Consumables procurement has changed | Henan '18+1' procurement model details came
On August 27th, the medical network changed the '18+1' model of Henan province, which was used for the purchase of consumables. Some details were announced. The prefectures and cities must first be the local ones, and the high-consumption two-vote system should be implemented. And severely demanded, the hospital may not conduct second bargaining in any form.
On August 22, Henan Province Luohe City Health Planning Commission issued the "Notice of Luohe City Public Medical Institutions on Negotiating the Negotiation of High-value Medical Consumables in 2018" (hereinafter referred to as "Notice 1"), officially launching the municipal procurement complex The bargaining work also showed some details of the '18+1' model of Henan's consumables procurement.
The whole "Notice 1" of Luohe City can be described as "Notice of the Henan Provincial Health and Family Planning Commission on the Joint Purchase of High-value Medical Consumables in Public Medical Institutions" issued by the Henan Provincial Health Planning Commission on March 29. 2)) Further, not only have clear requirements for distribution companies, but also implement a two-vote system of high-value consumables, and further reduce the maximum price of municipal consortium purchases.
According to "Notice 1" of Luohe City, the high consumption of bargaining negotiations refers to Henan Province. medicine The variety in the 'high-value consumables procurement catalogue' on the procurement platform, the purchaser's bargaining subject is all the public hospitals of the second level or above in Luohe City, a total of 18.
First of all, the first point, to what extent the maximum price of the municipal consortium can be purchased, that is, the price can be as low as possible. In the Notice 1 it is clear: three prices, the lowest.
That is, the lowest price of the net price, the purchase price limit (the first batch, the second batch) and the lowest purchase price of the current purchase price in Luohe City, which is provided by the Henan Provincial Public Resource Trading Center's medical procurement system, is the highest of the bargaining price. Limit price.
In fact, the Henan '18+1' procurement model is derived from the Notice No. 2 of the Provincial Health Planning Commission on March 29. The original text at the time is as follows:
At present, in addition to the 18 provincial cities, Henan Provincial Hospital of Zhengda First Affiliated Hospital and Henan Provincial People's Hospital constitute a purchasing consortium, to play a 'demonstration role', the bargaining results of these two hospitals are shared across the province.
The "Notice 2" clarifies the responsibilities of the Henan Provincial Public Resource Trading Center: Responsible for collecting the bid price or net price of the provinces with the lowest published prices in the provinces, and the lowest transaction price of the procurement platform in Henan Province as the purchasing consortium. Purchase reference price.
Knowing the responsibilities of the Henan Provincial Public Resource Trading Center, it is generally known that the maximum price of Luohe City will only be lower than other provinces.
Use a number to feel the effect of the price depression.
On April 25 this year, Zhengzhou Evening News mentioned in the report that in 2016, Henan Province took the lead in the implementation of orthopedics, interventional categories and other ten types of high-value medical consumables and in vitro diagnostic reagents online sunshine procurement.
From April 18th, the public medical institutions in Henan Province implemented the lowest price of medical supplies (reagents) in the province according to the lowest purchase price of the province after the Henan Provincial People's Hospital and the Zhengda First Affiliated Hospital.
It is estimated that after the linkage, the average consumption of Henan Province will drop by 18.8%, which can save high-cost expenses by 1.026 billion yuan, and the average reduction of reagents is 28.1%, which can save 937 million yuan. In total, nearly 2 billion yuan is huge. For this purpose The price of 19 consortiums is inevitable, and the Weihe River is the consortium in which the first step is taken.
Secondly, Luohe City's "Notice 1" also clarified that after the negotiation price formed the procurement catalogue, the procurement complex of Luohe City was not allowed to conduct second bargaining. Henan Province's "Notice 2" also made clear that 'all medical institutions at all levels must not use any other Formal organization bargaining or various names enterprise Rebate, establish a second bargaining in the form of 'accounts', etc.' This is for companies to avoid the damage caused by the second bargaining.
After talking about the lowest price, let me talk about the distribution and settlement of payments in the Luohe notice.
The requirements of Notice 1 are as follows:
However, when choosing a distribution company, the initiative is not in the hands of the winning bidder.
In "Notice 1", it is also required that in the procurement cycle, each of the products of the production enterprise can be distributed or selected by 1-2 distribution enterprises, and the medical institution has the right to choose the distribution enterprise.
That is to say, when the production enterprise entrusts the distribution enterprise to deliver the goods, the local distribution enterprises in Luohe are selected as one or two, and finally hospital It is necessary to select one of the two, and then set it down. Also, all varieties are only allowed to be dispatched once, and distribution is not allowed.
Interestingly, on August 14, Luohe City Health and Family Planning Network released "Luohe City" drug concentrated purchase The requirements for payment in the Joint Plan for the Implementation of Joint Negotiation on High-value Medical Consumables in Public Hospitals are: 'After confirming receipt of the goods, the hospitals shall, after verifying the receipts in accordance with the requirements of the two-vote system, pay within three months'. In "Notice 1", it is mentioned that 'the purchase and sale settlement relationship handles itself'.
What needs to be clear is that the Henan Provincial Health Planning Commission's notice encourages qualified hospitals to implement a two-vote system with high consumption. It can be determined that the procurement complex of Luohe City should implement a two-vote system with high consumption.
However, from a different perspective, it becomes a non-vote system. The hospital can not settle the payment within 90 days.
In addition, Luohe City Health Planning Commission held a meeting of the high-value medical consumables joint bargaining procurement working group on the afternoon of August 17, and strived to complete the first batch of high-value medical consumables joint bargaining procurement by the end of August. The Henan Provincial Health Planning Commission requested to ensure this year. The joint procurement work was completed at the end of September. This rhythm is very compact.
The '18+1' model is indeed strong enough, and the target of 2 billion price cuts should not be underestimated. The rest is what is the profit and loss of enterprises.
