Medical network - on January 9
Two votes countries officially announced today!
According to the national health development planning commission website late January 6 open information, today's attention in the public medical institutions carrying out "two votes" drug purchase implementation opinions (try out) "(hereinafter referred to as the" two votes ") will be officially announced.
▍ core problem a: "two votes" doing?
According to the network information, ultimately will set two votes in the official version "standardize the order of drug circulation, compression of circulation, reduce the false high drug prices", and "purify circulation environment, hit" a ticket money laundering ", strengthening the medical market regulation ".
In recent years, the whole society for medical burden is higher and higher, the final problem to assemble the most familiar public six words "medical care" and "expensive".
But on the other side, over the years, our country medicine circulation field "more poor small scattered" status has not been fundamentally improved, medicine circulation chain length, circulation disorder, the affiliated business, ticket money laundering, cross trade, with gold sales, pushing up medicine prices.
In this background, through the "two votes" means of financial governance ills of medicine circulation industry, become the common entrance of the folk and regulators and choice.
▍ core problem two: "two votes" how to set?
The blue parker, according to country version of "ticket" that is eventually, "drug production enterprise to open an invoice of enterprises and circulation enterprises to open an invoice of medical institutions."
Among them, the pharmaceutical production enterprise of the integration of trade and industry or group of enterprises to establish sales only wholly owned or holding of this enterprise (group) pharmaceutical commercial companies, pharmaceutical production domestic general agent can be regarded as overseas enterprise, but the only 1 1 commercial companies, domestic general agent, and the price must be controlled within a certain range.
Special is that the enterprises should be aware of the drug circulation group within the enterprise to a wholly owned subsidiary (holding) or a wholly owned subsidiary (holding) transfers between drug is not seen as a vote, but most allow open an invoice, and price must be controlled within a certain range, the specific markup percentage shall be prescribed by the provinces (autonomous regions and municipalities). Encourage public medical institution and pharmaceutical producing enterprises direct settlement drugs and drug manufacturers and circulation enterprises and settlement distribution costs.
▍ core question 3: "two votes" in what area?
According to the previous state of the two votes, many times in the two votes will be the first in public hospitals and health care reform pilot provinces, (autonomous regions and municipalities) away, on time, should be implemented throughout the country by 2018.
In particular, from the file issued by today (9 January), the public medical institutions of new medicines procurement activities should be implemented according to the two votes.
Recruit instrument network (image from China, has been authorized reprint)
▍ core question 4: production, distribution enterprises and medical organizations should be how to perform "two votes"?
A: it is reported, pharmaceutical production, circulation enterprises sell drugs, shall be in accordance with the relevant provisions of the invoice management of the special invoices for value-added tax or VAT invoice (hereinafter generally referred to as the "invoice"), the project complete to fill in. Sell drugs shall also be in accordance with the requirements for drug management quality management (GSP) attached with the cargo of peer list, the invoice of purchase, annul name shall be just walk with along with the goods, payment flow direction, the amount is consistent.
Buy medicine, medicine circulation enterprises should take the initiative to ask for bill to the pharmaceutical production enterprise, the invoice must be issued by the pharmaceutical producing enterprises. When the arrival of the acceptance, should verify invoices, the supplier with goods peer list with the actual purchase drugs varieties, specification, quantity, etc., check in and establish purchase drugs acceptance record, do vote, cargo, zhang. For invoice with with the cargo list do not conform to the requirements of the relevant provisions of the state, or ticket, content is not consistent between the goods, not check incoming.
Drug distribution in invoice and related bills, save shall, in accordance with the relevant regulations.
Public medical institutions in drug check incoming, it must be identified ticket, cargo, and account agreement shall be put in storage, use, not only to charge distribution pharmaceutical circulation enterprises, validation, invoices, also should be required to circulation enterprises, issue the seal of the original purchase invoice copy, provided by the production enterprise of two pieces of invoice the name of the medicine circulation enterprise, drug batch number of content related to each other, and as a public medical institution pay drug payment vouchers, included in the financial records management. Each drug varieties to provide at least once a purchase invoice copy. Encourage conditional area to use electronic invoice, through the information means to verify "two votes".
▍ core question 5: two votes will have what impact on pharmaceutical circulation?
Impact of small and medium-sized business, good big business, the two votes in circulation field must be "while is the water of the sea is the flame".
Public data shows that at present our country a total of more than 13000 drug wholesale business licenses of circulation enterprises, annual sales of more than 50 million yuan less than 5% of the enterprise, concentration of wide disparity compared with developed countries.
According to policy design and implementation of "two votes", some enterprises in the past by a ticket business company to complete basic by breaking the cycle of capital cost, make a ticket for a long time of the company's survival space is compressed, ticket function collapse, plus since may this year in the nationwide implementation of the "battalion to increase" tax reform policy, a large number of live on scalping business company under the combination of policy, the original value loss, facing out, enterprise in circulation will therefore policy will reduce a lot.
And "two votes" file in the provisions of the state of drug circulation group enterprise with wholly owned subsidiaries (holding) or a wholly owned subsidiary (holding) transfers between drug is not seen as a vote, will definitely good group medicine circulation enterprises; With the policy execution at the same time, a large number of agent type medicine commercial companies, small and medium-sized pharmaceutical commercial companies certainly will need to transform or seek takeover, to further speed up to large pharmaceutical circulation enterprises group mergers and reorganization release opportunities, further improve the concentration of drug distribution.
Circulation of experts on the issue further, said of a series of domino effect will quickly produce - "two votes" will break the drug market circulation rule, to some extent industry cost increases; Type of agent business promotion; Prefecture-level distribution model business opportunities for development, can be straight for the terminal; And large pharmaceutical business will quickly take market layout city-level branches, reserve agency industrial enterprises face challenges, with high open back or proprietary network enterprise facing opportunities, because those who live on scalping business company lose the original value will be eliminated.
▍ core question 6: two votes will be how to change the pharmaceutical industry?
With "two votes" operation, the different types of pharmaceutical industry will face a different living environment changes, it is several glad several sorrow.
Aimed at public hospitals as the main target market of enterprise, the base price agent merchant marketing model will be the biggest impact, that high a high return and proprietary team will usher in more opportunities.
And this policy will be less impact to the outside of the hospital prescription and the third terminal market, OTC retail market and private medical also adjust so good market opportunities.
But industry will also confront some problems, such as the fiscal and taxation treatment difficulty increased, at the same time, increase the cost of sales, profit margins; Increased difficulties of marketing management, such as the number of primary distribution business increase significantly, increased difficulties of channel management; Mixed mode coexist, financial deal with harder; The third terminal distribution business choice problems; Commercial payback periods change: in the short term may be shortened, long term will be extended, etc., all need to enterprises according to oneself circumstance timely adjust.
▍ core question 7: two votes to add + + camp, circulation regulation agent way out in where?
Two votes, to camp, circulation regulation and a series of policy mix, national general agent may be gradually disappear.
With operating costs increase, the profit margins are low, professional academic promotion agency chamber of commerce is more and more loved, hospital level commission agents to thrive, and channel control is weakened (no proprietary market, do not have distribution ability of GSP agency agent advantage gone), national general agent (except import agent) or will gradually disappear.
On the topic, senior industry experts to the blue parker said that at present the industry many policies of the country's relevant departments to a misunderstanding, or some one-sided understanding, once the perspective-taking, standing in the Angle of the relevant government departments to look at industry, may have very different ideas.
He says, that regulators cannot possibly hope to deliberate on which industry, they are more hope is the healthy development of the industry, the real boon for the people, therefore, at the time of these policies, certainly hope purification industry environment, promoting the healthy development of industry, of course, do not rule out the department in charge of the policy effect so looking forward to, is too urgent, or other factors may have some extreme, may cause "friendly fire" to the enterprise.
"The government's concerns, and many times the industry can not understand, and the government on many occasions, for many reasons, also inconvenience to the public communication, so misunderstandings." He said. |
