Return to provincial level
China's Medical Consumables bidding started in 2000. During the period, it has undergone five stages of regulation, improvement, policy blank, second regulation, and third regulation. It is currently in the stage of “third regulationâ€. Gradually implemented the transition from “distributed bidding to centralized bidding by provinceâ€.
At present, the provincial-level medical high-value consumables have been launched or are being launched, including at least the following provinces: Fujian, Guangxi, Hebei, Henan, Hunan, Jilin, Jiangsu, Inner Mongolia, Shaanxi, Yunnan, Beijing, Shandong, Sichuan, Zhejiang. Xinjiang, Anhui, Qinghai, etc.
Although the province is a unit, some provinces are limited, and the bidding for drugs is still in ruins, and the tenders for consumables are not taken into account. Therefore, centralized bidding at the prefecture-level level will still be common and continue to exist. Especially in the pilot cities of medical reform, it will be more common, such as Ningbo.
Constant price cuts
From the perspective of medical reform, this is the general trend; in terms of people's policy trends, price reduction policies are emerging one after another; from the perspective of high-level trends, the National Health and Family Planning Commission and Zhejiang Province have been promoting the "Ningbo Rules" with price reduction as the core; Speaking of the space of consumables, we all know that price reduction is executable; from the point of view, sub-category, batch price reduction, can achieve a larger range than the previous batch, in addition to production dealers, industrial chain All the parties on the scene are cheering. This "price reduction path" created by Ningbo design is too talented!
Third-party trading platform appears
The China Medical Device Purchasing Public Service Platform, built by the China Medical Equipment Association, was opened in Shanghai on May 15. Zhu Qingsheng, chairman of the China Medical Equipment Association, said at the opening ceremony that the platform will help regulate trading behavior, stabilize equipment prices, reduce medical costs, and make medical equipment purchases truly open, fair and just.
The author has been thinking about: Who is going to purchase this platform?
Is it for public hospitals? They can all be purchased on the provincial and municipal collection platforms, and foreign purchases are not allowed.
Is it for private hospitals? Their purchases are absolutely free and there is no need to purchase through provincial and municipal platforms. This is possible.
Or for products in public hospitals that are not in the collection range? Because it is not available on the provincial and municipal collection platforms, external procurement is always possible.
Or, some provinces and cities are too lazy to get a collection platform and simply commission this third-party platform to operate, just like having an exchange, freely trading, and the platform is responsible for quality and price supervision. This is a good idea.
Medical insurance control fee
At the two sessions this year, the Prime Minister stated that "medical insurance must be kept", and some local medical insurance can't keep up. Medical insurance control fees are very stressful. The control fee includes the cost of medicines, medical consumables and medical services. The state has also been exploring various payment methods such as paying by disease and paying by head. In the future, due to medical insurance, consumables will face more price cuts. Great pressure.
Tender anti-corruption
Anti-corruption is a social environment, and medical anti-corruption is also an important part of the country's anti-corruption. The National Health and Family Planning Commission has stated on many occasions that it is necessary to strengthen the construction of medical ethics and health, strengthen anti-corruption, and continue to send inspection teams to relevant subordinate institutions. It can be foreseen that the future anti-corruption high pressure will always be accompanied by the development of the industry, and the bribery in the field of medical purchase and sale, the risk is on the horizon.
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