National drug price linkage into the countdown?

TextsAs early as 2015, "national minimum price linkage" was mentioned, and then the provinces and cities have also introduced price linkage measuresBut until now, the national uniform price linkage is really startingNational drug collection price negotiations are very strong, and now push the national price linkage, "no minimum only lower" continue to playIn the future, public hospitals, private hospitals, pharmacy clinics prices will be the same, hospitals will be consistent, online and offline will be consistent, there can be no longer information island or price high point saidIn the face of the huge impact of the policy, where is the future survival space of pharmaceutical companies? Recently, the National Joint Procurement Office in Shanghai Pharmaceutical Institute held a national band procurement conference, covering the second batch of national band procurement landing situation and the third batch of band procurement start." It is worth mentioning that according to the analysis of the content of the meeting, the price of the third round of band procurement is expected to be linked to the whole countryThis possibility is further confirmed by the Business Process Specification for the Recruitment and Management of Medicines and Medical Supplies for The Medical Security Information Platform Of the Office of the National Medical Security Administration's Cyber Security and Information Information Leadership Group( which has emerged from the industry"Drugs and medical supplies in the National Minimum Bid Price Management and Inquiry" in the Code clearly, the State Health Insurance Administration will regularly collect the lowest winning bid price generated by the local health insurance bureaus through the provincial platform exchange library, and collect the minimum bid price summary and then send to the local medical insurance bureau, for the local health insurance bureau to carry out tender procurement projects to provide reference"Minimum price linkage" as early as 2015 "the General Office of the State Council on improving the public hospital drug centralized procurement of guidance" (the State Office issued No7 of 2015) in the mention, after the introduction of No7, the provinces and cities have also introduced price linkage measuresBut until now, the national uniform price linkage is really startingThe reason for this newspaper, Lito Management Consultants Limited pharmaceutical business management consultant Yang Tao said, there are three main aspects, one is technical problems, reflected in the previous medical insurance information system standards are not uniform, data is not mutually recognized, the system is divided and thus difficult to share, regional closure led to the phenomenon of islands prominentAt present, the dynamic maintenance of medical insurance business coding standardhas has been completed, with unified coding, solves the biggest technical problem, thus solving the problem of information silosSecond, the problem of cognitionThird, the balance of power between the central and local and local authorities and the inner nine-nine of the local institutionsThe national unified price linkage problem is actually a difficult problem created by man, and therefore can set up obstacles, separate dissection between the central and local, local and local power disputes, potential interests (individuals) disputes; Hu Xiaochun, a special observer and senior medical person, also said that although so far, years of medical reform is still on the road, but the overall appearance of the law of clean-up, strict control, high pressure has not changed, the brewing start of the national drug price linkage, contact these medical reform laws to see is not surprising at allAs for the reasons that have been difficult to really link is not self-evident, not to express the words, the individual believes that this has been in all aspects of the cognitive difficult to see the root causes of the expensive always attributed to the inflated drug prices, and therefore the biggest reform focus of medical reform has always been around drug prices to do the articleThe Code states that the State Health Insurance Administration will collect the minimum winning price summary and then send it to the local health insurance bureau to provide reference for the local health insurance bureau to carry out tender procurement projectsAfter the public hospitals, private hospitals, pharmacies clinic drug prices are consistent, online and lower drug prices will be consistent will become inevitable, drug collection prices and health insurance prices will further accelerate the pace of reformAlthough the current health insurance bureau has not explicitly requested the direct implementation of the minimum bid price, but put forward as a reference for the work of each local bureau, but objectively on the procurement price of drugs around the guiding impact is hugeIn Hu Xiaochun's view, the lowest bid price of the national linkage there are many unreasonable components, such as: said that the belt collection, then the amount is naturally the basic consideration of price negotiations, regardless of their own volume of small direct adoption of the national minimum price reasonable? Because of the economic development, the large amount of population to obtain the price advantage would have been in line with the economic law, but through the linkage directly by the economic underdeveloped use of provinces and regions to adopt the lowest price reasonable? However, Yang Tao thinks this situation is actually reasonableFirst, since they are state-approved drug code, after consistency evaluation, inspection qualified, for the purchaser is naturally the use of tender-only low-cost theory; Moreover, in the market law to do less people, natural prices rise, profitable, once there are more people to do, prices naturally fall, supply and demand relations adjustment, this is the law of the market economy, do not give tender buyers on too many things should not be consideredChina's economic development has been following the specific analysis of specific circumstances, local conditions and other principles and flexibility combined with the objective law, rather than a one-size-fits-all, in tax policy, investment and so on is not a simple national unity, which is in line with China's national conditions of the correct approachNow simple rough regardless of the specific circumstances of different regions to mandatory national drug price linkage, will undoubtedly give the industry, to the market to bring a huge impact, "no minimum only lower" continue to playIn addition, according to relevant reports, the third round of national collection is likely to continue the second round of national collection of bidding ideas and rules of the game, on behalf of 1.4 billion people's price negotiations powerful, and then push the country's lowest price linkage, to the pharmaceutical companies bring about by the great changes need not be explained, enterprises can not build a price "firewall", the bottom line price thinking is not to lose to be able to live"Frankly, we just feel weakly that health care reform would have required more state investment or state enterprises to shoulder responsibility, but the reality is more of a reality that enterprises are constantly paying the bill; Hu Xiaochun saidIn the past, pharmaceutical companies used provinces, cities and counties of non-linkage, non-interconnected information islands set up on the bidding procurement and market access thinking habits and operating means must be completely discarded, replaced with a national chess thinkingAt present, if it is an exclusive product, once the price of the depression, the moment is the price naked run, the national linkage, so that the price is all leveled to the depression consistent, and then bargain, and then appear the depressionSuch a small knife cut meat is like a stock market bear market, every day a little, very fastIf it's not an exclusive product, even more uncontrollable, GM names hit your door directly with a single shotTherefore, as a pharmaceutical company, do not have a lucky mentality, must soberly realize that the main purpose of national collection is to replace the original research, local collection is to reduce prices, ease the pressure of medical insurance payment, whether the national or local performance of the main melody is to reduce pricesPharmaceutical companies to do a good job from four aspects of adjustment, first, do a good job of strategic adjustment, re-examine their own is still not playing in this area, if, think clearly is to take the road of innovation or imitation road? Which way can you afford to have the resources to go? Second, the mentality, if you take the road of imitation, is bound to be naked, than is the cost, kill is the price, your profit is derived from the cost saved, the price must not have any lucky psychology, the initiative to the end Third, the organizational structure, in the organizational structure, must strengthen the technical sector and supply management departments to ensure technological and supply chain advantages, to ensure low costs, and market access and tendering sectors must also be upgraded to strategic heights, the national as the same regional market Fourth, the change of operation mode, less analysis and prediction of how others will play cards, only care about your own card to what extent, how others can play cards you can not analyze, rather than waste time, it is better to see themselves, and then quick response With the national drug price linkage spread, as well as the volume of procurement to expand to more products, pharmaceutical companies in the public hospital market will face a more severe price reduction situation Some people pointed out that once the "national mining catalog" publicity, will affect the "province belt collection" price trend, rather than no opportunity to participate in the "national mining", it is better to "save the amount of harvest" in the first city In this regard, Hu Xiaochun said, this is 50 steps to laugh 100 steps In the general environment of rectification, has been in war thinking about the future survival space of pharmaceutical companies where? Although has been saying that the wolf is coming, but also has been living, and all the way down, to people's illusion of pharmaceutical companies seem to be "the small force of the fight to death." In fact, in general these years can be said that pharmaceutical companies have not much development, especially the quality of domestic pharmaceutical enterprises to improve How many new drugs have been available in the years of new drugs, including generic and innovative drugs? What is the remarkable growth in the scale and efficiency of the enterprise itself? Even in the new drug gold content, scale effect, the creation of tax, corporate brand reputation are among the top star pharmaceutical company Hengrui Pharmaceuticals because of the "cost" problem, the survival space of pharmaceutical companies is really confused However, in Yang Tao's view, the main purpose of the national volume procurement and provincial band procurement is different, the state did not implement the product collection, into the province collection is inevitable, the provinces will actively participate; After the collapse of the in-hospital price system, pharmaceutical companies began to seek retail pharmacy channels, emphasizing the out-of-hospital market However, a recent document from the Guangdong Trading Center said that retail pharmacies, pharmaceutical and e-commerce enterprises and even non-public medical institutions and procurement consortia could register for centralized volume purchases Hu Xiaochun believes that once the drugstore is required by the medical insurance bureau to carry out the volume of procurement, even if pharmaceutical companies take the product regulations, dosage form, packaging and other aspects of differentiation strategy, before being known as many pharmaceutical companies hospital clinical drug use blocked after the pharmacy Blue Sea will also be seriously hit by the out-of-hospital sales model without hope, at best, is only a method, can no longer become the future drug companies safe haven and New Foundry Yang Tao also said, do not naively think or hope that there is a difference in the hospital, the future public hospitals, private hospitals, pharmacies clinic prices will be the same, the hospital will be consistent, the line will be consistent, there can be no longer information island or price high point Pharmaceutical companies must distinguish between information communication channels and logistics and distribution channels The former solves the patient, clerk, pharmacist, doctor communication, let them know your products, give them a reason to use, information communication channels are also precise, direct, fast, low cost; Pharmaceutical companies must abandon the previous idea, abandon the separation of the hospital market, drugstore market and other practices, otherwise it will die no doubt, the hospital outside the line of the integrated market under the integrated market is the king After this outbreak, Internet medical will develop rapidly, making the integrated market operation ideas become necessary In such a case, the future will only have three kinds of enterprises: first, innovative enterprises, small and beautiful;