Medical network on December 12 - hunan drugs in a tu price and is known for being fierce, hunan in 2014 drug in disputes arise, the resulting "walk", "" the hunan, hunan" songs ", "shell", such as keywords, so far is concerned.
In recently, the author got a hunan province on the implementation of public medical institutions and drug combined with quantity of procurement and two votes of the implementation opinions "(hereinafter referred to as" opinions "), "opinion" briefly read through the following content, slightly for readers reference:
▍ face a new round of drug purchase: allow around to bring quantity buying flowers
Relative to formally announced on June 16, the deepening medical and health system in hunan province comprehensive reform pilot program ", the latest spread out the purchasing body suddenly turn hostile "opinion" quietly.
By "pilot program" requirements "stick to recruit unity, hook, such as double envelope principle, quantity and price of centralized bidding, belt around the amount of purchase, contract management, strict supervision. Medical data system operation, gradually to the provincial with quantity purchase for the unit", "can be seen in the" opinions "in the city state to form a procurement consortium, unified with amount of purchase.
The central and provincial medical institutions can be separate to form a consortium and also can be added according to the principle of territorial management association of the city state "and" provincial drug action do to be responsible for guiding the quantities with purchasing, provincial medical work in centralized purchasing platform is responsible for providing technical support and guarantee the consortium to bring a successful negotiation purchasing ".
This means that, from the traditional sense of the "drug in" at the provincial level to each area cities "bring purchasing", has as fujian, guangxi, henan, anhui, jiangsu popularized, and became an unstoppable wave of hunan are no exception.
And this kind of change, the biggest impact is drug purchase fragmentation.
The ancestor of the fragmentation is pioneering in 2015 in anhui province "16 + 1", then creatively implement the compromise alternative: fujian provincial shortlisted, for purchasing - and the real fragmentation will carry forward of guangxi.
Nowadays, hunan to follow, will have a "feather" inherit the determination, the provincial drug action platform, technical support and service support, will be from the original "referee execution" has become "the fourth official" role.
▍ winning bids at the provincial level as the medical insurance payment standard, price difference compensation of medical institutions directly
"Opinions", stressed that the medical insurance directory of drugs, medical insurance agency orgnaization pay standard by the provincial price as settlement. With purchase price and provincial price difference, is used to compensate running costs, such as storage of medical institutions and personnel salary system reform, implement after a period of time, will bring purchasing saving space is used to cut drug costs payment standard and medical service price adjustment.
To see, one is the orgnaization of agency of hunan is gradually establish and improve the health and medical institutions and drug supplier negotiations consultation mechanism and responsibility sharing mechanism, control the related cost is not reasonable growth. The second is the actual purchase price and provincial price difference compensation for the hospital, and to get much easier for the masses is a question mark. Three is to take quantity purchase saves space to cut drug expenses payment standard, for drug firms is an incredible challenge. A price drop down again, don't again to the tragedy of the "kill prices"? !
▍ speculation hunan drug purchase most possible way
According to 2016 to present, relevant documents issued by the departments of hunan, the author through combing, bold speculation, a new round of hunan drug purchase most possible way should be like this:
1, adjust the price of online transactions at the provincial level, become the new ceiling
Popular point, is according to the principle of leveling, lowest price online trading on the new confirmed in hunan province in platform. New in environment, prices are not the final province unified execution at the provincial level, probably will become the provincial procurement price ceiling! Under the ceiling, and then into the bargain.
2, with quantity purchase some pilot, other for follow up
On the basis of the provincial price be leveling, fujian area is similar to the reference purchasing mode (fuzhou first, other area follow up), begin with a start, "the central and provincial medical institutions" as the pilot, first try, make purchasing plan and purchasing directory, after being mature operation, immediately, the dose could be implemented in the former varieties of qualifying with the amount of the purchase, can the whole pack quantity purchasing pharmaceuticals. Affects mature a, a, a mature, influence and, by extension, a single spark can start a prairie fire!
▍ implement drug of two votes
"Opinions" requirement, as of December 31, 2016 in the province of public medical institutions to implement two votes. Attention! This is not to try out, is introduced. If such "opinion", throughout the province to carry out the two votes, then the medical market will be a shuffle of hunan. From drug companies, and to all kinds of business bags to all will be involved, hard to stay out. After two votes for ticket out of the factory, from the manufacturer, a single channel, business system to reconstruct, circulation field will shuffle the deck. So, will be a shock level.
Hunan, as a national comprehensive reform pilot provinces "nouveau riche", believe that naturally reluctant in anhui, fujian, more can bold attempt various reform innovation, want to rush out of a new world! In 2017, hunan drug purchase, be sure to put on a wonderful drama! For drug firms and business, a new round of price and circulation of big reshuffle is coming. |
