Medical network - December 22 provincial agent is usually responsible for work is the product of provincial tendering and bidding price at the provincial level, provincial medical insurance directory, product maintenance and distribution, along with the increase in the health city and the implementation of two votes, provincial generation more and more challenges in the process of transformation CSO
▍ paid price will be sent to the city?
At the end of 2016, the first half of 2016 medicare pay for successful growth, health care in 2017, amid rumours of its imminent in the bottom, which means that health care costs in 2017 management will only be more strict than in 2016.
In view of the whole health care spending per capita therapy for the treatment of people with product of health care costs, the result of an ageing population means that the rapid growth of the treatment of people can be expected, reduce the treatment cost per capita is king.
Per capita cost of treatment and can be broken down into two major projects: medicines and medical services. According to the current trend of public opinion, the doctor system has become vulnerable groups, and no one to do a doctor, and doctor's income should be the "sunshine", the medical service charge will rise, the total cost control is the same that is naturally for medicine.
Subjectively are motivated to control drug, objectively has accused of drug space, so even if there are 2016 new medical insurance directory of adjustment, "the joining together of two bao" directory of expansion and the original reimbursement constraints to broaden the short-term benefit of industry, but with health care cost strictly control demand, only paid price will be more inclined to go towards the direction of the lowest price, such as anhui paid guided price is according to the national lowest adjusting medicare payment standard.
There has always been rumors will pay the standard in the provinces to plan as a whole unit, to the city for a specific department. This means that the enterprise paid product price maintenance is going to sink to the products in the city - in the past you just need to enter the provincial health insurance directory, province is responsible for the product won the bid, can determine the basic of provincial health care payment price; But once the payment standards devolution to the prefecture level, generation means that the province will face administrative maintenance function of medical insurance to pay the price.
▍ into directory medicines at the provincial platform indicates sales in a hospital
Health city expansion to 200 in 2016, not reform pilot city 138, reform pilot city has covered more than half. 11 health reform pilot provinces, in addition to jiangsu suqian not become reform pilot city, the rest of the 108 cities belong to a health care reform pilot city, but not for health care reform pilot provinces, the basic every province city was as pilot reform. In 2017, the number of the health city has reportedly will be further expanded.
Reform pilot cities can have their own basic drug procurement rules, which means that the price of the provincial platform is only the first round of the product, the rest is, quality level, common name, dosage form, specification, in turn, the selection of products; These products also need the hospital procurement to complete drug procurement process. Health reform pilot city rules do not agree with the provincial platform, provincial generation will strengthen the health administrative bidding management.
From sanming mode and Shanghai, shenzhen GPO mode, one is the number of each level city commercial company further compressed, the second is the provincial platform of catalogue and the price may not be recognized, three is the final price products could only support of couplet of hospital/medical agent fees, even distribution, generation of space also ceased to exist.
▍ province generation the ultimate challenge: two votes + camp change
There is no doubt that the "two votes" officially landed in 2017 is the biggest challenge of provincial generation.
CSO is the best direction for generation of yunnan province, in general not kui drug margin, on the basis of province sales how much calculate how much, industry in the past to provincial generation constraints is not very big.
But the CSO is service outsourcing is made, and provincial generation distribution system is not the same as before, CSO will be guided by the results, if not be completed contract requirements, the performance of industry will continue to be signed with provincial agents.
In such cases, the province generation of transformation to CSO must strengthen the control of the hospital, has the self-management team province generation will be easier to gain advantage in CSO transition.
As stated above, the price paid, drug bidding, in the past with the all province as the unit price will be down on the health reform, most of the provinces in the provincial tendering, the future besides and other provinces have the lowest price linkage, basically tend to continue existing bidding mode, provincial generation importance to maintain the function of the platform at the provincial level to drop, the importance of municipal agents will be improved. This means that only the provincial government function and the generation of normal distribution function of the province will face has the same function in replace of the business enterprise.
▍ industrial revelation: product decision model
A province in 2017, before the market access management from "provincial bidding directory + provincial price +" provincial health insurance directory may be transformed into "provincial bidding directory + provincial price + provincial health insurance directory + provincial health care payment guidance price + the couplet of (d) the municipal bidding directory + city couplet of (d) bargaining + provincial health insurance directory + provincial health guidance price + the municipal health care payment", provincial generation past duties may not be qualified for the municipal access to work.
Excessively relying on the provincial agents and those who ever maintenance market access industry facing drug price pressure, must from the provincial agent took part in the market access charges to municipal agents, product by the municipal generation is responsible for the distribution, the compression circulating levels of policy environment in China is not in.
The author thinks that the future industry still choose agency system, there are three kinds of the solution:
One is the ministry of industry to the existing generation as a third party consulting company in charge of provincial market access, delegate agents to the municipal, reduce the cost of a distribution.
2 it is commercial company as agent at the provincial level or national agency, shall be the responsibility of the broker pattern of couplet of medical/hospital terminal promotion, government affairs shall be the responsibility of the business.
Three are industrial companies choose to in charge of provincial and municipal government affairs and have direct terminal team province generation.
Choose which model is the key to the type of product is in what kind of product life cycle, the corresponding factors such as competitors, but for the only provincial resources and common distribution agents, the transformation is imminent.
It is important to note that although most of the company first thought is a big business company, but the big business of the company's human resources is limited, so they will be more preferred varieties, can also responsible for provincial and municipal government and provincial generation have direct terminal team is very scarce, the province generation will give preference to products, and big industry are also more willing to put the agency for them.
Industry makes the existing provincial generation as a third party consulting company in charge of provincial market access, delegate agents to the municipal this pattern will demand industrial investment management from the province of the development management to the generation of fine management.
Accordingly, 2017 will be the key to the industrial transformation, agent for a year, CSO model can work, need to industrial and agents work together. |
