Sichuan forms "five in one" centralized purchase mode to eliminate high drug prices

[China Pharmaceutical network industry trends] drug prices have been paid close attention to It has become the focus of health and family planning departments to squeeze out the false high drug prices and let patients use the safe, effective and reasonable drugs The "five in one" centralized procurement in Sichuan Province covers almost all medical materials involving patients, and also largely "squeeze out" the "moisture" of medical equipment in the procurement process (Sichuan has fully formed the "five in one" centralized purchase mode to eliminate the false high drug price picture source: Baidu picture) after the implementation of a new round of centralized sunshine purchase of drugs in Sichuan last year, the drug price has dropped by 42% on average compared with 10 years ago—— In July this year, the second round of in vitro diagnostic reagents supplement and new centralized procurement varieties in Sichuan Province were officially put on the Internet, realizing the full coverage of in vitro diagnostic reagents sunshine procurement So far, the "five in one" centralized procurement mode of drugs, class II vaccines, high-value medical consumables, in vitro diagnostic reagents and medical instruments in Sichuan Province has been fully formed "Sichuan's centralized procurement of drugs and equipment is at the forefront of the country, and the formation of the" five in one "pattern has fully tightened the import of medical materials for medical institutions, which has truly become an important means of supervision for medical institutions." On July 21, the national health and Family Planning Commission and the medical reform office of the State Council organized experts to investigate the work of medical reform in Sichuan Province, said Fu Hongpeng, director of the drug policy research office of the health development research center of the national health and Family Planning Commission The "five in one" centralized procurement covers almost all medical materials involving patients It allows them to purchase in the sun, and also largely "squeeze out" the "water" of medical equipment in the procurement process, so that patients do not spend unjust money on medical treatment The "two envelope" bidding for basic drugs purchased by sunshine has been paid close attention to both safety and price reduction It has become the focus of health and family planning departments to squeeze out the false high drug prices and let patients use the safe, effective and reasonable drugs In 2011, after the implementation of the basic drug system in Sichuan Province, a "two envelope" bidding for basic drugs was carried out Under the principle of "quality first, reasonable price", 1320 product specifications were finally published, 871 product specifications were awarded, and the overall price reduction rate was 50.07% In the new round of drug bidding implemented in Sichuan Province in 2015, for drugs with large clinical dosage, high purchase amount and produced by many enterprises, 80% of the first year's total drug purchase amount in Sichuan Province was included in the scope of "double envelope" bidding In November of that year, the first batch of anti-tumor drugs "double envelope" bidding was completed, with a total of 10 varieties and 22 winning products Through the bidding, the price reduction of drugs reached 38% Last February, Sichuan Province launched the second batch of "two envelope" bidding, with a total of 1060 bidding enterprises applying for 6532 products After the evaluation of economic and technical bids, the "two envelope" bidding and negotiation (negotiation) procurement, 1155 products won the bid, with the bid price dropping by 16.5% on average compared with the previous year's price limit of the whole province, a large drop of 90.91% In the process of patients' medical treatment, there are more than drugs involved in medical expenses In December 2013, Sichuan Province incorporated high-value medical consumables into online centralized sunshine procurement By the end of May this year, the application scope of Internet has reached 10 categories and 43 sub categories, and the number of Internet products is about 69800 Although the procurement of instruments and equipment for medical institutions has always been carried out in accordance with the government procurement method, in order to strengthen supervision, Sichuan Province launched the passive network hanging method in 2015 for record procurement That is to say, after the medical institutions purchase instruments and equipment by the government, they should upload the procurement contract on the provincial procurement platform within the specified time, so as to avoid transferring the inflated procurement price to the patients In March last year, Sichuan Province also realized the second type of vaccine centralized online procurement with the province as the unit, and 188 county-level disease control institutions all realized online procurement The second type of vaccine online procurement ensures the safety of the vaccine and the public can use it safely The dynamic management of enterprise supervision has a bad record If it is serious, the procurement mechanism for canceling the qualification of online is good, and strict supervision is also required In 2016, the provincial centralized procurement service center of pharmaceutical equipment included the daily supervision of centralized online procurement of pharmaceutical equipment in the scope of responsibility, added "business supervision office", and formed a strong regulatory system of pharmaceutical equipment procurement from the perspective of organization, organization and personnel Xu Ligang, director of the center, told reporters that comprehensive supervision and risk notification should be paid attention to the procurement of medical equipment For drugs such as conventional online price limiting drugs and basic infusion, the hospital purchase system will display the annual average purchase price and low price of public medical institutions in the province, and dynamically prompt the price difference between the actual purchase price and the average price / low price For high-value medical consumables, the hospital procurement system displays five prices of public medical institutions in the province, including historical high price, last month high price, last month weighted average price, last month low price and historical low price, and sets an early warning cursor In case of abnormal purchase data, the system will send "Notice of abnormal purchase price risk" to the medical institution every month, and the medical institution will rectify and feed back the rectification results The sunshine assessment results will also be fed back to the medical and health institutions through the system every month The medical and health institutions can view the total score, each score and the indicators that fail to meet the standards At the same time, the provincial centralized purchasing service center of medical equipment makes statistical analysis on the "five in one" sunshine purchasing situation every month, and informs the provincial (prefecture) health and Family Planning Commission of the purchasing situation of medical institutions in the form of monthly and quarterly reports Last year, the center also managed the bad records of drug and equipment production and operation enterprises, listed commercial bribery, fraud and other behaviors in the bad records and punished them Those who were serious were disqualified from the network So far, 63 enterprises have been listed in the general bad records Last year, Sichuan province implemented a new round of drug centralized sunshine procurement, and the effect has been obvious According to statistics, after this round of drug bidding and purchase, compared with the online drug price of 10 years, the drug price under the same name has an average decrease of 42%, a large decrease of 94%, and the number of drugs with a decrease of more than 50% accounts for 27% of the total online drugs Since the implementation of sunshine procurement of high-value medical consumables for three years, the annual average decrease rate has reached 7.35%, and the annual average drug saving procurement fund is 320 million yuan Xu Ligang told reporters that since 2004, the centralized procurement of drugs in Sichuan Province has gone through the process from decentralization to centralization, the first online Limited (competitive) price procurement, the implementation of "double envelope" bidding for basic drugs, and the procurement with volume classification bidding In the exploration, innovation and practice, a good pattern of procurement of drugs and equipment has been formed, and the burden of patients has been reduced.