Tianjin great transformation Bureau: elimination of distributors in the year of unified medical insurance management bidding

Source: sepiland equipment 2017-08-02: one department is in charge of drug consumption procurement and payment, two ticket system is implemented, and distributors are eliminated.. The bidding procurement of medical consumables in Tianjin is going to change greatly A few days ago, Tianjin Municipal People's Government printed and distributed the 2017 key tasks of deepening the comprehensive reform of the medical and health system in Tianjin Among the key tasks of medical reform to be completed in Tianjin this year, it includes the following important contents: 1 A department is responsible for the procurement and payment documents of medical equipment and proposes that "the centralized procurement of medical consumables and the payment of medical insurance should be done as a whole We will explore the implementation of centralized purchasing, price negotiation and medical insurance payment for drugs and consumables under the overall management of one department, and achieve orderly connection and smooth transition of work (under the leadership of the municipal human resources and Social Security Bureau, the municipal health and Family Planning Commission, the municipal market supervision commission and the municipal development and Reform Commission are responsible for the division of responsibilities) "Tianjin also needs to explore the unified management of drug and equipment procurement and payment by a department, which is led by the human resources and Social Security Bureau This is to learn the meaning of" Fujian model " If there is no accident, it will be institutions such as the medical insurance office that integrate the functions originally scattered in multiple departments into their own terms of reference The medical insurance department will give full play to the centralized advantages of "medicine, price and insurance" to achieve a comprehensive supervision of hospitals, doctors, drugs and prices within a framework The bidding of medical equipment will greatly increase the cost control For example, Fujian Medical Insurance Office has launched a joint limited price sunshine purchase of drugs in this year 8000 kinds of drugs have been greatly reduced in price, many of them have even directly fallen through the low price, and drug companies are crying According to the "2017 key tasks division and schedule" issued in the form of attachment, the time schedule of this task is required to be "October 2017" That is to say, a new deal will be introduced soon At that time, we will see how Tianjin will change 2 Two ticket system and elimination? The document of the distributor puts forward: "improve and standardize the supply guarantee and circulation mechanism of drugs and consumables We will comprehensively implement the "two ticket system" in which drug procurement issues one invoice each time from the manufacturer to the distributor, from the distributor to the medical and health institution, explore the "one ticket system" in which medical and health institutions directly settle the payment for drugs and consumables with the manufacturer, and between the manufacturer and the distribution enterprise to settle the distribution expenses, compress the intermediate links and reduce the virtual high prices Improve the concentration of distribution enterprises through competition, reduce the distribution enterprises by one third in 2017, and effectively reduce the distribution cost (led by the municipal health and Family Planning Commission, the municipal medical reform office, the municipal market supervision commission, the Municipal Commission of Commerce, the municipal human resources and Social Security Bureau, and the municipal development and Reform Commission are responsible according to their respective responsibilities) "" two vote system "is listed as the key task of medical reform this year Note that from the perspective of document description, the reform points to both drugs and medical consumables Among them, drug procurement is to be fully implemented, and the time schedule is required to be "September 2017" Specific landing documents have been published not long ago The "two ticket system" for medical consumables does not mention the time schedule requirements in the document However, just earlier this year, the document that Tianjin plans to implement the "two vote system" for consumables was disclosed In this document, it is directly stated that "one ticket system for consumables is to be explored" This shows at least that Tianjin does push "two vote system" and "one vote system" of consumables, but the specific landing time needs further observation In addition, the document clearly proposed that the distribution enterprises should be reduced by one third this year, which is led by the municipal health and Family Planning Commission The elimination of distributors will become a major trend in Tianjin 3 It is suggested that we should promote the reform of medical service price and cancel the 3% mark up of disposable medical consumables The task is led by the municipal development and Reform Commission, and the time schedule is required to be "December 2017" Tianjin will become one of the first few provinces to promote the "zero plus" reform of consumables The document also proposed that we should strengthen the control of medical expenses in public hospitals, standardize the evaluation of prescriptions in medical and health institutions, strengthen the supervision of the purchase and use of drugs and high-value medical consumables, and reduce the proportion of drugs and consumption Each district and municipal public hospital's cost control indicators shall be determined and issued one by one, and the completion shall be included in the performance appraisal, and joint supervision and inspection shall be carried out, and those who fail to control the cost shall be interviewed The task is led by the municipal health and Family Planning Commission, and the time schedule requirement is also "December 2017" 4 "Promote the coordinated development of medicine and health in Beijing, Tianjin and Hebei" is put forward in the document of inspection and inspection mutual recognition and drug consumption joint procurement We will continue to promote mutual recognition of medical test results and sharing of medical image data in medical and health institutions in Beijing, Tianjin and Hebei, and further expand the scope of mutual recognition To explore the joint procurement mechanism of drugs and medical consumables in Beijing Tianjin Hebei region We will work together to carry out the pilot work of electronic certificates for medical and health institutions, doctors and nurses in Beijing, Tianjin and Hebei " Among them, the leading departments for the joint procurement of drugs and consumables in Beijing, Tianjin and Hebei are the municipal health and Family Planning Commission and the municipal human resources and Social Security Bureau, and the requirement of no time schedule is "continuous promotion" The leading department for mutual recognition of inspection and inspection results in Beijing, Tianjin and Hebei is the municipal health and Family Planning Commission, and the time schedule is required to be "December 2017".