The range of belt purchase is expanded! Varieties not included in the national harvest should also be purchased at bargaining prices.

On July 7, the Shanghai Municipal Health Insurance Bureau and the Shanghai Municipal Health And Health Commission jointly issued the "Trial Opinion on Building a Multi-Linked Pattern of Centralized Drug Purchase to Encourage and Promote the Central Bargaining Procurement of Drugs in the City", encouraging public medical institutions to include drugs not included in the state and Shanghai's production procurement, especially abnormally priced drugs (such as prices significantly higher than other brands or price increases of the same varieties), and self-funded drugs into the scope of centralized bargaining procurement.
Opinions show that Shanghai began to build a multi-linked pattern of centralized procurement of drugs, encouraging the city's public medical institutions to explore the development of centralized bargaining procurement of drugs in the form of medical unions, monos units, or voluntary formation of procurement alliances.
centralized bargaining procurement of pharmaceutical products into the overall framework of the city's pharmaceutical recruitment system, as an important part of the drug supply security system.
Through centralized bargaining procurement of drugs, give full play to the advantages of bulk procurement, as an effective supplement to the purchase of drugs in the country and the city, enhance the bargaining scale effect of other online procurement drugs, and jointly promote the formation of a market-led, multi-linked drug price formation mechanism to achieve a comprehensive reduction in drug prices, reduce the burden on patients, save the cost of medical care.
opinion also revealed that on the basis of evaluating and summarizing the effectiveness of centralized bargaining procurement of pharmaceutical products, we will explore the centralized bargaining procurement of medical devices in due course and enlarge the effect of centralized bargaining procurement.
Attached to the draft opinions of public medical institutions on the construction of multi-party centralized drug procurement pattern to encourage and promote the centralized bargaining procurement of drugs in this city: in order to promote the reform of the city's drug recruitment mechanism in an orderly manner, optimize the drug classification procurement system, speed up the establishment and improvement of the modern hospital management system, effectively reduce the burden of patients' drug costs, according to the state and the city to deepen the reform of the medical security system system and the reform of the medical and health system, the establishment of multi-party centralized drug procurement pattern, encourage and promote the city's centralized drug procurement.
, the construction of multi-party linkage of the centralized procurement pattern of drugs to encourage the city's public medical institutions in the form of medical unions, monos units, or voluntary formation of procurement alliances, to explore the development of centralized drug bargaining procurement.
centralized bargaining procurement of pharmaceutical products into the overall framework of the city's pharmaceutical recruitment system, as an important part of the drug supply security system.
Through centralized bargaining procurement of drugs, give full play to the advantages of bulk procurement, as an effective supplement to the purchase of drugs in the country and the city, enhance the bargaining scale effect of other online procurement drugs, and jointly promote the formation of a market-led, multi-linked drug price formation mechanism to achieve a comprehensive reduction in drug prices, reduce the burden on patients, save the cost of medical care.
to enlarge the effect of centralized bargaining procurement, the city will, on the basis of evaluating and summarizing the effectiveness of centralized bargaining procurement of pharmaceutical products, explore centralized bargaining procurement of medical devices in a timely manner.
2. Adhere to sunshine procurement, ensure that public medical institutions for patients should continue to strictly implement the relevant provisions of the state and the city's centralized procurement of drugs, and purchase drugs in full through the "Shanghai Pharmaceutical Procurement Services and Regulatory Information System" ("Sunshine Platform", the same below).
sun platform provides data support for centralized bargaining procurement of pharmaceuticals.
medical institutions participating in and carrying out centralized bargaining procurement of medicines shall, in accordance with the results of the implementation of the agreement, put an end to the "off-line procurement" violations of rebates and various forms of "off-line procurement" such as giving away medicines, consumables, reagents and equipment.
in order to reflect fair competition and follow commercial rules, except for the regulatory authorities, the selected prices in the centralized bargaining procurement of drugs are only open to medical institutions participating in centralized bargaining procurement.
according to the relevant provisions of the public medical institutions zero-rate drug sales, medical institutions must strictly in accordance with the price of the selected drugs into and out, to ensure that the centralized bargaining procurement price reduction part of the benefit of patients.
Ther. Promote scientific and standardized centralized bargaining procurement of drugs encourages public medical institutions to carry out centralized bargaining procurement of drugs with volume and budget on the basis of adhering to quality priority, ensuring dosage and guaranteeing repayment, and to give priority to drugs that are not included in the national and municipal volume procurement, especially abnormally priced drugs (such as those with significantly higher prices than other factories or prices of the same varieties), and self-costed drugs.
the state and the city with volume procurement of selected drugs, medical insurance negotiation access drugs, fixed-point production and government-priced drugs will not be included in the scope of centralized bargaining procurement.
In order to ensure that the pilot work of centralized bargaining procurement of drugs in this city is carried out in a standardized and orderly manner, public medical institutions shall implement centralized bargaining procurement of drugs in accordance with the law, follow relevant laws and regulations and market rules, accept industry management, policy guidance and market supervision in the departments of health, health insurance, market supervision, etc.; Guidelines, third-party evaluation and other comprehensive determination of cost-effective selection varieties, reflect fairness and fairness, establish scientific and reasonable implementation programs, selection rules and work norms, smooth communication channels between the sun platform, medical institutions and pharmaceutical production and operation enterprises to ensure the legitimate interests of both procurement;
4. To establish and improve the incentive mechanism for centralized bargaining procurement of drugs in order to guide the operation mechanism of public medical institutions from heavy income and expenditure to cost reduction, and to encourage participation in centralized bargaining procurement of drugs, the medical insurance department of this city shall, on the basis of not breaking the expenditure budget of the medical insurance fund, implement separate accounting for the medical insurance drugs for centralized bargaining procurement of drugs in fixed-point medical institutions, and shall be retained proportionately after examination to form a balance.
health and other departments of the city will participate in centralized bargaining procurement and the implementation of centralized bargaining procurement into the performance appraisal of medical institutions.
Where a balance is formed between the income and expenditure of medical services, it shall be used as a co-ordination for personnel remuneration expenses and to mobilize the enthusiasm of medical personnel in accordance with the requirements of "two permits" (allowing medical institutions to break through the current level of wage regulation and control of public institutions, allowing medical service income to deduct costs and withdraw funds in accordance with the provisions and mainly for personnel rewards).
, the city's health insurance, health and health departments will summarize and evaluate the pilot effect of centralized bargaining procurement on the basis of research to further optimize the incentive mechanism, increase support.
Fifth, standardize and strengthen the supervision mechanism of centralized bargaining procurement of drugs in order to reflect the principle of equality of rights and obligations, further ensure that the pilot work of centralized bargaining procurement of drugs in this city is carried out in an orderly, reasonable and standardized manner, and make it clear that medical institutions are the first responsible persons for centralized bargaining procurement of drugs, organize or participate in centralized bargaining procurement of drugs in accordance with the law and accept social supervision, and accept and deal with the relevant complaints of drug production and marketing enterprises for their entrusted third-party centralized bargaining procurement organizations ("third party organizations").
The Health and Health Department of this Municipality shall implement industry management of medical institutions to ensure the rational use of selected drugs, and accept and handle complaints concerning the centralized bargaining procurement of medicines by medical institutions, medical associations or procurement alliances within the jurisdiction.
If the medical insurance department of this city, in accordance with the policy of bidding and purchasing medicines of the state and this city, guides medical institutions to centrally bargain for the purchase of drugs and implement supervision, accepts and deals with relevant complaints, and finds that medical institutions have violated the "off-line procurement" of gift drugs, supplies, etc., according to the medical insurance service agreement, in accordance with the provisions of sunshine procurement, to recover the relevant drug and consumables expenses paid by the medical insurance fund.
serious circumstances, suspected of unfair competition, market disruption, commercial bribery and other illegal violations, the relevant departments shall deal with them in accordance with the law.
6. Encouraging and regulating the participation of third-party organizations in centralized bargaining procurement of public medical institutions for centralized bargaining may be organized and implemented on its own, or it may be entrusted to third-party organizations with bargaining power in accordance with market rules, respecting market laws and entrusting them with bargaining power.
where a medical institution entrusts a third-party organization to carry out centralized bargaining procurement of drugs, the related service fees shall not be included in the procurement and sale price of the selected drugs, and those suspected of illegal charges shall be handled by the relevant departments in accordance with the law.
to prevent monopoly, encourage competition, and gradually guide the market to form a number of medical institutions for independent choice of third-party organizations, the formation of fair competition industry norms.
encouraging and promoting the pilot of centralized bargaining procurement of drugs is an important part of deepening the reform of the medical insurance system and comprehensive medical reform in this city, and has a positive effect on reducing the cost of drug procurement and compressing the price of water.
Under the current situation, all kinds of public medical institutions at all levels in this city should, in accordance with the requirements of this pilot opinion, speed up and deepen the pilot work in the light of the reform of public hospitals and the reform of medical insurance payment methods, so as to provide empirical experience for comprehensive reform.
The Shanghai Municipal Health And Health Commission of the Shanghai Medical Security Bureau on July 31, 2020.