Is the one vote system really coming? Water testing will begin in many areas

[pharmaceutical network industry trends] recently, the national leading group for deepening the reform of the medical and health system issued the notice on further promoting the experience of deepening the reform of the medical and health system in Fujian Province and Sanming City According to the notice, Fujian Province and Sanming City have the right direction, clear path, effective measures and obvious results of medical reform, which are the benchmark of national medical reform Experts pointed out that the core of their medical reform experience lies in the joint reform of medical treatment, medical insurance and medicine, which mainly solves the problem of "difficult to see a doctor" by supplementing the short board of medical resources and promoting hierarchical diagnosis and treatment; and solves the problem of "expensive to see a doctor" by reducing the circulation cost of medical consumables and standardizing medical behaviors In addition to summing up the successful experience, it also made clear the goals of 24 medical reform tasks in 7 aspects in the future, and put forward the specific goal requirements and implementation time nodes It is worth noting that the notice mentioned that the pilot provinces of comprehensive medical reform should promote the settlement of payment directly between medical insurance agencies and drug production or circulation enterprises, and other provinces should also actively explore Industry insiders said that the direct settlement between the medical insurance department and enterprises means that the one vote system is really coming, and not only in the comprehensive medical reform provinces, but also in other provinces Before that, "two vote system" has greatly adjusted the current drug distribution pattern, and the implementation of "one vote system" will greatly reduce the functions of pharmaceutical commercial companies, which will have a profound impact on various pharmaceutical production and distribution enterprises The one vote system is not new to most of the pharmaceutical industry workers, and it has been in the industry for a long time For example, in November 2017, Anhui Province issued the implementation opinions on "two vote system" for medical consumables procurement of public medical institutions in Anhui Province (for Trial Implementation), which clearly stipulated the implementation of "two vote system" for medical consumables and encouraged "one vote system" Some time ago, Guangdong Pharmaceutical Trading Center issued the notice on further carrying out the "two vote system" bill upload work of pharmaceutical trading in medical institutions in Guangdong Province and publicizing the audit results of one vote situation Among them, 379 production enterprises and their commercial companies that are regarded as production enterprises have passed the examination, and they are to be recognized as one vote Subsequently, a message came out from a city in Liaoning Province that a special account for enterprise funds would be established According to the results of the selection, the municipal medical insurance center would transfer the payment for the three-month infusion set selected in the procurement cycle into the special account for distribution enterprise funds at one time And Hunan Medical Insurance Bureau, before that, also had two documents circulating in the industry According to one of the documents, 54 antibacterial drugs in Hunan Province should be purchased in a centralized way, and the mode of national procurement with volume should be referred to in the aspects of procurement, settlement, medical insurance payment and guarantee use In terms of drug distribution, Hunan said that the winning drugs were distributed directly by drug manufacturers or entrusted by distribution enterprises with distribution qualifications and capabilities that have been filed on the provincial procurement platform   Recently, the general office of Jiangsu Provincial Commission for Discipline Inspection, general office of Jiangsu Provincial Commission of supervision, Jiangsu Medical Security Bureau and Jiangsu Provincial Health and Health Commission also issued the notice on promoting the sunshine procurement of high-value medical consumables in the province (hereinafter referred to as the notice), which requires the implementation of Online settlement - all the procurement costs of public medical institutions in the province are settled through the provincial platform to achieve unified settlement Guide and promote online procurement, and realize the integration of business flow, information flow and capital flow of provincial platform, which is referred to as "integration of three flows" In fact, the one vote system can be simply understood as the direct marketing model of enterprises In this mode, manufacturers can establish their own business teams, build sales networks, integrate manufacturers, that is, "overall solution providers", enhance the controllability of each link, and timely obtain the feedback from terminals and consumers In this mode, the transaction of goods and money only takes place between the manufacturer and the hospital, and the commercial distribution company only undertakes the delivery function, which is equivalent to the express company The ownership of goods is not transferred to the business On this basis, the business does not play the role of capital advance in the circulation of drugs If the one vote system becomes the industry trend in the future, if the relevant enterprises can't transform in time, they are likely to be out of the game in the change of policy environment.