The national high value consumables negotiation pilot has attracted much attention

Finishing chocolate Recently, a notice of National Medical Security Bureau on printing and distributing the key points of medical security work in 2020 (hereinafter referred to as "key points of work") has been circulated in the industry "Key points of work" clearly stated that we should deepen the reform of the centralized procurement mechanism of consumables, and organize the alliance region to carry out the pilot procurement of high-value medical consumables Judging from the recent situation, "3 + 6" nine provinces (cities) high value consumables belt negotiation has attracted much attention In December 2019, according to the information of Tianjin Medical Insurance Bureau, Beijing Tianjin Hebei Medical Consumables joint volume procurement, as the first cross provincial volume procurement regional alliance in China, was fully affirmed by the State Medical Insurance Bureau Liaoning, Jilin, Heilongjiang, Shanxi, Inner Mongolia and other places also indicated that they should actively follow up, strive to establish a North Procurement Alliance Based on Beijing Tianjin Hebei cooperation, and form a new mode of "3 + 5" eight provinces (cities) joint procurement On January 6 this year, the Beijing Tianjin Hebei Medical Consumables joint procurement platform issued the notice on filling in the historical procurement data of Beijing Tianjin Hebei and Heilongjiang, Liaoning, Liaoning, Shanxi and Shandong medical consumables joint volume procurement (intraocular lens) The procurement alliance has expanded from eight provinces (cities) to nine provinces (cities) - Beijing, Tianjin, Hebei, Heilongjiang, Jilin, Liaoning, Inner Mongolia, Shanxi and Shandong It can also be seen from the above notice that the first belt negotiation of the nine provinces alliance will start with the intraocular lens consumables In addition to the negotiation pilot, the key points of work also requires encouraging and standardizing the high-value medical consumables with large clinical dosage, high purchase amount and sufficient competition to be purchased in quantity In fact, as early as December 5 last year, the state health insurance bureau issued the reply of the state health insurance bureau to the proposal No 2583 of the second session of the 13th National People's Congress, revealing which consumables to negotiate with According to the reply to the recommendation No 2538, the state health insurance bureau should consider various factors comprehensively and explore the bidding methods that conform to the characteristics of drugs and medical consumables For the exclusive products or patent products with high clinical value and high market price, we should explore the establishment of negotiation mechanism, and use medical insurance reimbursement as leverage to promote the reasonable price formation On December 5 last year, the state health insurance bureau said in another reply that it would select key varieties to carry out the pilot work of "purchasing with quantity", reduce the price of high-value medical consumables and benefit the people It is worth noting that the national health insurance bureau also said in the key points of work that it started to carry out the price monitoring of high-value medical consumables In the reply to recommendation No 2538, the state health insurance bureau also said that it should focus on the establishment of a national price sharing platform, realize the sharing of centralized procurement information of drugs and consumables at the provincial level nationwide, and establish and improve the linkage mechanism between medical insurance payment price and bidding price At the same time, the state health insurance bureau also said in another reply that at present, 31 provinces (districts and cities) in China, except Tibet, have established online centralized procurement platforms and realized sunshine procurement Some provinces form regional alliance and realize price linkage, such as Western Alliance (14 inter provincial alliance), Beijing Tianjin Hebei integration alliance, Sanming alliance, etc The next step is to establish a national monitoring platform for medical consumables, realize nationwide data sharing, and improve the efficiency of centralized procurement In addition to the price linkage of high value consumables nationwide, the price and use of some high value consumables will be monitored On January 14, the Health 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 published the first batch of national key management list of high-value medical consumables, with a total of 18 categories and hundreds of specific varieties (the specific list is attached at the end of the paper) 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 On the basis of the list, each provincial health administrative department shall, according to the actual situation of each region, appropriately increase varieties, form a provincial list, and guide the medical institutions within the jurisdiction to formulate a list of medical institutions As early as December 20, the health and Health Commission of Henan Province issued the notice of the health and Health Commission of Henan Province on publishing the key management list of high-value medical consumables in medical institutions of the whole province The list of key management items in Henan Province includes 50 categories of high value consumables, which are specific to the name of the catalogue, including vascular intervention, orthopedics, neurosurgery, cardiopulmonary bypass, blood purification, electrophysiology and other categories Attachment: list of the first batch of national high value medical consumables