The first inter-provincial alliance with volume procurement is coming! Involved 17 drugs, mostly injections.

Medicine Network September 30, September 29, the industry circulated a document caused concern: it shows that by Sichuan, Shanxi, Inner Mongolia, Liaoning, Jilin, Heilongjiang, Hainan, Tibet and other eight provinces (regions) health insurance bureau consensus, decided to carry out the 2020 inter-provincial alliance drug centralized belt procurement work.
17 drugs, including curcumin injections, seven-leaf saponin injections, niacin injections, thiopental injections, renitin injections, medazine silo injections, cyclophosphate glucosine injections, etc., are on this list.
from this "Sichuan and other 8 provinces and regions to carry out inter-provincial alliance drug centralized belt procurement work announcement", the first inter-provincial alliance belt procurement platform led by the Sichuan Provincial Health Insurance Bureau.
Just a day before the document was published, sichuan province's official "guidance on further improving the centralized procurement system for pharmaceuticals and medical supplies" clearly confirmed this big move: to focus on promoting the establishment of inter-provincial regional volume procurement alliance and active participation.
, combined with the actual situation in the province, under the coordination of provincial health insurance departments to carry out municipal (state) level or inter-city regional alliance volume procurement.
, it can be seen that horizontal and vertical alliances with volume procurement are being formed in various places, and the pattern will change with it.
will the inter-provincial alliance bring? From a horizontal point of view alone, in accordance with the national work deployment and "six provinces and two regions" drug prices and tender procurement work inter-provincial business linkage mechanism work plan, Sichuan, Shanxi, Inner Mongolia, Liaoning, Jilin and other 8 provinces (regions) public medical institutions, military medical institutions, other medical institutions will form a mesh super procurement subject, the early selection of 17 kinds of drugs to explore the agreed procurement volume, procurement methods, procurement requirements, etc., should be issued after the new initiatives.
, provincial coalitions are actually going faster in the field of medicine.
It is learned that by Tianjin, Shaanxi, Chongqing, Guizhou, respectively, led the formation of Beijing-Tianjin-Hebei "3 plus 6", provincial alliance, Yu Guiyunyu, Yu Guiqiong four cross-regional belt procurement alliance, there are still members interwoven between the different alliances, involving a total of 21 provinces (cities, districts) and a corps.
procurement varieties include both high-value consumables and low-value consumables, the current four major leagues have completed artificial crystals, matchers, patches, film, crown balloons and other 5 varieties of joint negotiations.
statistics, the overall average decline of provincial joint belt procurement projects is close to 60%.
the start of the third batch of volume procurement, the emergence of inter-provincial alliances leaves room for exploration in the future drug market.
also reported that Shaanxi Health Insurance Bureau and Jilin, Shanxi, Inner Mongolia, Ningxia, Gansu, Hunan, Guangxi, Guizhou and Hainan and other places to carry out similar inter-provincial alliances.
industry insiders say that, as buyers, local health insurance institutions are actively involved in the relevant inter-provincial alliances to achieve a larger amount of price exchange, and game out the maximum number of conventions.
To take injections as an example, in 2018, according to Minanet data, the size of the drug injections in the domestic market (public medical institutions terminals and retail pharmacy terminals in Chinese cities) amounted to 626.404 billion yuan.
From the annual growth rate, the growth rate of chemical injections in China's public medical institutions terminals slowed down year by year, if the inter-provincial alliance further expanded, the size of the stock market will be further compressed, free up market space for valuable innovative drugs to open up new worlds? Maybe, maybe.
is certain that once inter-provincial alliances form a climate, the pattern of drug use in the provinces will be reshaped, and prices are expected to be deeply competitive.
multi-model to promote independent competition in addition to this inter-provincial alliance, is now more of the same provincial level of volume procurement.
, Anhui, Jiangsu and other eight provinces have independently carried out a round and above of volume procurement activities.
In the selection of negotiated varieties, the high-value consumables of orthopaedics, ophthalmology and vascular intervention were the main, supplemented by low-value consumables such as retention needles, infusions and film, and the overall average decrease of provincial projects that had produced volume procurement results was about 58%.
, Hebei Province also jointly organized the centralized procurement of non-consistent evaluation drugs in Sanming City, Fujian Province, in June, with an average decrease of 72.69 percent and a maximum decrease of 92.37 percent for seven non-consistent evaluation drugs.
is particularly rapid in the development of local municipal alliances.
reporter combed found that Jiangsu, Shandong, Shanxi and other provinces in 24 cities set up a total of 8 municipal alliances.
in order to concentrate on the volume of procurement results, to avoid local fights, varieties of fighting, Shandong and other provinces ordered the city to carry out the form of alliance procurement.
To Take Anhui as an example, on August 31st, Hefei, Anqing Union region drug centralized belt procurement contract, 13 selected enterprises and 16 drug management (distribution) enterprises with Hefei, Anqing City public medical institutions with a joint lead unit Hefei City First People's Hospital, Anqing City Hospital signed a volume procurement of selected drugs purchase and sale contract.
, Hefei City to carry out the first batch of drug market-level alliance centralized belt procurement into the implementation of the implementation phase.
, injections with higher technical requirements and a late start in consistent evaluation are still one of the focuses of attention.
According to Minenet statistics, in 2019 China's public medical institutions end-drug injection Top20 products, only 6 varieties have been evaluated by enterprises, Shaanxi Road Is also good, Sichuan led also, some varieties of market competition pattern or rewrite.
, however, what needs to be thought about is how the future city-to-city joint and provincial volume procurement will be linked or how to maximize the use of resources? In the future, different provinces may be in different alliances, how to establish interconnected platform rules, on the basis of reasonable prices to form a healthy independent competition of enterprises is still a difficult problem to be solved by reform.
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