Hebei’s indwelling needles and infusion sets have a large purchase order of nearly 60 million, and the lowest price in the country is cut by half.

Medical Network News on March 4 On March 2, 2021, the Hebei Provincial Medical Security Bureau issued the procurement documents for the quantity of medical consumables such as intravenous indwelling needles and disposable infusion sets
.
This is the belt purchasing activity planned by Hebei again after participating in the purchasing of IOLs in the Beijing-Tianjin-Hebei "3+N" alliance
.
This is also the first low-value medical consumables procurement project carried out independently in Hebei by the province
.
According to the procurement documents, the procurement cycle is one year, and the procurement subjects are public medical institutions and military medical institutions in Hebei Province
.
The agreed purchase volume is determined by the cumulative calculation of the actual demand reported by each medical institution
.
Among them, there are more than 12.
69 million intravenous indwelling needles and 46.
19 million infusion sets
.

The quotation shall not be higher than 50% of the lowest price in the country.

Hebei has carried out the procurement of low-value consumables at the provincial level this time, and the price has been greatly reduced .
Indwelling needles and infusion sets are grouped according to factors such as materials and specifications, and each company quotes one price for each bidding group .
The quotation must not be higher than 50% of the lowest purchase price (non-centralized purchase price with volume) of the product in actual transactions in medical institutions across the country in 2020 , and not higher than the lowest selected price for centralized purchase (with volume purchase) at or above the national prefecture level .
The national minimum price is cut in half to get the "admission ticket".
This effort is unprecedented in the purchase of consumables in the same category .
In addition, it is also relatively rare to collect the purchase price of the city at the same time in the provincial centralized procurement activities (Fujian Province put forward the same requirements in the centralized procurement of indwelling needle belts), mainly because these two types of low-value consumables were in the market in the early stage.
At the level level, a richer quantity of procurement data has been accumulated.
The wider the value range, the more helpful it is to discover the true reserve price of the product .

　　Shortlisted according to the declared price of the product from low to high limit　






The final product is determined, and the price is the only criterion
.
The ranking is determined in the descending order of the declared price (when the quotation is the same, the priority of providing more specifications and the first registration certificate of the quoted product is determined in order), and the number of bidding finalists is determined according to the actual number of declared companies that meet the qualifications of the declaration
.
According to the set of shortlisted places, the elimination rate of Hebei's procurement with volume is about 50%
.
Low-value consumables such as indwelling needles and infusion sets have low industry entry barriers, fierce market competition, and serious product homogeneity
.
When the quality has no more room for comparison, the most direct and effective way is to screen out most of the products that are unwilling to reduce prices by reducing the price with the quantity
.

　　The lowest-priced product accounts for the main contracted procurement volume.

Medical institutions first allocate the corresponding procurement volume to the product selected at the lowest price in accordance with the proportion specified in the procurement documents.
The remaining procurement volume is allocated according to the following rules: (1) What if the products actually used by medical institutions in 2020 In the selected range, the remaining purchase amount can be allocated to the selected products actually used by the medical institution in 2020, or to the selected products with a lower price than the selected products actually used in 2020
.
(2) If all the products actually used by medical institutions in 2020 are not in the selection range, the remaining purchases will be independently allocated by the medical institutions to the top five selected products
.
It is consistent with the weight idea of ​​the country's purchase with quantity, and the lowest price guarantees the maximum quantity
.
When there are a large number of competitors, you need to sprint to the top five to grab more market share, and the rest can only maintain share
.



After more than a year of high-frequency exploration and piloting, the concentration of 　　low-value consumables for the provincial-level procurement of signal medical consumables has continued to increase
.
Mainly manifested in two points: The first is that the frequency of volume procurement activities in prefecture-level cities has been significantly reduced.
Shandong, Jiangsu and other provinces have clearly stipulated that individual cities no longer have the power of volume procurement, and must be carried out in the form of city alliances to concentrate The results of the negotiation of price cuts
.
The second is that in the past, the boundary of “provincial-level purchases were mainly high-value, and municipal-level purchases were mainly low-value" gradually blurred.
In the future, low-value consumables such as indwelling needles and infusion sets will be mostly at the provincial and provincial levels.
The alliance is the main force
.
Although low-value medical consumables are not expensive, they are more widely used and in greater demand than high-value medical consumables.
The medical expenses that can be saved after purchasing with quantity are considerable
.
Taking the two types of consumables purchased this time in Hebei as an example, compare the existing procurement results: in August last year, after the centralized procurement in Qinghai Province, the highest drop of indwelling needles was 88.
3%, the lowest drop was 68.
3%, and the average drop was 78.
9%; infusion set The highest drop was 89.
6%, the lowest drop was 12.
7%, and the average drop was 61.
6%
.
It is estimated that the annual saving of procurement funds is 81.
1 million yuan
.
For another example, the purchase of indwelling needles in Henan Province fell by an average of 76.
60%, with a maximum of 94.
34%.
Together with the artificial lens, it is estimated that the cost will be saved by more than 420 million yuan
.
The decline at the prefecture and city level is also considerable.
Taking Shanxi as an example, the province has selected low-value medical consumables such as intravenous indwelling needles, hemodialyzers, and disposable infusion sets in the form of a city-region alliance to carry out a pilot project for centralized procurement and negotiation of prices.
The average purchase of the first batch of low-value consumables in 11 cities in the province has dropped by more than 55%.
It is expected that the cost of related consumables can be saved by hundreds of millions in one year
.