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    Home > Active Ingredient News > Drugs Articles > High-value consumables collection rules vary from place to place

    High-value consumables collection rules vary from place to place

    • Last Update: 2021-03-01
    • Source: Internet
    • Author: User
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    September 14, 2020, the State Health Insurance Administration, together with the relevant departments, organized a national organization in Tianjin high-value medical supplies centralized procurement start-up meeting, the meeting clearly identified the crown stent as the first batch of procurement products, and is expected to announce the final results of the collection in November. A new storm is about to sweep through the high-value medical supplies sector. How does centralized procurement of high-value consumables work without consistent evaluation? The New Kangjie has combed through the collection policies and past cases at the national and regional levels, and made an in-depth analysis of the above issues.

    01 medical reform aims at high-value medical supplies, collecting into the general trend ofThe collection of high-value consumables is not a moment's work, but a long-term build-up, the country from 2019 on the continuous introduction of relevant management policies. In May 2019, the eighth meeting of the Central Committee for Comprehensive and Deepening Reform adopted the Reform Plan on the Management of High-Value Medical Supplies, which sent a strong signal on the reduction of prices of high-value medical supplies. In November of the same year, the leading group of the State Council on deepening medical reform made it clear that the pilot provinces of comprehensive medical reform should take the lead in the exploration of centralized procurement of high-value consumables.By 2020, the relevant agencies have issued a series of documents to protect the national collection of high-value medical supplies. These documents provide a grasp for the management of medical supplies, solve the problem of unclear standards and uniform coding of medical supplies in the past, and provide a basis for deepening the reform of high-value medical supplies. In July 2020, the State Health Insurance Administration issued a document entitled "On entrusting the implementation of the national organization's coronary stent centralized belt procurement program (draft for comments)", and mentioned in the article from the crown stent to explore the development of national high-value medical supplies centralized belt procurement, promote the establishment of a standardized, normal high-value medical supplies centralized belt procurement system, and in September formally identified the crown vein stent as the first batch of high-value medical supplies national collection products.

    02 all over the collection intensive start, high-value medical supplies price reduction is obviouslyAfter the state sent a signal of reform of high-value medical supplies, local governments responded positively, taking provinces or provincial alliances as a unit, to carry out a trial collection, in order to explore the collection methods of high-value medical supplies.In terms of regional and time distribution, high-value medical supplies collection began in 2019 in Jiangsu and Anhui provinces, and gradually spread throughout the country in 2020, in July and August intensive start." So far in 2019, 15 collections have been conducted in provinces or alliances. Among them, Jiangsu Province has the highest frequency, a total of 3 rounds of collection, involving 8 kinds of products. In terms of price reduction, joints and stents for the collection of higher frequency, price reduction is also larger products, there is a decline of more than 50%, the larger price reduction space may also be the crown vein bracket to become the first batch of high-value medical supplies national collection products one of the reasons.It is worth noting that ophthalmology artificial crystals have experienced a total of 5 harvests, the price continues to decline. In the first two collections in Anhui and Jiangsu, prices were reduced by less than 30%, while in 2020, the prices of the three-N alliance and the inter-provincial alliance were 44% lower than before the harvest. And the latest round of Shanghai's collection, the price again waist cut, Johnson and Johnson eye strength JIAN ZA9003 as an example, after winning the bid in the 3-N alliance, the price per piece has been reduced from 2700 yuan to 1300 yuan, and in Shanghai after another winning bid, the price per piece fell to 650 yuan.03 The rules of high-value consumables are complex, and the optimal collection methods are explored in various regions due to the lack of a consistent evaluation process of generic drugs, the quality of high-value pharmaceutical consumables is difficult to control, and the same type of products are also a wide variety, while doctors have certain personal preferences for product selection, changing clinical products will have certain risks, resulting in more complex evaluation rules for collection. Therefore, how to choose the best collection method, in order to ensure the quality of the selected products on the basis of the largest reduction in prices, has become the top priority of national collection. In the trial process, the bidding methods selected by each province and region are very different, and there is no uniform optimal collection standard.Taking artificial crystal collection as an example, the five collection bidding rules in provinces or provincial alliances are not the same.In contrast to the selection rules, in the two provinces of Anhui and Jiangsu, where the collection was initially conducted, bargaining was adopted because of the small number of enterprises involved. Anhui Province chose two rounds of bargaining, while Jiangsu Province determined the selected varieties according to the magnitude of the price reduction. After the increase in the number of participating enterprises, the Beijing-Tianjin-Hebei 3-N alliance adopted the grouping method, the group of fewer varieties took the way of bargaining, and the group of more varieties took the way of bidding, this way of combining bidding, can be in the number of participating enterprises increased, to ensure that the price is fully reduced. On the basis of the bidding rules of the Beijing-Tianjin-Hebei Alliance, the inter-provincial alliance introduced the expert group score to ensure the quality of the final selected products, the bargaining group was selected according to the expert group vote, and the bidding group first according to the experts to phase out some products, and then in the remaining products according to the price decision. Shanghai's collection rules abandoned the bargaining group, but added a market share factor aimed at reducing prices without changing clinical usage habits.Crown bracket has been identified as the first batch of products for the national collection, how to make the bidding rules? It can be expected that the number of enterprises involved in the provincial collection further increased, in the case of uneven quality, the introduction of expert group review as a quality control is very necessary. On the basis of ensuring quality, we can choose to reduce the price of consumables by means of a combination of bidding and bargaining, and in addition, market share can also be used as a condition for screening shortlisted enterprises to maintain clinical use habits.However, the screening of market share, although it can ensure that the use of habits are not changed, but not conducive to the entry of emerging products into the market, may ensure clinical habits at the same time, screening out some of the high-quality innovative products. Therefore, in addition to quality and price reduction, how to balance clinical use habits and encourage innovation is also crucial.In short, high-value medical supplies products more complex rules, although all over the start of regional collection and high-value supplies to successfully reduce prices, but the national collection still has a long way to go. I believe that the collection of crown bracket, the country will combine the experience of various regions, choose the most suitable selection rules at this stage, reduce the price of quality, benefit to the people. (New Kangjie)
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