The reform of the high-value medical supplies system has been officially launched

"Economic Reference" reporter was informed that China's national organization of high-value medical supplies centralized procurement officially started, crown stent was identified as the first procurement varieties, procurement results are expected to be formally implemented in January 2021.At present, the state organization of medical supplies centralized procurement has been a number of reports. The Beijing Municipal Health Insurance Bureau issued a notice requiring the national organization of high-value medical supplies (crown stent class) centralized procurement history procurement data and one-year procurement demand data, reported 80% of the procurement demand will be as the agreed procurement volume. Ningxia Hui Autonomous Region Medical Insurance Bureau, Hubei Province Health Insurance Bureau notice requirements, the region in 2019 all the use of crown stents more than 500 public and military medical institutions, other public, military medical institutions and medical insurance fixed-point social-run medical institutions voluntarily participate in filling in the report, each unit should not be less than the unit filled in the 2019 drug alloy crown stent historical procurement total, Shanxi Province reported the scope of more than 100 public military medical institutions,relevant authorities said that the state organized centralized procurement of medical supplies is a major reform of the centralized procurement system of medical supplies in the past, in order to allow the people to use high-quality supplies products at relatively low prices. "After two years of work, centralized procurement of medicines has entered the normal, high prices in the field of high-value medical supplies and centralized procurement reform lag significantly, if high-value medical supplies are not reformed and breakthrough, the overall transformation of the pharmaceutical sector ecology."“ The crown vein stent has a large volume, the whole people are full of expectations, the central government also attaches great importance to the reform of the high-value medical supplies system with the crown vein stent, which is of great significance. "The above-mentioned people said, from the high-value supplies dosing, the crown bracket dosing is large, and the competition is sufficient.This person revealed that, after early data analysis, the current domestic independent brand heart stent market share has been nearly 70%. In addition, in a discussion with well-known domestic cardiovascular experts, experts generally believe that the quality of domestic independent brand products has reached or close to the level of foreign brands, with foreign imported brands with the same competition conditions. Therefore, as China's first national harvest varieties are also more appropriate.Data show that the national medical supplies market size of 320 billion yuan, of which 150 billion yuan of high-value supplies. From the perspective of coronary stents, from 2009 to 2019, China's coronary heart disease interventional treatment developed rapidly, the number of cases per year from 230,000 to more than 1 million cases, an annual growth rate of 10%-20%. At present, the number of each surgical stent is about 1.5, which is basically at the same level as abroad. It is calculated that in 2019 the country will use about 1.5 million crown brackets, the cost of about 15 billion yuan, accounting for one-tenth of the total cost of high-value consumables in the country.The above-mentioned people, the national organization crown bracket centralized belt procurement work in accordance with the national organization, alliance procurement, platform operation of the organizational form and overall thinking.One is the national organization. It is the state that formulates basic policies, scope and requirements, and organizes the provinces of the country to form alliances. Second, alliance procurement. Public medical institutions in all provinces (autonomous regions, municipalities directly under the Central Government) and Xinjiang Production and Construction Corps are centralized procurement entities, forming procurement alliances, and members of purchasing alliances have appointed representatives to form joint procurement offices to pool demand and strength to improve bargaining power.Third, platform operation. Is the alliance region commissioned Tianjin Pharmaceutical Procurement Center and its supplies procurement platform, to undertake specific centralized procurement work, improve the professional ability and level of centralized procurement.From the recruitment rules, the above-mentioned people revealed that the consumables belt procurement rules and drug national procurement is similar, in accordance with a certain proportion of total demand for strip procurement, from the rule design will minimize the "recruitment without picking, mining without use" phenomenon.Enterprise selection method, will be the first price sorting, that is, the enterprise according to the registration certificate declaration and quotation, all quotations from low to high order;The symposium held by the central government on the centralized procurement of pharmaceuticals and high-value medical supplies clearly pointed out that the normal institutionalization of drug collection and collection work organized by the state should be carried out. At the same time, to speed up the expansion of the scope of collection, efforts to crack the medical supplies standards are not the same, classification is not clear and other issues, a solid job of heart stent concentration with volume procurement work.The state-owned enterprises are also generally willing to participate, the aforementioned person said, the State Health Insurance Bureau and Tianjin Municipal Health Insurance Bureau organized a number of heart stent production enterprises symposium and policy communication meetings, representatives of participating enterprises have said that the country's determination to promote the reform of the recruitment system, the effectiveness of the three drug countries and the new situation of the normal procurement of volume has been fully understood and understood. In particular, some foreign import brand enterprises said that they attach great importance to the national organization of the volume of procurement, and actively cooperate with the joint procurement work, timely application to the global headquarters of enterprises for a greater reduction in bid prices. Domestic independent brand enterprises also said that they will keep the bottom line of product quality, take out the latest products to participate in bidding, to ensure that the product supply guarantee after the election.In fact, since 2019, Jiangsu and Shanxi, as pilot provinces, have taken the lead in carrying out the purchase of crown braces. Under the "holding group cut price", Shanxi Province's selected products fell by 69.12 percent, the lowest decline of 40.2 percent, the average decline of 52.98 percent. In Jiangsu Province, the average price of selected varieties in the procurement bracket decreased by 51.01 percent, with the largest decrease of 66.07 percent. Recently, Blue Fan Medical said on the interactive platform, from the company's successful bid in Shanxi Province experience, in the remodeling of the channel value system, the expected sales costs and market costs will be reduced. The essence of national belt procurement is to compress the intermediate circulation link, which will not only reduce the market and sales costs for manufacturers, but also promote the further growth of head enterprises. Overall, expectations are more optimistic, the company is also actively preparing for the national crown bracket centralized procurement.In this context, a number of industry forecast that the national volume procurement, China's coronary heart disease patients surgery supplies costs will plummet. On the one hand, the intensity of negotiations will be higher than the pilot provinces, on the other hand, from the implementation side, after the procurement, the whole country will fully implement the price of the bracket after the reduction, the benefits are widespread. (Economic Reference Report)
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