Monitoring the price of imported equipment The National Health Insurance Administration responds.

On September 25th, the State Health Insurance Administration issued the "Response of the State Health Insurance Administration to Recommendation No. 8995 of the Third Session of the 13th National People's Congress" (hereinafter referred to as "Reply No. 8995"), indicating that some deputies to the National People's Congress had proposed to strengthen price monitoring of imported products.
The State Health Insurance Administration said that the price of medical devices for a long time to implement market regulation, by the operators to determine the price, there are indeed rebates prevalent, inflated prices, imported domestic supplies price difference is larger and so on.
, there are not only reform is not in place, the interest mechanism distorted factors, but also high technical barriers, name coding is not uniform, it is difficult to form an effective competition factors.
After the establishment of the National Health Insurance Bureau, attaches great importance to solving the problem of inflated prices in the field of pharmaceutical and medical supplies: First, to guide Anhui, Jiangsu, Beijing, Tianjin and other regions to carry out centralized belt procurement or supplies alliance procurement;
Among them, for belt procurement, the State Health Insurance Administration said that it had guided Anhui and Jiangsu in July last year for orthopaedic supplies, coronary stents and other varieties carried out centralized strip procurement, including orthopaedic spinal consumables average price reduction of 53%, crown stents average price reduction of 51%, to achieve high-value medical supplies centralized belt procurement reform ice breaking.
In May this year, it also guided Beijing, Tianjin and other northern provinces and cities to carry out artificial crystal consumables alliance procurement, further explore the high-value medical supplies alliance procurement methods, 44 selected products on average 46% reduction, a year will save 450 million yuan.
Shanxi, Fujian, Shaanxi and other provinces are also actively exploring and follow-up, and achieved positive and remarkable results.
addition, on September 23rd, the State Health Insurance Administration also announced that some people had put forward proposals to create a level playing field for domestic and imported products at the same price and to speed up import substitution.
nhs says the government has long stressed the need to package medical supplies as much as possible to charge within the service.
is necessary under the historical conditions of the time, especially for the alternative strong, fully competitive medical supplies have played a positive role.
But this way does not adapt to the change of their respective costs, especially in the case of different brands with large price differences, the demand for consumables is more rigid, but it is easy to see the service homogeneity of different prices or cost inverted situation.
does not deliberately compress the reasonable profits of enterprises in fact, whether imported equipment or domestic equipment, with the purchase of volume is an important way to solve the price of inflated, but in the case of a larger price decline, the enterprise will produce a profit margin is too small problem? On September 24, the State Health Insurance Administration also issued the "National Health Insurance Administration's Response to Recommendation No. 1680 of the Third Session of the 13th National People's Congress", saying that it had not deliberately compressed the reasonable profits of enterprises.
There are npc representatives on the improvement of drug centralized procurement rules to ensure reasonable profits of the proposal, the State Health Insurance Administration said that the state organization of drug centralized procurement did not deliberately compress the reasonable profits of enterprises, price reduction space mainly comes from the following three aspects: First, through the volume of procurement "ensure the use", enterprises have obtained the purchase volume commitment, no longer for drugs into the hospital and public relations, marketing costs greatly reduced.
second is to "ensure the return" greatly shortens the medical institutions to settle drug payment cycle, reduce the cost of enterprise capital.
is the rapid expansion of the market sales of selected products, production costs are shared, the average cost is lower.
in general, institutional costs have been freed up through reform, opening up room for price cuts.
The main purpose of centralized procurement of drugs organized by the state is to improve the market-oriented drug price formation mechanism, so always adhere to the qualified enterprises "voluntary participation, independent quotation, fair competition", the government does not interfere with enterprises to participate in the collection and specific quotations, fully respect the will of enterprises, respect market rules.
role of government is to improve the efficiency of market competition and find prices more quickly and accurately by setting rules and organizing centralized procurement.
in the process of studying and formulating the centralized procurement rules of national organizations, we attach great importance to and fully listen to the opinions of enterprises and experts, and constantly optimize and perfect the procurement rules in the past collection.
In order to prevent irrational competition behavior, the joint bid specifically made it clear that when the enterprise quotation drop is greater than or equal to 50%, even if the spread is more than 1.8 times can still be selected, this is actually in order to let more enterprises select, promote the protection of rational quotation measures, if there is no such provision, the selected price will be lower, more enterprises will be defeated.
understood that the National Health Insurance Administration said that the development of national organizations of consumables centralized belt procurement, will also learn from the drug centralized belt procurement practices.
next step will be to constantly improve the procurement rules, accelerate the promotion of centralized volume procurement as the leading mode of pharmaceutical and high-value medical supplies procurement, expand the reform effect.
A batch of supplies, the beginning of the national volume procurement on the same day, the State Health Insurance Administration issued the "National Health Insurance Administration of the 13th National People's Congress of the Third Session of the 6338 recommendations of the response" shows that the next step of the National Health Insurance Bureau will focus on doing the following work.
is to promote the centralized belt procurement of medical supplies.
Learn from the practice of centralized drug belt procurement, sum up local experience, according to the characteristics of high-value medical supplies, from the high price of large quantities, more mature technology, clinical alternative varieties between products, to carry out national organizations centralized belt procurement.
the same time, actively guide the local medical supplies centralized belt procurement, promote the provincial units or cross-provincial alliance procurement mechanism.
is to standardize the construction of procurement platform.
establish an integrated provincial tender procurement platform for bidding, procurement, trading, settlement and supervision, and rely on the centralized procurement platform at the provincial level to monitor abnormal changes in the price and supply of consumables from the procurement side.
to promote the convergence of information on the procurement platform for medical supplies in various provinces, and establish an information sharing mechanism for medical supplies.
establish a reasonable price, standardized and orderly supply guarantee system.
is to strengthen normal supervision.
on the basis of respecting market laws and the operator's independent pricing power, the operators should be promoted to strengthen self-discipline by means of monitoring early warning, correspondence and interview, reminder and admonishment, cost investigation, credit evaluation and information disclosure.
National Health Insurance Administration in the "6338 Reply" said that public medical institutions should be through the provincial centralized procurement platform procurement of medical supplies, there are two main ways: first, the sun hanging network procurement, and second, centralized procurement with volume.
sunshine hanging network procurement to the value of supplies-oriented, strengthen the quality of supplies and supply assurance.
for the quality, price, supply and other conditions of the supplies, according to the provisions of the hanging network, sunshine procurement, to meet the needs of clinical consumption.
The State Health Insurance Administration is guiding local efforts to promote the procurement of the Sunshine Hanging Network, standardize the workflow and the rules for the removal of the Network, and gradually realize that medical supplies should be hung up.
For centralized belt procurement, Anhui, Jiangsu, Beijing, Tianjin, northern 9 provinces, Chongqing and other places have completed the relevant supplies with volume procurement, Shanxi, Fujian, Zhejiang, Liaoning, Shandong, Yunnan and other regions have also carried out volume procurement work.
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