With the purchase of Haitian Shengyan or yunzhongyue?

The United procurement of drugs for consistency evaluation in pilot cities has opened the curtain of national procurement Some enterprises have just passed the threshold of consistency evaluation, but they have not yet had time to rejoice, but they have been cooled by the actual rules of bidding and procurement However, this is not the best or the worst The products passing the consistency evaluation are still very limited More than three companies in this catalog are competing for the best products, and the price fighting situation is less than half To some extent, it should be better than the situation when more homogeneous products pass the evaluation and the price is on the street in the future For the products with less competition and pure follow-up enterprises, it is good, while the products of enterprises that do not participate in the volume purchase can still be sold by other ways However, along the way of medical reform, more efforts have been focused on drug reform In recent years, the rules of recruitment and acquisition have become more stringent, and the price of drugs has been low However, the operating costs of enterprises (including raw material costs, labor costs, financial costs, operating costs of two vote system, environmental impact assessment, consistency assessment, R & D costs, etc.) have been rising all the way The second bargaining has taken high profits from enterprises, but it has not reduced the public at all The cost of medication is still sold to patients at the original price Consistency evaluation, enterprises spend a lot of money to cross the river, the cost has not been amortized, but the price of the baton has blinded the industry and enterprises If we do not consider the profit support of other products, and only rely on the consistency evaluation of products, especially homogeneous products, can we support the survival and development of enterprises? Does such policy making contribute to invigorating industry innovation and quality upgrading? Help maintain industry stability and sustainable development, ensure product quality and market supply? Will it help to reduce the medical expenses reasonably and effectively? With a large number of old drugs that fail to pass the consistency evaluation exit from the market, it is hard to say that the products that have passed the consistency evaluation have enough food and clothing, which will inevitably affect the whole industry's enthusiasm for the consistency evaluation, and will directly lead to the price of alternative products in the future far higher than the former, resulting in more waste of medical insurance funds Back to the starting point of national procurement, there is nothing wrong with the practice of exchanging quantity for price in accordance with international practice, but the national conditions are different The actual basic situation is far from the mature and transparent international environment and advanced management level, and more time is needed for transition and integration The National Health Insurance Bureau has just been established, that is to say, it has done a lot of practical work, which is worthy of affirmation and praise However, the most critical concerns and puzzles of the enterprise can not be effectively resolved Only by breaking the following deadlock and allowing enterprises to participate without psychological burden, can the significance of volume procurement really play out 1 Will the volume purchase price affect other regions? The volume of procurement in 11 key cities accounted for about 30% of the national market If the volume purchase is the lowest price in the country, most enterprises will feel relieved to participate If the price continues to fall, in terms of market weight, except for the new army and black horse, the enterprises with stable sales volume will instinctively choose to keep the big and the small The price linkage is a double-edged sword The endless linkage makes the enterprise have lingering fear and can only abandon the low price market In the early days, if the local market price is slightly lower and there is no linkage, the enterprise can fully recognize it The old, the young, the poor, the economically underdeveloped areas and the developed provinces have always been the breeding ground for the special price of enterprises The artificial rigid linkage makes the national price rigid and breaks the original normal sales law Good policy-making, only from the real market, to ensure the survival and development of the industry, in order to truly benefit the people and long-term sustainability 2 What is the spirit of volume purchase contract? In addition to price linkage, the most worry of the enterprise is to pay the floor price, but the sales volume has become elusive Just like the past bidding procurement, the first price reduction is the first out If the promised sales volume is not fulfilled, the enterprise will not only lose profits, but also be more likely to hang upside down in cost, and will encounter the pain of the volume price in the national reference pilot cities On the other hand, the past sales volume was generated by the previous clinical work of enterprises, including some enterprises' unreasonable abuse after the sale of linked funds Taking the past sales volume as a reference to the hospital's hard pressing task will also cause a waste of medical insurance funds 3 Can volume purchase compete with gold sales? If we can cancel the gold sales, make the production enterprises simply do the production, and the marketing channels simply do the service and promotion, all the pharmaceutical enterprises and employees will praise with both hands However, the change of national conditions in the past few decades is not overnight Whether the volume procurement can really bring the new trend of reform into the medical institutions, so that the pharmaceutical industry and enterprises do not have to look at the face of the hospital, do something reluctant, only wait and see If the national conditions are not met, the low-lying land price with volume procurement will become the eternal pain in the heart of the enterprise, and the whole country will spread and circulate indefinitely There are dozens of drugs for the same disease in a department Why should you use them? 4 Medical cost control and health education are more critical The national medical reform has been striving for drug reform However, the reality is that the drug price is getting lower and lower, but the medical cost of the public is getting higher and higher If we only check the proportion of drugs and don't look at the total amount of medical bills paid by patients, the rise of medical costs caused by the big examination is more violent than the past big prescriptions A small blood test in hospital, depending on the region, costs nearly thousands of different fees Does each inpatient need to do so many dazzling tests, or only need to do several tests related to their own diseases? If the country can regulate the blood test program in hospital, it can save tens of billions of medical insurance funds every year In addition, the variety of drugs in the hospital is more and more limited, more and more drugs need to be purchased, which are not included in the hospital charges, and more burden on patients Including some national key cities, thrombus and apoplexy patients can be found everywhere The reason is that the clinical emphasis is more on drug treatment than on health education in the first tier cities such as Beijing, which starts from two-way drug treatment and lifestyle change Some patients with three high blood clots were still on a high sugar and high fat diet after three times of admission, without any hint of diet and living habits, so the control effect can be imagined In addition, early detection and timely treatment of the disease is also a key to reduce future medical costs The detection and diagnosis of cancer patients in China are often in the late stage Instead of investing a lot of money in radiotherapy and chemotherapy with unknown effect, it is better to remind the Chinese people, especially the middle-aged and old people, to have regular physical examination, master the early symptoms of various diseases, and find and treat them in time If we invest more in health education, we can save 10 times and 100 times the medical expenses in the future 5 It is not only an international practice, but also a general trend in the process of medical reform How to resolve the concerns of the industry and enterprises, give consideration to the necessary expenses and profit space for the survival and development of the enterprise, guide the situation, pool ideas, and jointly purify the cooperation environment of medical institutions and pharmaceutical enterprises, the more solid the pace of volume procurement will be in the future Secondly, it is suggested to increase the number of alternative enterprises to avoid the impact on product supply due to supply or quality problems of production enterprises after winning the bid in some regions Third, it is suggested to pay attention to the consistency of the clinical efficacy of the consistency evaluation products, quality and efficacy first, and pay attention to the safety of sudden adjustment of medication for patients with long-term medication Fourth, take into account the marketing laws, especially for new products and products that have not been sold in the past, the sales volume plan should consider the growth of sales volume, not simply the sales volume of the previous year as a reference Fifthly, pay close attention to whether the regions of carrying out the volume procurement are giving profits to patients, whether the drug price is falling, and whether the public's medical expenses are falling simultaneously Avoid the similar situation that the second bargaining medical institutions are profitable, but the public has not benefited at all I believe that the low-key and pragmatic style of the National Health Insurance Bureau will bring more new wind to the industry in the future It is expected that in the future, the country's procurement with volume will bring more feast to enterprises, rather than the moon in the clouds.