The purchase of high-value consumables has come | The price has been filtered three times, and it is low.

Medical Network August 8th The province's consumables procurement model has arrived, with only one purpose, price cuts and price cuts!

Recently, the procurement group of the high-value medical consumables of the public medical institutions in Anyang City, Henan Province issued the “Notice on the Negotiation of 2018 High-value Medical Consumables Negotiations by Public Medical Institutions” (hereinafter referred to as the “Notice”). The city's second-level public medical institutions form a consortium bargaining procurement group to negotiate bargaining with the city's high-value consumables distribution enterprises, the highest price of bargaining is low and low, three times of filtering.

Specifically, 26 public health institutions (including public medical institutions in Anyang) in Anyang City agreed to formulate the varieties in the 'high-value consumables procurement catalogue' on the Henan pharmaceutical procurement platform.

Conduct high-value medical consumable bargaining negotiations, including orthopedics, intervention, anesthesia, neurosurgery and other products.

The principle of bargaining is that the median price of the net provided by the Henan Provincial Public Resource Trading Center's medical procurement system, and the purchase price limit of the first batch (second batch) provided by the system, the current purchase price of Anyang City, The lowest price among the people is the highest price of the bargaining price. Moreover, the bargaining process will also refer to the purchase price of the province.

The same product (name, specification, model, unit, the same product of the production enterprise), the quotation of different distribution companies, in principle, confirm the transaction price according to the lowest quotation;

The same product of different production enterprises, with the same quality level, in principle, negotiate according to the lowest price between different production enterprises;

For the same product of different production enterprises, the quality level is different, and the transaction price is confirmed according to the respective lowest quotation.

The entire bargaining negotiation is like this: The consumables distribution company first conducts the first round of quotation, and this round of quotation must meet the above bargaining principle, otherwise it will be invalid.

After that, the bargaining negotiation experts will negotiate the price according to the first round of quotation and the maximum price. This process is divided into two cases. If the bargaining negotiation expert group believes that the first round of the quotation of the distribution company is reasonable, it can be confirmed; 4. The pre-trial price is given by the bargaining negotiation expert group as the negotiation reference price.

After the above, in the negotiation of bargaining, the high-value medical consumables delivery enterprise first gives the latest quotation not higher than the first-round quotation, and the bargaining negotiation expert negotiates with the distribution company according to the pre-examination price of the product and the latest quotation of the delivery enterprise. The representatives negotiated bargaining one by one and confirmed the price of bargaining products.

The first level is lower than the net price of the net, and the first batch, the second batch of purchase limit price and the lowest purchase price of Anyang City;

The second level is to enter the bargaining negotiation and report another price lower than the first round;

The third level is bargaining negotiations, confirming the final price of the product. The ultimate goal is only one, price cuts, price cuts.

In fact, just one year ago, the Anyang City Public Hospital printed and distributed the "Anyang City Public Hospital" drug In the Notice of the Implementation Plan for the Joint Purchase of Medical Consumables, the measures for the purchase of consumables by volume are compared with this Notice.

Last year's 'Community Purchasing Group' had only 16 public medical institutions in Anyang. The maximum price of consumables was: Henan Provincial Public Resource Trading Center medicine The average purchase price of the nets provided by the procurement platform, the results of the bids in the surrounding cities, the actual purchase price of the city as the basis, the establishment of the purchase price limit. Through the price-price linkage, the final realization of the same city's same price. This year, the same city price is the basis To achieve three price 'filter'.

In essence, on April 24 this year, the Henan Provincial Health Planning Commission held a press conference to open a new round of changes in the procurement model of medical consumables (including reagents) in Henan Province.

Henan Province is to implement further changes on the existing provincial-level network collection efficiency, with the aim of further reducing procurement prices and controlling medical expenses. The core means of procurement model reform are two: quantity negotiation; provincial-level large hospitals, The province's price linkage.

The provincial-level hospitals take the lead in the minimum price of negotiations between the Zhengda First Affiliated Hospital and the Henan Provincial People's Hospital. The public medical institutions in the province should not purchase higher than the limit price when purchasing the bargaining products. It is higher than the minimum purchase price negotiated by the two hospitals. Other public medical institutions refer to the purchase price of the above two big three, which has been implemented.

For the province's high-value consumables procurement 'joint procurement' has also been launched. This model is the previously mentioned '18+1' model, that is, the province's 17 prefecture-level cities, a provincial direct city And the provincial medical institutions may form a total of '18+1' consortiums, and each consortium will separately conduct bargaining and purchase, and the entire prefecture-level city's purchase volume will be combined into a large purchase order to go to the same production and operation. enterprise Asking price, demanding a sharp profit. No doubt, this will be a new wave of price cuts.

In addition, in June this year, the Henan Provincial Health and Family Planning Commission re-deployed the joint procurement of high-value medical consumables in public medical institutions, and then mobilized to ensure that all joint procurement work was completed by the end of September. At present, the Weihe Municipal Health Planning Commission of Henan Province also On August 3rd, a joint discussion forum was held for the president of the joint bargaining procurement. hospital Will implement high-loss joints as soon as possible purchase jobs.

The Xuchang Municipal Health Planning Commission of Henan Province also issued a notice on July 12 to carry out low-value consumables, high-value consumables, and centralized bargaining of reagents. All public medical and health institutions in the city (including non-profit hospitals, towns and villages after restructuring) Health Center, Community Health Service Center) must participate.

The change in consumables procurement model is like this.