Read the article . . How does the "3-N" medical supplies procurement alliance work?

Text . . Li Guotian's deepening of the reform of the centralized belt procurement system for pharmaceutical and medical supplies is an important part of deepening the reform of the medical security system.
Beijing, Tianjin, Hebei three medical security departments actively planning, relying on the Beijing-Tianjin-Hebei collaborative development strategy advantages, explore the development of medical supplies centralized belt procurement, to build Beijing-Tianjin-Hebei and other 9 provinces, cities and districts composed of the procurement alliance (referred to as "3-N" procurement alliance).
May 9th, the "3-N" medical supplies procurement alliance successfully implemented the joint strip purchase of the bidding portion around the high-value medical supplies of artificial crystal ophthalmology, and achieved an average decrease of 55.81 percent through bidding, with a maximum decrease of 84.73 percent.
May 18, the "3-N" procurement alliance implemented the joint volume procurement of the bargaining part, through the bargaining negotiations, achieved an average decline of 34.02 percent, a maximum decline of 55.26 percent.
joint procurement is a useful attempt to promote the coordinated development of regional medical security, cooperative co-construction and resource sharing, and has achieved initial results.
State Health Insurance Bureau gave full recognition to this, pointing out that the alliance procurement of artificial crystals, is after the 2019 Jiangsu, Anhui high-value medical supplies centralized procurement of ice-breaking after another major progress.
To build a regional alliance for cross-provincial procurement, form a new model of "3 plus N" joint procurement for the implementation of the Beijing-Tianjin-Hebei coordinated development of major national strategies, deepen the reform of the health care system, under the full support and strong guidance of the State Health Insurance Bureau, beijing-Tianjin-Hebei three provincial and municipal party committees, the government close communication, coordination, in the 20th In June 19, the Beijing-Tianjin-Hebei Cooperation Agreement on The Coordinated Development of Medical Security (hereinafter referred to as the Cooperation Agreement) was signed, which provides a solid foundation for Beijing-Tianjin-Hebei exploration and implementation of cross-provincial alliance procurement of high-value medical supplies through in-depth cooperation around mutual recognition of medical insurance fixed-point information, direct settlement of medical treatment in different places, joint procurement of medicines and coordinated supervision of medical insurance.
In November 2019, the medical security departments of Beijing, Tianjin and Hebei jointly signed the Framework Agreement on Centralized Procurement cooperation of pharmaceutical medical supplies in Beijing, Tianjin and Hebei on the basis of full communication and consultation, and jointly issued the Opinions on joint belt procurement of medical supplies in Beijing and Tianjin, and actively explored the practice of joint belt procurement of medical supplies.
Subsequently, Liaoning, Jilin, Heilongjiang, Shanxi, Inner Mongolia, Shandong and other provinces, cities and districts actively followed up and signed the Memorandum of Understanding on the Participation of Heji Liaomun Jinlu in the Beijing-Tianjin-Hebei Pharmaceutical Medical Supplies Alliance Procurement Cooperation.
this, the procurement alliance further expanded, "3 plus N" joint belt procurement regional alliance formed, becoming the country's first cross-provincial belt procurement regional alliance.
"3-N" procurement alliance to give full play to the medical supplies centralized belt procurement in deepening the supply-side reform of medical services in the leading role, and actively promote health care, medical, pharmaceutical joint reform system integration, and strive to provide the masses with more quality and affordable medical services.
to carry out artificial crystal strip procurement, take the lead in the implementation of regional medical supplies joint collection of "3-N" regional procurement alliance, after repeated research and demonstration, the choice of artificial crystal ophthalmology supplies this product to take the lead in the joint procurement of medical supplies.
past six months, the medical security departments of nine provinces, cities and districts have made every effort to do a good job in the prevention and control of the epidemic, while ensuring the smooth development of joint collection and harvesting of medical supplies.
Close collaboration, solid foundation work is to strengthen the Beijing-Tianjin-Hebei medical supplies joint procurement platform construction, promote information sharing, enhance the platform work capacity to support larger-scale joint procurement, for the joint procurement of pharmaceutical supplies to provide support.
2 is to collect and organize the information of artificial crystal medicinal supplies, organize the product information of 14,000 specification models declared by 25 enterprises, summarize and analyze the historical procurement volume of nine provinces, cities and districts and the purchasing demand for the coming year, and organize experts to group and simulate products according to functional attributes, so as to make sufficient data preparation for the purchase of volume.
is to summarize the clinical function attributes of the product and establish the grouping index system.
Fully listen to the expert opinions and suggestions, a wide variety of artificial crystal specifications for a reasonable classification, summarized and refined 10 clinical functional attributes (3 basic functional attributes, 7 additional functional attributes);
fourth is the issuance of joint procurement of artificial crystals.
In April 2020, nine provinces, cities and districts jointly formulated a joint belt mining document for medical supplies (artificial crystals), adhered to the principle of "quantity price linkage, recruitment and oneness", and further clarified the varieties and quantities, reporting units and information, procurement operation paths and procedures, etc., and clarified the policy basis for the smooth promotion of the pilot.
strengthen the joint and improve the joint procurement mechanism In promoting the joint belt mining work, the "3-N" procurement alliance fully learns from the successful experience of the national organization of drug centralized strip mining, and strives to promote the construction of the joint procurement mechanism in line with the characteristics of medical supplies.
is to give full play to the wisdom of experts to ensure the realization of "oneness of recruitment".
organized Beijing-Tianjin-Hebei authoritative clinical experts to the medical institutions on-site research, held a number of Beijing-Tianjin-Hebei expert seminars, to ensure that clinical use and the volume of procurement of products highly in line.
is to strengthen the procurement process management, to ensure that the procedures are strict and standardized.
Adhere to the "five unified, one episode", that is, the unified construction of medical supplies joint procurement platform, unified formation of medical supplies evaluation experts library, unified selection of medical supplies procurement catalog, unified standard medical supplies qualification audit standards, unified formation of medical supplies price system, centralized organization of evaluation work, to achieve "a platform, information sharing, results sharing."
is to form a list of mainstream products.
based on the historical procurement data of medical institutions, form a list of mainstream products, and carry out fine grouping, and strive to "improve the concentration of procurement targets, increase competition between enterprises, increase the driving force of price reduction" of the joint belt mining objectives.
Bidding combined, promote the price return to a reasonable range of "3-N" procurement alliance to learn from the national drug centralized volume procurement and medical insurance negotiations access to the successful experience, the use of bidding and bargaining combined way, the competition for full products to take a "competitive approach" to determine the selection, and then to the competition of insufficient products to take a "negotiating method" to determine the successful, to maximize the efficiency of joint procurement.
the first step, play the role of "market hand" to promote price reduction.
To take a "bidding method" for products that are sufficiently competitive, according to the actual number of enterprises declared, appropriately compress the number of selected enterprises, determine the maximum number of selected enterprises, and determine the share of the purchase volume with the price, in order to "take the amount" way to promote competition in a number of selected products.
the second step, through the "decline-driven" and "bid results linked" two ways to jointly promote price reduction.
On the basis of the auction results, around the product additional functional attributes, play the role of expert group, determine the "negotiating access price", the exclusive products and bidding methods in the price upside down products face-to-face "bargaining negotiations" to determine the selection.
closely organized, joint procurement achieved the desired results in this artificial crystal consumables joint belt mining, a total of 22 eligible enterprises declared 85 kinds of artificial crystal products.
, a total of 19 declared enterprises in 44 products selected, of which "bidding method" a total of 25 products selected, "bargaining method" a total of 19 products selected, the success rate of the negotiation is 51.35 percent.
selected products, 36 kinds of foreign imports, 8 kinds of domestic enterprise products.
in this procurement, nine provinces, cities and districts jointly purchased a total of 313.9 million pieces, involving an annual procurement amount of 934 million yuan.
"bidding method" and "bargaining negotiation mode" two-stage joint volume procurement can save the joint procurement area a total of 450 million yuan per year artificial crystal costs, procurement cost savings of 48.18 percent.
Compared with the original purchase price in the joint procurement area, the price of the selected products in the "bidding method" decreased by an average of 55.81 per cent, with a maximum decrease of 84.73 per cent, while the price of the selected products in the "bargaining method" decreased by an average of 34.02 per cent, by a maximum of 55.26 per cent, and the purchase cost savings rate and product price reduction were much higher than expected.
the implementation of the dosage, improve the alliance recruitment long-term mechanism of the CPC Central Committee, the State Council on deepening the reform of the medical security system (hereinafter referred to as the "Opinion") clearly put forward, "deepening the reform of the centralized belt procurement system for pharmaceuticals and medical supplies."
adhere to the recruitment of one, volume price linkage, the full implementation of drugs, medical supplies centralized belt procurement.
A provincial tender and procurement platform based on medical insurance payment, and promote the construction of a regional and national alliance procurement mechanism to form a fully competitive, reasonably priced and standardized supply guarantee system".
the "3-N" procurement alliance and operating mechanism is in accordance with the spirit and requirements of the Opinion.
, the Opinion also points out the direction and path for further deepening the reform of the centralized belt procurement system for pharmaceutical and medical supplies.
Improve supporting measures to ensure that the volume is put in place adhere to the recruitment and collection of one, volume price linkage, the joint procurement areas in a timely manner the introduction of the region's payment and settlement measures, the organization of medical institutions to sign a unified amount of agreement and urge implementation, to ensure that both "with the amount", but also "with the amount", but also "used up", give full play to the "with volume" in this round of collection reform in the key role, to promote enterprises to really attach importance to product quality and cost control, squeeze out the high price.
Closely cooperate, improve the long-term mechanism of supervision to strengthen policy and management coordination, actively coordinate health and health departments, drug supervision departments to do a good job in the use of supervision and quality supervision, form a joint effort to implement, build a full competition, reasonable prices, standardized and orderly supply security system.
At the same time, on the basis of medical insurance payment, improve the bidding, procurement, transaction, settlement, supervision and integration of the bidding and procurement platform, further improve the "3-N" alliance procurement mechanism, and strive to include more products into the procurement scope, so that people can use more high-quality and affordable products.
Strengthen incentives and constraints, deepen the reform of the "three-doctor linkage" and actively implement the "3-N" alliance with volume procurement of health insurance supporting policies, the selection of products by the medical insurance fund to the operating enterprises direct settlement, to minimize the settlement period, to ensure timely repayment, saving the cost of production and operation enterprises.
Further improve the medical insurance payment standards and centralized procurement price coordination mechanism, guide medical institutions to use rationally, priority use of selected products, according to the disease, according to the disease diagnosis-related grouping, according to the first-class payment method, improve the "residual retention" policy, make full use of the medical insurance incentive and restraint mechanism to promote medical institutions to improve the cost structure, enhance management efficiency, promote the "three medical linkage" reform to the depth of development.
the original title: "3-N" medical supplies procurement alliance centralized with volume procurement practice and thinking