Sichuan will explore the two vote system of provincial public hospitals

Recently, Sichuan Medical Insurance Bureau released the public announcement on soliciting opinions from the public (hereinafter referred to as the "implementation plan") that it will explore the two vote system of public hospitals in Sichuan Province The implementation plan requires strengthening the circulation management Combined with the actual situation, actively explore the way of "two ticket system" in Sichuan public medical institutions to reduce the circulation of high-value medical consumables and promote the open and transparent purchase and sale behavior At the same time, credit management and practice of high-value medical consumables related enterprises and their employees will be included in the credit management system, and the record, publicity and early warning of dishonesty will be strengthened, and the performance management will be strengthened According to the implementation plan, Sichuan Provincial Health Commission, Sichuan provincial market supervision bureau, Sichuan development and Reform Commission and other departments are responsible for the implementation, which will be completed by the end of 2020 On July 31, 2019, the State Council issued the reform plan for the treatment of high-value medical consumables, which said that all regions are encouraged to reduce the circulation of high-value medical consumables through "two ticket system" and other ways in combination with the actual situation, so as to promote open and transparent purchase and sale behavior As early as 2018, the six departments of Sichuan Province jointly issued the notice on consolidating and eliminating the achievements of medical supplement by drugs and continuously deepening the comprehensive reform of public hospitals (CWF [2018] No 40), requiring the implementation of classified centralized procurement of high-value medical consumables, and gradually implementing the two ticket system of high-value medical consumables purchase and sales Everbright Securities has also sorted out the progress of the national two vote system for consumables and zero addition of consumables - as of September 6, 2019, 25 provinces across the country have started or fully implemented the two vote system for consumables Source: Everbright Securities Research Institute Among them, Sichuan Province has issued documents to be implemented, and now it has finally landed In fact, there are different opinions on the implementation of two ticket system for consumables On the one hand, 25 provinces have started or fully implemented the two vote system On the other hand, according to the statistics of insiders recently, only two provinces, Shaanxi and Anhui, have actually implemented the two vote system by December 2019 The proportion of eliminating small and medium-sized medical consumables agents is not as high as expected In addition, the National Health Insurance Bureau recently released a message that the two vote system for high-value consumables will change On December 5, 2019, the state health insurance bureau issued the reply of the state health insurance bureau to the proposal 1209 of the second session of the 13th National People's Congress According to the above reply, considering the huge difference between high-value consumables and drugs and the complexity of their clinical use and after-sales service, the issue of "two ticket system" for high-value consumables needs further study In addition to the two vote system, the implementation plan also emphasizes that the first batch of key governance lists shall be completed by the end of February 2020, which shall be in the charge of Sichuan health committee and Sichuan Medical Insurance Bureau The high-value medical consumables, which account for a relatively high proportion of unit price and resource consumption, will be taken as the key management object, and the monitoring of the actual purchase amount and daily use of high-value medical consumables will be strengthened In fact, the national health and Health Commission has issued a civilized and accurate list of high-value consumables to be established in all provinces On January 14, the medical administration bureau of the national health and Health Commission issued the notice of the general office of the national health and Health Commission on printing and distributing the first batch of national key management list of high-value medical consumables and the first batch of national key management list of high-value medical consumables According to the above notice, each provincial health administration department shall, on the basis of the list and according to the actual situation of each region, appropriately add varieties, form a provincial list, and guide the medical institutions within the jurisdiction to formulate a list of medical institutions Local health administrative departments at all levels and all kinds of medical institutions at all levels should strictly implement the relevant requirements of the measures for the management of medical consumables in medical institutions (for Trial Implementation), strengthen the management of medical consumables, and do a good job in accordance with the requirements of the reform of high-value medical consumables In addition to Sichuan Province, recently, Shaanxi medical insurance bureau and other departments jointly issued the implementation plan of Shaanxi Province on implementing the reform of high value medical consumables.