Hospital procurement of non-selected products, medical insurance fund will not pay!

Guide: On June 15, Ningbo issued the Work Programme for the Central Quantity Of Medicines and Medical Supplies of Ningbo Public Medical Institutions, which openly solicited opinions from the communityOn June 15,, Ningbo issued the Work Programme for the Central Quantity Of Medicines and Medical Supplies of Public Medical Institutions in Ningbo City, and publicly solicited opinions from the communityopinion draft, in addition to the higher-level organizations with the volume of procurement of drugs, medical supplies, to carry out centralized volume procurement, in principle for public medical institutions with a large amount of clinical use, higher procurement amount, clinical use experience mature, a number of enterprises produced products are included in the scope of belt procurement; In accordance with the principles of centralized belt, volume-for-price, volume price linkage, recruitment, openness, fairness and fairness, the final winning products and prices are determined by means of price negotiation, competitive quotation or comprehensive evaluationagreed purchase volume in principle is not less than 70% of the previous year's procurement volume, if the year did not complete the agreed amount, the next year continued to usein addition, pay special attention to Article 6 of the draft opinion, on the procurement management provisions: Ningbo City public medical institutions at all levels in accordance with the selection of product catalog selling manufacturers, specifications, models and prices unified procurement;the medical insurance fund will not pay for similar products other than the selected catalogue of products purchasedmeans that the relevant non-winning products will not be eligible for medical insurance reimbursement, and for enterprises that do not win the bid, whether or not they are in the health insurance catalogue, they will withdraw from the public hospital market without a price reduction and lose most of the end-hospital salesNingbo Public Medical Institutions, medicine, medical supplies centralized band procurement work programin order to promote the city's public medical institutions drugs, medical supplies centralized band procurement work, give full play to the drug, medical supplies concentrated band procurement in deepening the pharmaceutical service supply-side reform in the leading role, according to the CPC Central Committee State Council on deepening the reform of the medical security system (2020) No5), "The General Office of the State Council on the issuance of high-value medical supplies reform program notice" (State Office issued (2019) No37) and "Zhejiang Provincial People's Government Office on the reform and improvement of the public hospital drug centralized procurement mechanism" (Zhejiang Political Office issued (2015) No57) and other documentspirit, combined with the actual situation of our city, the formulation of this program1The overall goalimplement the purchase of drugs, medical supplies, reduce the purchase price of drugs, supplies and business transaction costs, purify the circulation environment, improve the industry ecology, promote clinical use norms, reduce the expenditure of medical insurance funds, reduce the burden on patients, enhance the public's sense of access to medical treatment, the basic principles (i) adhere to the principle of people-centered, effectively reduce the burden on patients, ensure the need for clinical use, to ensure the quality and supply of medicines, medical supplies (2) adhere to the principle of openness, fairness and impartiality in accordance with the law, strictly implement relevant policy provisions, ensure that the procedures for procurement with volume are standardized, open and transparent, and accept the supervision of all parties throughout the process (iii) adhere to the principle of volume procurement, recruitment and integration, the implementation of centralized procurement, volume price linkage, volume-for-price Third, the scope of implementation the city at all levels of public medical institutions, private hospitals to participate in the comprehensive reform of public hospitals medical institutions Encourage the active participation of private medical institutions, medical insurance pharmacies and other social-run medical institutions fourth, the scope and mode of procurement (i) select the scope of the volume of procurement Select the range of drugs and medical supplies purchased with a volume, on the higher-level organization sourcing drugs, medical supplies, to carry out centralized volume procurement, in principle, for public medical institutions with a large clinical dosage, higher procurement amount, clinical use experience mature, a number of enterprises produced products (ii) enterprises participating in the purchase of tape The procurement method of the pharmaceutical and medical supplies production enterprises (the sole general agent of imported products in the mainland region shall be regarded as the production enterprise) and the procurement method shall be made with the approval of the relevant departments such as the State Drug Supervision and Administration, which are lawfully sold in the Chinese mainland Band procurement to take sub-category, batch gradually implemented In accordance with the principles of centralized belt, volume-for-price, volume price linkage, recruitment, openness, fairness and fairness, the final winning products and prices are determined by means of price negotiation, competitive quotation or comprehensive evaluation The agreed purchase volume is not less than 70% of the previous year's purchase volume in principle, if the agreed amount is not completed in the current year, the next year will continue to use During the period of the agreement, if the medical institution completes the purchase amount agreed in the current period in advance, the winning enterprise shall continue to supply the winning bid at the price until the expiration of the agreement Five, the announcement method our city's drugs, medical supplies concentrated volume procurement of all announcements and information, through the official website of Ningbo City Medical Security Bureau publicly published 6 Procurement Management the city's public medical institutions at all levels in accordance with the selected product catalog determined by the manufacturer, specifications, models and prices of unified procurement; seven, distribution and payment settlement the production enterprises of the selected products are the first responsible person to ensure the quality and supply of products Production enterprises can be directly distributed, can also be commissioned distribution In principle, enterprises must implement the "two-vote system", encourage the implementation of the "one-vote system", in accordance with the contract to ensure the supply of products, timely meet the procurement needs of medical institutions In the event of non-compliance with the agreement, failure to guarantee quality or supply, etc., will be dealt with in accordance with the relevant provisions improve the mechanism of coordination between the standard of medical insurance payment and centralized purchase price, explore the direct settlement between the medical insurance fund and the pharmaceutical enterprise, guarantee the timely return of the money to the enterprise, and mobilize the enthusiasm of the enterprise to participate in the centralized purchase and lower the price 8 The procurement cycle the procurement cycle is 24 months in principle If the agreed purchase volume is completed in advance of the purchase cycle, the excess will still be purchased at the selected price During the procurement cycle, such as the level of policy adjustment follows the linkage nine, dynamic management
drugs, medical supplies centralized volume procurement after implementation, in principle, every year for product, price dynamic adjustment For products that exit the market, have quality problems, etc., cancel their centralized volume purchase catalog qualification, and make up in order according to the negotiation, bidding or evaluation ranking The selected products in the procurement cycle, such as provincial or other cities in the province procurement price is lower than the winning bid price, according to the principle of low price linkage ten, organizational form (i) leadership group The city's medical security bureau is the main leader of the group leader, the head of the leadership as deputy group leader, the office in the pharmaceutical price and tender procurement office (ii) the formation of a pool of experts By the city's medical security bureau, the main leadership of the group of experts, in charge of the leadership of the deputy group leader The members of the expert group are composed of the heads of the various departments of the Municipal Medical Security Bureau, the heads of the district and county (city) medical insurance bureaus, the heads of public medical institutions at three or more levels of the city, and the heads of departments and departments, who are responsible for the validation of the evaluation criteria for the purchase of the amount of the tape, participate in price negotiations, and provide clinical standards for the use and management of the situation 11, other national and provincial provisions of the new policy, from its provisions