The major changes in the purchasing mode of consumables in Henan Province, the province must reduce prices

Medical Network April 25 hearing April 24, Henan Province Health and Planning Commission held a press conference to introduce the province's drug and medical supplies procurement management.

Judging from the conference content, Henan Province's procurement of medical consumables (including reagents) will also require a new round of changes.

In 2016, Henan Province implemented online sunshine procurement for ten types of high-value medical consumables and in-vitro diagnostic reagents. There were 3106 medical institutions in the province, and 5228 consumables production and operation enterprises across the country passed the province. medicine Purchasing platform to conduct transactions, the transaction amount of high-value consumables and reagents for provincial-level coal mining has also exceeded 10 billion yuan.

At this time, Henan Province is to further implement changes on the existing provincial grid-gathering coal collection results, with the aim of further reducing procurement prices and controlling medical costs. The core means of reform are two: the amount of bargaining; the provincial level Hospital leader, price linkage across the province.

The People's Hospital of Henan Province and the First Affiliated Hospital of Zhengzhou University, the two strongest hospitals in Henan Province, took the lead in this year's first high-value consumables and diagnostic reagents.

Take Zheng Dayi’s Affiliated Hospital as an example, the hospital will bid for new products and products at the same time in the hospital, and carry out horizontal price comparison in the same product regulations. The same-quality goods with the same features will be purchased at the lowest quotation. The price is still higher after bargaining. The product, a product with a reduced price range, ceases its supply qualification.

The result of Zheng Dayi's affiliated hospital's bargaining price is that the average price of consumables is reduced by 15.58%, and the average price of reagents is reduced by 16.08%.

After the quantity negotiation of the two hospitals was completed, Henan Province Bidding The Office also issued an article requesting that, starting from April 18, public medical institutions in the province should implement the linkage of provincial high-value consumables and reagent prices in accordance with the province's lowest purchase price after the negotiation of the two hospitals.

Popularly speaking, that is, the lowest price of the two hospitals as a price limit, the province's public medical institutions in the procurement of bargaining products, must not be higher than the limit purchase, which is not higher than the two hospitals proposed minimum Purchase price.

The two provincial hospitals that can master the right to speak speak with consumables and reagents. enterprise Negotiations have prompted the price reduction of corporate products, and then the purchasing prices of other public medical institutions in the province have followed two major hospital go.

As a result, the high value consumables of public medical institutions in Henan province have to be greatly reduced.

Provincial price reduction target: High value consumables drop by 18.8%, Reagent drop by 28.1%

According to the Henan Provincial Health and Family Planning Commission, it is estimated that after the price linkage, the purchase price of high-value consumables in the whole province will drop by an average of 18.8%, and the reagent will drop by an average of 28.1%. The province will be able to save the cost of high-value medical consumables by 1.026 billion yuan. Reagent cost savings of 937 million yuan.

The purchase amount of RMB 200 million worth of high-value consumables and reagents was not lost. The new procurement model in Henan Province is very burly and unique.

Henan Province, led by two major junior high-level consumables and reagents, has already launched a bargaining procurement. According to information released by the Henan Provincial Health and Family Planning Commission at the press conference, the next step is for the province. For the purchase of high value consumables, it will also promote the implementation of 'joint procurement'.

Specifically, it is necessary to adopt the '18+1' model to supervise and guide local and provincial medical institutions to form a bargaining procurement consortium. Each consortium insists on the principle of quality priority, reasonable price, price-for-quantity, quantity-price linkage, With the amount of procurement, further reduce the purchase price.

Earlier, Anhui Province had already targeted drug Both supplies and consumables implement reforms with quantity procurement. The drug is the '16+1' model. Consumables are divided into three major regions.

Judging from the contents of the conference, the '18+1' joint procurement model to be implemented in Henan Province is similar to Anhui's medicine procurement model.

The province's 17 prefecture-level cities, 1 provincial direct management municipality, and provincial direct medical institutions will each form a total of '18+1' consortiums, and then the consortia will respectively carry out voluminous negotiation purchases, for example, the entire The purchase volume of the prefecture-level cities combined to form a single purchase order, which went to the production and management companies for asking price, and demanded substantial profit.

Once this model is implemented, it will be another wave of price reductions.

Large, high-value, high-value consumables, but also focus on monitoring their use

In addition, the Henan Provincial Health and Family Planning Commission also made it clear that the next step is to implement key monitoring of high value consumables. Related measures include:

Each medical institution will include the reasonable use of high-value consumables into performance evaluation indicators;

For high-value consumables with large usage, high prices, and rapid cost increase, focus on monitoring, periodic evaluation, and strict management;

Provincial Health and Development Commission and all local cities, counties (cities, districts) must establish key monitoring directories;

Medical institutions shall publicize the top ten high-value consumables and medical staff with the highest usage amount every month, and impose restrictions on high-value consumables that have irrational use, and unreasonably use high values ​​in violation of relevant regulations. The physician of the consumables and the person in charge of his/her department are interviewed.

This is to use the other link in order to control the high-value consumables beyond the procurement process. This will be a challenge for some high-value consumables companies, such as high value consumables for vascular interventions. The amount of use of the stent products, can often be ranked in the forefront of all high-value consumable products.