The new consumables price management mechanism is coming | Full implementation today!

Medical Network August 1 news The new price management mechanism for medical supplies came.

On July 31, the official website of the Tianjin Development and Reform Commission released the Notice of the Municipal Development and Reform Commission Municipal Health and Family Planning Commission, the Human Resources and Social Security Bureau on the implementation of the benchmark price management of disposable medical consumables in public medical institutions in the city. 〕 498) (hereinafter referred to as "Notice"), all public in Tianjin hospital All disposable medical consumables used in clinical practice implement a new price management mechanism, which has been officially implemented since August 1.

The "Notice" requires that the Internet has been included in the Tianjin Municipal Health Planning Commission purchase The public medical institution uses the negotiated reference price announced by the procurement platform as the benchmark price, and the consumables production and operation enterprise, combined with the purchase quantity, the time of payment, etc., fills in the sunshine purchase price on the procurement platform, and implements online purchase.

For the varieties that are not included in the sunshine procurement, the public medical institution shall use the actual minimum purchase price of the medical institution from January 1, 2017 to December 31, 2017 as the benchmark price, and negotiate the purchase price with the medical consumables production and operation enterprise. .

In addition, the most important part is that the '50% and above for the patients mentioned in the Notice, the rest is included in the sales price' or let the hospital have more incentive to bargain, and strive to reduce the price of the product.

The actual purchase price of the public medical institution is lower than the cost of the benchmark price (production company, the product specifications are consistent), 50% and above are given to the patient, and the rest are included in the sales price.

For the disposable medical consumables included in the scope of medical insurance payment, the Municipal Human Resources and Social Security Bureau uses the sales price of the public medical institution as the medical insurance payment for the variety in the medical institution. standard And in accordance with the relevant provisions of the city's disposable medical supplies payment management.

According to Xiaobian's understanding, after the price cut, half of the savings will be given to the patients, and half will be returned to the hospital. This measure will increase the bargaining power of the hospital. Although it has not been seen to be linked to the case-based payment, the link is the trend, the current main The purpose may still be to promote product price cuts.

There are two possible explanations for this. First, if the benchmark price is 10 yuan and the actual purchase price after bargaining is 8 yuan, the savings will be two yuan, one for the patient and the other for the hospital sales price. The purchase price is 8 yuan, the hospital sells 9 yuan, which is the bargaining power.

In addition, from the perspective of the reform of medical insurance payment and the reform of comprehensive payment methods based on disease-based payment, the cost saved by the hospital can be 'mainly used for personnel rewards', which is in line with the reform direction of the national medical system. After the completion, although the fees paid by the patients for self-pay and medical insurance are reduced, but the medical institutions do not make money, the incentives for personnel can not be discussed.

In fact, Tianjin officially took the consumables bonus on September 1st last year. Before that, regardless of the purchase price, as long as it is sold in hospitals, it will increase by 15%. Now it is necessary to lower the price under the benchmark price. , free up some for the hospital.

However, the "Notice" shows that for new varieties that have entered the public medical institutions after January 1, 2018 and are not included in the Sunshine Purchasing Platform, the medical institutions will sell at the actual purchase price.

The word 'and' indicates that the two conditions here 'new entry, not included' must be met at the same time, the medical institution will sell at the actual purchase price. If it is 'new entry but has been included', the same applies. Half of the bargaining savings are given to the patient and half to the hospital.

For the production and operation of consumables enterprise For the payment, the "Notice" requires that all medical institutions should pay back to the medical consumables production and operation enterprises in strict accordance with the agreed actual purchase price, and will not be able to reduce the refund by any form of discounts, rebates and rebates.

At the same time, the Tianjin Municipal Health Planning Commission will gradually include all the disposable medical consumables in the Sunshine Purchasing Catalogue, and implement the procurement of the net. Announce the negotiation reference price and the actual purchase price distribution of each medical institution, and negotiate the price of the service medical institution and the consumables production and operation enterprise. Gradually establish the Tianjin Municipal Health Planning Commission, the National Development and Reform Commission, and the Human Resources and Social Security Bureau information sharing mechanism to guide the rational formation of prices. To achieve the reform goal of reducing the price of consumables, rationally controlling the dosage, and reducing the burden on patients. Exploring the establishment of a dynamic adjustment mechanism for the benchmark price of disposable medical consumables. .

Notice of the Municipal Development and Reform Commission, Municipal Health and Family Planning Commission, Human Resources and Social Security Bureau on the trial of the benchmark price management of disposable medical consumables (Jinfa Reform Price [2017] No. 633) shall be abolished at the same time.