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The price of 1.
15 million consumables was further reduced Notice” (hereinafter referred to as the Notice)
.
The nine-province alliance consists of nine provinces (autonomous regions and municipalities) including Jiangxi Province, Hebei Province, Shandong Province, Henan Province, Hubei Province, Guangxi Zhuang Autonomous Region, Chongqing City, Yunnan Province and Shaanxi Province.
Coronary guide wires carry out centralized procurement work with a procurement cycle of 2 years
.
The intended purchase volume is calculated by accumulating 80% of the purchase demand reported by the medical institutions participating in this volume purchase (rounded off)
.
Among them, the intended purchase volume of coronary guide catheters in the first year is 462,818 pieces, and the intended purchase volume of coronary guide wires in the first year is 692,070 pieces
.
Procurement documents were released on December 7 last year, and after three months, the winning results were produced
.
The selected companies include not only foreign-funded companies such as Medtronic, Poco, and Abbott, but also many domestic machinery companies, including Lepu, Apter, and Kindly
.
Although the specific selection price has not been announced this time, it can also be seen from the highest effective quotation
.
According to the previous procurement documents of Jiangxi Province, the highest effective quotation for coronary guide catheter is 720 yuan, and the highest effective quotation for coronary guide wire is 750 yuan
.
The price declared by the enterprise shall not be higher than the highest valid declared price, otherwise it will be regarded as an invalid quotation
.
According to the grouping rules, within the same bidding unit, the companies to be selected will be determined according to the ranking of validly declared companies.
The ranking of the companies to be selected is the same as the ranking rules of companies
.
According to the ranking of enterprises from high to low, the number of validly declared enterprises is multiplied by the selection rate, and the enterprises to be selected are determined after rounding off
.
Enterprises in Group A that are not selected according to the "Proposed Selection Rule 1", if their declared price is not higher than 0.
8 times the highest valid declared price, they will be added to the proposed selected enterprises, and are not limited by the number of selected enterprises.
"Selection Rule 1" After the company is selected
.
That is to say, if the declared price of the coronary guide catheter in Group A is not more than 576 yuan, and the declared price of the coronary guide wire is not more than 600 yuan, they can obtain the qualification to be selected
.
However, the companies that are selected and ranked low will be affected to a certain extent in terms of procurement volume distribution
.
The highest reduction rate is over 77%.
Coronary guide wire is a necessary medical consumable in coronary intervention.
It can pass through the stenosis or occlusion of coronary artery to the distal end of the blood vessel, and is used for subsequent access to lesions such as balloons, stents, ultrasound catheters, and rotational athers.
Vascular instruments provide "tracks" that guide the balloon or stent into position
.
With the final decision on the centralized procurement of stents, the prices of ancillary products for coronary stents such as coronary balloons, coronary guide wires, and coronary guide catheters have been reduced one by one to effectively meet clinical needs
.
At present, high-value consumables for coronary interventional surgery have achieved full coverage of volume procurement
.
In July last year, Inner Mongolia and other 13 provinces (autonomous regions and corps) alliances carried out the centralized procurement of coronary guide wire
.
13 companies are to be selected, including 7 import companies and 6 domestic companies
.
The average price of the products to be selected dropped from 1510.
16 yuan to 590.
58 yuan, with an average drop of 60.
89% and a maximum drop of 77.
29%
.
According to the previously announced procurement documents, the total amount of intentional procurement in the first year is 362,422 pieces, which is calculated by accumulating 80% of the total procurement demand submitted by medical institutions in the alliance area
.
The company's quotation should not be higher than the national minimum price of the company's products from January 2020 to June 2021
.
The document clearly states that the bid price is lower than 720.
00 yuan / root to be eligible to be selected
.
In addition, in the fifth round of procurement of medical consumables for public medical institutions by the Jiangsu Provincial Medical Insurance Bureau in June last year, a total of 5 products of coronary guide wire were selected, involving 5 companies such as Poco and Ept, with an average decrease of 30%, the highest A 55% drop
.
A total of 7 products were selected for coronary guide catheters, involving 7 companies including Shanghai Kindly and Terumo Eisen
.
The average drop was 22%, with the highest drop being 50%
.
The procurement volume of the Jiangxi Nine-Province Alliance is much higher than the centralized procurement of the 13-province alliance in Inner Mongolia, and the highest declared price is at the same level.
Based on this calculation, the price of consumables may be further reduced
.
Trend: Selected by the mainstream, respecting the clinical practice From the results of the centralized procurement in the nine provinces of Jiangxi Province, both foreign and domestic mainstream machinery companies are included.
The grouping rules are determined by the order of the intended procurement volume of medical institutions, fully taking into account the clinical needs
.
It can be seen that it has been two years since the implementation of volume purchases, and the rules of play are changing in the process of polishing, and "low price" is not the only appeal
.
In February, the State Council stated at a regular briefing on policies that procurement with volume is the core of the system.
If "prices are not followed by volume", companies cannot compete with volume, and it is impossible to implement effective cost accounting.
Hospitals increase operating costs and leave room for profit
.
At the rule level, bidding rules are set for specific varieties and competitive landscapes
.
Relax the competition pattern, balance use and supply, properly maintain the competition rate, and make the price reach a reasonable return
.
Do not pursue the lowest price, but also resolutely oppose running bidding, so that the fair bidding of enterprises is more reasonable
.
The users of consumables are medical institutions, and the rules for purchasing with quantity must meet clinical needs
.
The briefing mentioned that medical institutions are the main body of use and cannot conduct centralized collection independently of medical institutions
.
The demand is determined by the medical institution according to the actual use demand.
It is necessary to fully consider the feasibility and safety of the medical institution in the clinical alternative products, and give the medical institution the most important right to speak
.
In terms of prioritizing the use of high-value medical consumables, my country has successively formulated the "Administrative Measures for Consumables in Medical Institutions (Trial)" and "Administrative Measures for the Clinical Use of Medical Devices" to further standardize the clinical use of devices including consumables, and also formulated consumables.
Operational specifications for hip replacement, knee replacement, coronary stent, and coronary balloon dilation in procurement to further standardize the operation of centralized procurement of consumables and ensure medical quality
.
The National Medical Insurance Administration issued a reply to the "Recommendation No.
8374 of the Fourth Session of the Thirteenth National People's Congress", which also highlighted that centralized procurement with volume adheres to the working mechanism of national organizations, alliance procurement, and platform operations, focusing on improving market-oriented procurement.
The dominant price formation mechanism, the government is only responsible for procurement organization and policy formulation, not "government centralized procurement"
.
Centralized procurement has never been just for a low price, and winning the bid is no longer a small probability event that cannot be guaranteed.
While reducing the price, it retains the mainstream brands required for clinical use, so that pharmaceutical companies are selling with gold from the original.
Public relations, moving towards quality and cost competition, and then forming scale effects, are the trend and purpose of volume-based procurement
.
15 million consumables was further reduced Notice” (hereinafter referred to as the Notice)
.
The nine-province alliance consists of nine provinces (autonomous regions and municipalities) including Jiangxi Province, Hebei Province, Shandong Province, Henan Province, Hubei Province, Guangxi Zhuang Autonomous Region, Chongqing City, Yunnan Province and Shaanxi Province.
Coronary guide wires carry out centralized procurement work with a procurement cycle of 2 years
.
The intended purchase volume is calculated by accumulating 80% of the purchase demand reported by the medical institutions participating in this volume purchase (rounded off)
.
Among them, the intended purchase volume of coronary guide catheters in the first year is 462,818 pieces, and the intended purchase volume of coronary guide wires in the first year is 692,070 pieces
.
Procurement documents were released on December 7 last year, and after three months, the winning results were produced
.
The selected companies include not only foreign-funded companies such as Medtronic, Poco, and Abbott, but also many domestic machinery companies, including Lepu, Apter, and Kindly
.
Although the specific selection price has not been announced this time, it can also be seen from the highest effective quotation
.
According to the previous procurement documents of Jiangxi Province, the highest effective quotation for coronary guide catheter is 720 yuan, and the highest effective quotation for coronary guide wire is 750 yuan
.
The price declared by the enterprise shall not be higher than the highest valid declared price, otherwise it will be regarded as an invalid quotation
.
According to the grouping rules, within the same bidding unit, the companies to be selected will be determined according to the ranking of validly declared companies.
The ranking of the companies to be selected is the same as the ranking rules of companies
.
According to the ranking of enterprises from high to low, the number of validly declared enterprises is multiplied by the selection rate, and the enterprises to be selected are determined after rounding off
.
Enterprises in Group A that are not selected according to the "Proposed Selection Rule 1", if their declared price is not higher than 0.
8 times the highest valid declared price, they will be added to the proposed selected enterprises, and are not limited by the number of selected enterprises.
"Selection Rule 1" After the company is selected
.
That is to say, if the declared price of the coronary guide catheter in Group A is not more than 576 yuan, and the declared price of the coronary guide wire is not more than 600 yuan, they can obtain the qualification to be selected
.
However, the companies that are selected and ranked low will be affected to a certain extent in terms of procurement volume distribution
.
The highest reduction rate is over 77%.
Coronary guide wire is a necessary medical consumable in coronary intervention.
It can pass through the stenosis or occlusion of coronary artery to the distal end of the blood vessel, and is used for subsequent access to lesions such as balloons, stents, ultrasound catheters, and rotational athers.
Vascular instruments provide "tracks" that guide the balloon or stent into position
.
With the final decision on the centralized procurement of stents, the prices of ancillary products for coronary stents such as coronary balloons, coronary guide wires, and coronary guide catheters have been reduced one by one to effectively meet clinical needs
.
At present, high-value consumables for coronary interventional surgery have achieved full coverage of volume procurement
.
In July last year, Inner Mongolia and other 13 provinces (autonomous regions and corps) alliances carried out the centralized procurement of coronary guide wire
.
13 companies are to be selected, including 7 import companies and 6 domestic companies
.
The average price of the products to be selected dropped from 1510.
16 yuan to 590.
58 yuan, with an average drop of 60.
89% and a maximum drop of 77.
29%
.
According to the previously announced procurement documents, the total amount of intentional procurement in the first year is 362,422 pieces, which is calculated by accumulating 80% of the total procurement demand submitted by medical institutions in the alliance area
.
The company's quotation should not be higher than the national minimum price of the company's products from January 2020 to June 2021
.
The document clearly states that the bid price is lower than 720.
00 yuan / root to be eligible to be selected
.
In addition, in the fifth round of procurement of medical consumables for public medical institutions by the Jiangsu Provincial Medical Insurance Bureau in June last year, a total of 5 products of coronary guide wire were selected, involving 5 companies such as Poco and Ept, with an average decrease of 30%, the highest A 55% drop
.
A total of 7 products were selected for coronary guide catheters, involving 7 companies including Shanghai Kindly and Terumo Eisen
.
The average drop was 22%, with the highest drop being 50%
.
The procurement volume of the Jiangxi Nine-Province Alliance is much higher than the centralized procurement of the 13-province alliance in Inner Mongolia, and the highest declared price is at the same level.
Based on this calculation, the price of consumables may be further reduced
.
Trend: Selected by the mainstream, respecting the clinical practice From the results of the centralized procurement in the nine provinces of Jiangxi Province, both foreign and domestic mainstream machinery companies are included.
The grouping rules are determined by the order of the intended procurement volume of medical institutions, fully taking into account the clinical needs
.
It can be seen that it has been two years since the implementation of volume purchases, and the rules of play are changing in the process of polishing, and "low price" is not the only appeal
.
In February, the State Council stated at a regular briefing on policies that procurement with volume is the core of the system.
If "prices are not followed by volume", companies cannot compete with volume, and it is impossible to implement effective cost accounting.
Hospitals increase operating costs and leave room for profit
.
At the rule level, bidding rules are set for specific varieties and competitive landscapes
.
Relax the competition pattern, balance use and supply, properly maintain the competition rate, and make the price reach a reasonable return
.
Do not pursue the lowest price, but also resolutely oppose running bidding, so that the fair bidding of enterprises is more reasonable
.
The users of consumables are medical institutions, and the rules for purchasing with quantity must meet clinical needs
.
The briefing mentioned that medical institutions are the main body of use and cannot conduct centralized collection independently of medical institutions
.
The demand is determined by the medical institution according to the actual use demand.
It is necessary to fully consider the feasibility and safety of the medical institution in the clinical alternative products, and give the medical institution the most important right to speak
.
In terms of prioritizing the use of high-value medical consumables, my country has successively formulated the "Administrative Measures for Consumables in Medical Institutions (Trial)" and "Administrative Measures for the Clinical Use of Medical Devices" to further standardize the clinical use of devices including consumables, and also formulated consumables.
Operational specifications for hip replacement, knee replacement, coronary stent, and coronary balloon dilation in procurement to further standardize the operation of centralized procurement of consumables and ensure medical quality
.
The National Medical Insurance Administration issued a reply to the "Recommendation No.
8374 of the Fourth Session of the Thirteenth National People's Congress", which also highlighted that centralized procurement with volume adheres to the working mechanism of national organizations, alliance procurement, and platform operations, focusing on improving market-oriented procurement.
The dominant price formation mechanism, the government is only responsible for procurement organization and policy formulation, not "government centralized procurement"
.
Centralized procurement has never been just for a low price, and winning the bid is no longer a small probability event that cannot be guaranteed.
While reducing the price, it retains the mainstream brands required for clinical use, so that pharmaceutical companies are selling with gold from the original.
Public relations, moving towards quality and cost competition, and then forming scale effects, are the trend and purpose of volume-based procurement
.
