Development and Reform Commission cancel supplies how to prevent | 'second bargain'

Recently, the reporter learned from the National Development and Reform Commission website, the National Development and Reform Commission has issued "Opinions on the full deepening of the reform of the price mechanism" (Hereinafter referred to as the "Opinions"). "Opinion" focuses on the monopoly industries, public utilities and public services, environmental protection, enterprises involved in fees, market price regulation, livelihood security and other seven aspects of the next three years to clarify the price of China's reform program of action .

In accelerating the price mechanism for public utilities and public services, the "Opinions" put forward: 'Deepening the price reform on public utilities and public services and consolidating the cancellation drug Addition of results, to further abolish medical supplies addition, optimize the adjustment of medical service prices. 'Insiders pointed out that this means that in the event of a complete cancellation of drug additions, will further cancel the medical supplies addition policy to promote the elimination of' Mending doctors', the public hospitals in the country will gradually cancel the medical expenses can be charged separately the difference between the rate and the difference plus policy, medical consumables sold at the actual purchase price.

At present, China has completely canceled 15% of drug additions in public hospitals. According to the "Opinions," China will consolidate the cancellation of drug addition results and further eliminate the addition of medical supplies to public hospitals, including heart braces, pacemakers, artificial knee joints, artificial Crystals, gauze surgery, surgical sutures, dental materials, after an average of 5% to 10% of the addition.

From the actual operational level, there are already some areas go in the forefront of the country, put forward to promote the zero addition of supplies policy.Reporters noted that, Dehong Prefecture, Yunnan Province, August 26 this year, all public hospitals in addition to removing all the Chinese medicine Drugs and consumables addition.After the cancellation of the addition, the public hospitals incorporated into the scope of reform, the zero-rate sales of pharmaceuticals and consumables will be implemented. If the actual purchase price of the hospital is lower than the centralized purchase price of drugs and consumables in the province, the actual purchase price will be used as sales Prices, but at the same time raised the value of medical services that reflect the value of technical services of medical examinations, surgery, a total of 135 medical service items.

In addition, Ningxia, Shandong Linyi, Tianjin, Zhongshan, Zhuhai and other places also proposed the abolition of medical consumables addition, to make room for the medical service price adjustment.

Because of the public hospitals, medical supplies supply enterprise And other subjects of interest, the interview was made by market participants, abolished medical supplies addition, it does not rule out hospital Will force suppliers to make profit-making returns and other forms, the pressure will be passed on to the body, and the implementation of zero-rate policy may allow supplies' field bargaining throughout the flowering.

After the zero-deficit rate, it is a difficult problem for hospitals to reduce their incomes, so the government may face some pressure at the hospital level, "said Qian Rong-fu, a senior researcher at Sinopharm Holding, told reporters.

It is worth mentioning that the national policy document has repeatedly stressed the need to reduce the prices of medicines, medical consumables and large-scale medical equipment for examination and treatment and inspection, and the keynote address is clear. "Elimination of supplies is the general direction of the policy and there are no technical problems." Kyushu through medicine Geng Hongwu, general consultant of group marketing, said that the implementation of the policy will bring some pressure to hospitals and industries. However, by eliminating the market, the healthy development of the entire pharmaceutical industry will be brought.

Currently, the cost of medical consumables is high throughout the health care system. "Of course, there is a certain amount of water, ranging from high-end equipment to high-end equipment, which can cost as much as a few hundred dollars." Industry insiders told reporters that some of the high price of consumables, some of the cost of the product country is not clear.

In response, the national level is the comprehensive measures to squeeze high-value supplies of water, such as high-value supplies for the first time the state negotiations, the drug coronary stent system, artificial hip prosthesis, implantable cardioverter defibrillator Series (ICD) and cardiac resynchronization therapy (CRT) as the pilot products of the negotiation, taking market exchange rates and discussing the combination of mining and mining, concentrating the market share of high-value medical consumables in public hospitals, negotiating with manufacturing enterprises and forming a unified procurement price.

From the local action, Ningbo medical supplies centralized purchasing mode has been achieved.As of now, Ningbo has 18 kinds of 1436 kinds of medical supplies centralized purchasing, the average price dropped 43.15% .As of the end of July this year, has accumulated medical costs savings 902 million yuan.According to the introduction of Ningbo City Planning Commission, medical consumables prices, while the amount of supplies also dropped significantly, but also to a certain extent, made a domestic alternative.

In addition to Ningbo, Hunan, Shaanxi and other provinces have launched high-value medical supplies sun linked to the network; centralized procurement of medical supplies in Beijing, Tianjin and Hebei has officially entered a substantive work stage.

In addition, due to China's medical supplies manufacturing enterprises, small, scattered, chaotic, more models and specifications, the competent authorities have encoded high-value medical consumables. 'Next, to carry out high-value medical consumables cost price survey, accurate grasp of its The price of the cost of its sales for zero-difference and plans to focus on the procurement of high-value supplies.Currently, the high-value supplies have been announced coding, the future cost investigation and procurement have a chapter to follow. "Dry rich rich said.

'This "Opinion" followed by the two offices on October 8 "on deepening the reform review and approval system to encourage drug reform medical instruments Innovative opinions "released, can be seen as its relevant supporting documents.Expected cancellation of the addition to be implemented gradually, but the policy undoubtedly released a positive signal." The aforementioned experts pointed out.

'Concern is that consumables more than the regulation of drugs' dry rich recommended that the first step can be the first high-cost supplies cost survey, experience and then low-cost supplies gradually rolled out during this period the various departments The coordination between the two is crucial.