advantages, promote the improvement of market-led drug, medical supplies price formation mechanism, promote the reasonable return of drug, medical supplies prices.
government-priced drugs are purchased in accordance with the current national regulations.
new approved new varieties (excluding specifications and packaging) may be negotiated online by medical institutions.
to the platform online trading products, the establishment of market-oriented exit mechanism.
▍ execution point 3: the purchase of high amount of consumables is the key "opinion" pointed out that will be carried out in an orderly manner centralized volume procurement.
the provincial medical insurance department comprehensive consideration of clinical use, procurement amount, mass medical expenses burden, medical insurance fund proportion, etc. , selected for not included in the scope of centralized procurement and use of national organizations of drugs and clinical use of larger, higher procurement amount, more competitive medical supplies, in accordance with the government organizations, alliance procurement, platform operation of the work requirements, in batches and orderly implementation of centralized procurement.
the provincial health insurance department to formulate health insurance payment and other supporting policies.
the medical insurance departments of various cities and cities to guide medical institutions, production and operation enterprises and procurement platforms to do a good job in the procurement of selected varieties.
Guangzhou and Shenzhen can carry out centralized volume procurement in accordance with functional authority.
▍ Execution Point 4: These supplies hospitals can negotiate their own prices for specific varieties of independent procurement.
the Opinions, medical institutions may search for production enterprises for shortage varieties on the procurement platform without enterprises, emergency approval or emergency shortage varieties in response to public health emergencies, no actual transactions or other reasons leading to procurement difficulties and clinical lying, clinical use of rare types of medicines and medical supplies;
▍ Executive Point 5: Encourage non-selected enterprises to actively reduce prices to promote procurement and payment synergies.
strengthen policy synergy, improve the coordination mechanism between the centralized purchase price of drugs and medical supplies and the standard of medical insurance payment, focus on the purchase of drugs and medical supplies with the winning price as the payment standard, encourage non-selected enterprises to take the initiative to reduce prices, and promote the health insurance payment policy to guide the reasonable formation of drug and medical supplies prices.
support the research and development and use of high-quality generic drugs by improving the standard of medical insurance payment and bidding and procurement mechanism for drugs and medical supplies, and promote the replacement of generic drugs.
▍ Execution Point 6: The winning and non-winning will form a price comparison relationship in the future will strengthen the regional price linkage.
establish cross-regional procurement collaboration and information sharing mechanisms.
to promote the price of drugs, medical supplies cross-regional linkage, encourage the winning varieties cross-regional price linkage, with the volume of procurement of non-selected varieties cross-regional price linkage.
to promote the price linkage between the selected and non-selected varieties, form a reasonable price comparison relationship, and effectively reduce the false high prices of medicines, medical supplies.
▍ Implementation Point 7: The Establishment of a Special Account for the Purchase and Settlement of Medicines and Medical Supplies "Opinion" points out that the reform of the payment settlement mechanism.
improve the payment method and settlement management mechanism, actively promote the direct settlement of the purchase price between the medical insurance fund and the pharmaceutical enterprise, establish the special account and performance guarantee system for the purchase and settlement of medicines and medical supplies of medical institutions, and draw a certain proportion from the medical institution's medical insurance settlement fund and advance transfer working capital, and devote it to the settlement of the loan.
▍ Implementation Point 8: The payment time does not exceed 30 days, the listed medical insurance department spent at or above the local level may, upon application, appropriately increase the turnover amount of medical institutions for the settlement of the loan, ensure timely return, reduce transaction costs.
improve the online payment settlement mechanism for procurement and strengthen the unified supervision of procurement funds.
medical institutions and pharmaceutical, medical supplies production enterprises or circulation enterprises settlement time of not more than 30 days.
to improve the policy of retaining the balance of medical institutions supporting the centralized procurement of medicines and medical supplies, and to encourage medical institutions to participate in the reform and active control of fees.
▍ Executive Point 9: No new procurement platform sourcing in some areas will strengthen the supervision of the procurement platform.
in addition to the province, Guangzhou, Shenzhen drugs, medical supplies procurement platform, other cities no longer set up a new procurement platform.
establish and improve the normal government supervision mechanism, standardize procurement behavior, promote orderly and healthy competition of procurement platform, safeguard the legitimate rights and interests of all parties involved in procurement transactions, and create a fair, transparent and standardized public procurement market environment.
the provincial medical insurance department strengthens the unified supervision of the province's procurement platform to comply with regulations and policies, complete procurement tasks, optimize transaction services, improve supporting measures, and guide the provincial platform to formulate procurement documents for procurement.
Guangzhou, Shenzhen medical insurance departments as the city's procurement platform management of the first responsible person to fulfill the regulatory responsibility.
each procurement platform shall report the procurement proposal and other tender procurement documents to the provincial and municipal medical insurance departments according to the authority, and report the work semi-annually, and report on major matters and innovative work initiatives at any time.
the medical insurance departments in various places should strengthen the supervision of the procurement, supply, use and settlement of medicines and medical supplies in public medical institutions in their jurisdictions.
▍ implementation point 10: supplies coding, unified management to accelerate the promotion of information-based supervision.
in the framework of the "digital government" reform and construction, accelerate the establishment of provincial procurement supervision system, medical insurance departments at all levels should rely on the provincial procurement supervision system, the pharmaceutical, medical supplies procurement transactions of all parties to implement the whole process of monitoring and supervision, promote the procurement and supply mechanism process standardization, analysis and decision-making data, supervision and management intelligence.
the procurement platform to improve the system function, according to the procurement needs of medical institutions, appropriately improve product concentration, competition, in strict accordance with the requirements of the state and provinces, the use of unified coding, data standards and functional norms, strengthen the management of all links of online procurement, to achieve the procurement of data and technology and the provincial procurement supervision system real-time docking, promote inter-departmental information exchange and resource sharing.
promote the evaluation of the performance of the procurement platform by promoting the supervision of information technology, and promote the unification of procurement process management and performance management.
▍ implementation point 11: not paying the money on time will inform the province to establish and improve the information disclosure mechanism and credit evaluation system.
medical insurance departments at all levels should promptly handle complaints involving procurement, and normally supervise procurement work through correspondence interviews, reminders, information disclosure and other means.
regularly notify the province-wide of non-compliance with contract supply and non-payment of payment on time.
▍ Implementation Point 12: Strengthen efforts to rectify pharmaceutical bribery to the procurement field of breach of trust behavior and judicial and other departments identified by the commercial bribery cases as the main entry point, strengthen the transaction parties bad record dynamic management, build a procurement credit evaluation system, strictly implement the integrity record and market clearance system, in accordance with the law to punish procurement breach of trust behavior, strengthen the positive guidance of procurement breach of trust behavior, promote the medical field and medical security construction.
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