People's Daily: 30,000 consumables price cuts, an average of 15%

Medical Network on October 24th, the first batch of six categories of medical consumables in public hospitals in Beijing-Tianjin-Hebei region were jointly purchased. The policy has been implemented simultaneously in more than 800 public hospitals of Grade II and above in the three places since June 30. As of October On the 8th, Beijing has completed an order value of 880 million yuan for six categories of medical consumables, saving 140 million yuan in procurement costs, and the overall average purchase price decreased by 15.9%. Which key consumables are included in the joint procurement list? How does joint procurement squeeze out the price of consumables? 'Moisture'? How do you bring a real 'sense' to patients, hospitals and manufacturers?

'A stent saves more than 3,000 yuan. 'In the 33 ward of the Department of Cardiology, Beijing Anzhen Hospital, the uncle of Beijing Fangshan District, who is over 80 years old, is checking his medical expenses list. He carefully found that a previous coronary stent Need 11,000 yuan, now less than 8,000 yuan.

Not only in Anzhen Hospital, but not only in Beijing, including major hospitals in Hebei and Tianjin, many medical consumables are the same price, thanks to the implementation of the Beijing-Tianjin-Hebei medical consumables procurement policy. Since June Since the 30th, the first batch of six major medical consumables in public hospitals in Beijing-Tianjin-Hebei region have been jointly purchased. The policy has been implemented simultaneously in more than 800 public hospitals of Grade II and above in the three places. As of October 8, Beijing has completed six major projects. The order value of medical consumables was 880 million yuan, and the procurement cost was 140 million yuan. The overall average purchase price decreased by 15.9%.

Many patients have found that sometimes the operating expenses are only a few hundred thousand dollars, but the medical supplies are thousands of yuan, and the expensive medical supplies are on the consumables.

Medical supplies are expensive, in addition to the reasons of the product itself, but also related to procurement channels. In 2016, the total sales of medical equipment products in Beijing, Tianjin and Hebei accounted for 13% of the national market share. However, in the past, in Beijing, Tianjin and Hebei, medical supplies production The price of the same type of heart stent given by the same manufacturer is different. How does Beijing-Tianjin-Hebei join forces to squeeze out the price of high-priced medical supplies?

On December 21, 2016, the Beijing, Tianjin and Hebei provinces and municipal health and family planning departments signed the "Beijing-Tianjin-Hebei Public Hospital Medical Consumables Joint Purchase Framework Agreement", officially launched the joint procurement of medical consumables in the three places. Medical supplies a wide variety, after many meetings Discussion and field research, the three local health planning committee finalized the intracardiac vascular stents, cardiac rhythm management, anti-adhesion, hemostasis, artificial joints and staplers are the first six categories of medical consumables jointly purchased. The local procurement data of the historical procurement data was separately carried out, and the six categories of related products clinically used by the medical institutions of the three places from January 2016 to June 2017 were collected and sorted out, and the lowest price of each product was found. The provincial level of centralized procurement results, forming a 'negotiation reference price' for each product.

Medical institutions, as the purchasing body of medical consumables, based on the 'negotiating reference price' enterprise Negotiating the price, and finally forming the actual purchase price. With the reference price, there is a yardstick, which means that the three places will be public in the future. hospital Medical supplies purchase In principle, the price will not be higher than the reference price, and the three local health planning committees must really squeeze out the 'moisture' in the price of consumables.

According to Yue Xiaolin, Director of the Department of Drugs and Medications of the Beijing Municipal Health and Family Planning Commission, the joint procurement adheres to centralized procurement on the Internet, adheres to the 'five unified, one concentration', that is, unified construction of a joint procurement platform for medical consumables, unified establishment of a medical consumables evaluation expert database, unified selection of medical Consumables procurement catalogue, unified standardization of medical consumables qualification review standard , unified formation of medical consumables price system, centralized organization of review work, to achieve 'one platform, information sharing, results sharing'.

'At the time of negotiation, some manufacturers insisted on not cutting prices. In this case, on the basis of clinically replaceable products, we decisively adopted a temporary suspension method. 'Zhang Hongjia, deputy director of the procurement of materials in Beijing Anzhen Hospital Say.

Anzhen Hospital is cardiovascular disease The top three hospitals featuring diagnosis and treatment, the use of high value-added medical consumables such as coronary stents and pacemakers are large. The data show that in 2017, Anzhen Hospital used more than 20,000 coronary stents, of which imported stents accounted for More than 40%, domestic stents accounted for more than 50%; pacemaker installation more than 1300 sets.

Zhang Hongjia said that if there is no certain amount of use, there is no ability to bargain with the manufacturer, there is no purchasing advantage, 'the bracket and pacemaker ampoule are used by large households, and we neglect the negotiation of these two consumables.'

'We spent 3 and a half days negotiating with 18 manufacturers one by one. The overall goal is to reduce the reference price by 5%-10%.' Zhang Hongjia said that the size of the bargaining space depends on the age of the product. Shortly after the listing, the products with high technology content have small bargaining space; the old products with long time use will have more bargaining space.

Anzhen Hospital has set an example to complete the price negotiation of coronary stents and pacemakers, and handed over gratifying transcripts: compared with the previous, the price of imported stents decreased by 13.7%, domestic stents decreased by 29.03%, pacemakers The decrease was 12.32%, and the total reduction of stents and pacemakers was 18.33%.

As a purchasing entity, the hospital should take advantage of the bulk purchase. Under the premise of not exceeding the 'negotiating reference price', it should negotiate the purchase price with the supplier. The Sanwei Health Planning Commission requires that the hospitals can share with other hospitals in specific procurement. Bargaining results, dynamic adjustment of the unit's purchase transaction price. Expert analysis, some manufacturers in the past to give preferential prices to some large hospitals, now have to give all hospitals. Although the price of medical supplies is low, but in the face of Beijing, Tianjin and Hebei In the market, the market share in the future may be even larger. In order to change the price, most manufacturers are acceptable.

Lao Chen from Hunan Hengyang was diagnosed with paroxysmal ventricular tachycardia, dilated cardiomyopathy, persistent atrial fibrillation with slow heart rhythm at Beijing Anzhen Hospital. The doctor installed an imported pacemaker for it, due to After the joint purchase, the price was lowered. Lao Chen’s cost of surgical medical supplies dropped by 15%, and the burden of medical treatment was significantly reduced.

This is not a case. The decline in the price of medical consumables has brought benefits to the majority of patients. From the first month of procurement implementation, Anzhen Hospital saved a total of 6.16 million yuan for patients, including 2.84 million yuan for domestic stents. Save 2.07 million yuan; pacemaker saved 1.21 million yuan.

This medical consumables joint procurement, involving more than 30,000 products declared by 179 companies. After repeated calculations, the procurement results can cover the current clinical needs of the medical institutions in the three places, can guarantee the use, meet the basic needs. According to the six In 2016, the total purchase amount of the three types of products in the three places was estimated to be 5.3 billion yuan. After the implementation of this joint procurement result, the annual procurement cost of consumables for the three public hospitals will exceed 800 million yuan, and the overall decline will reach 15%. Let the benefit of the people, and benefit the purpose of the three places.

The Sanjiao Health and Family Planning Commission also formulated the “Management Requirements for the Purchase and Use of Key Products for the Joint Purchase of Medical Consumables in Beijing-Tianjin-Hebei Public Hospital”, which included the unsuccessful medical consumables in this price negotiation, including key monitoring, doing a good job analysis, and strengthening early-warning management. In the next step, in the trial process of joint procurement of medical consumables in Sandi, we will integrate more medical consumables into the joint procurement platform in batches in batches based on the principle of maturing one variety and enriching one variety.

'Beijing-Tianjin-Hebei medical consumables joint procurement, medical quality has not changed, the treatment effect has not changed, the patient's economic burden has been reduced, and the medical treatment has been significantly improved.' Zhang Hongjia said.