Medical network - on February 8, medicare office of fujian province issued "the implementation of medical insurance payment settlement price based medicine joint limit sunlight procurement notice points out, in accordance with the" on-demand set, for use, remove the grey, price real "and" open and fair, fair competition, the honest code of honor, the entire regulation "principle, for the medical insurance fixed-point medical institutions at various levels and of the use of drugs (material), the implementation of medical insurance payment settlement price based joint procurement price sunshine.
Some analysts pointed out that the drug purchase into health care department of fujian province for the first time, is also on the health star zhan accumulated rich under the tender for the first time, believe that for the work of the provincial drug bid has very important guiding significance.
As early as October 28, 2016, has just set up a month of health office of fujian province was issued by the health care management committee office of fujian province on a further blow to diddle medical insurance fund and the violation of patients' behavior notice, "the first fire" to the medical insurance fund, strong-arm reaction to diddle medical insurance fund.
At present, fujian joint purchasing price is implementing the strategy with the double. On the one hand, actively collected throughout the country won the bid price (net), on the other hand, the new version of the purchasing price policy is more and more clear. Not surprisingly, the lowest price as the price.
In 2017 as the drug purchase fragmentation and diversity, provincial procurement has gradually become a platform support, classification of procurement as a multi-track hand in hand. With quantity procurement will bring is the consequence of spiral down the quantity and price, and the sunlight procurement has become a new drug in normal and irreversible trend.
Drug classification procurement Different rules of design
Sunlight procurement of the drug can be divided into: the joint price special drug sunshine sunshine purchase, emergency procurement and other medicines procurement three sunshine.
1. Varieties within the joint limit sunlight procurement catalogue, the provincial platform "joint limit sunlight procurement" channel for purchasing.
2. Directory, in clinical treatment needs are not included in the purchase of drugs, the medical institution shall, according to the clinical application for examination and approval rules, the provincial platform "emergency medicine procurement sunshine special channel (i.e., the" green channel ") to purchase.
3. Special control shall belong to the state of toxic drugs for medical treatment, narcotic drugs, psychotropic drugs, radioactive drugs, medical treatment, use drug free treatment of infectious diseases and parasitic diseases, immune planning with vaccines, drugs, family planning, traditional Chinese medicine, Chinese medicine yinpian, and active pharmaceutical ingredients and the national fixed-point production of drugs, negotiations drugs according to the existing provisions of the state in the provincial platform in the "other medicines procurement sunshine" channel for purchasing.
Market mechanism adopts parallel bidding and negotiation
Drugs into YaoXie joint limit sunlight procurement platform competition condition is a procurement directory of drugs offer in principle is not higher than the lowest price for the label and the recent international procurement of fujian province.
For noncompetitive three rounds of the drugs on the platform of the man-machine dialogue and negotiation, in accordance with the negotiation results determine whether the net;
For rival pills on the platform through three rounds of public bidding, after the competition, according to the price from low to high reserve several home network. Bargaining, sunlight procurement by the medical institutions themselves.
The production, circulation system of corporate responsibility jointly. In violation of the health care management committee office of fujian province on a further blow to diddle medical insurance fund and the violation of patients' behavior notice file spirit, have been found with gold sales, rebates, promotion and other illegal ACTS and not on time delivery, timely delivery, breach of contract manufacturing enterprise, enterprise in circulation (distribution), disqualified from the supply and distribution, at the same time blacklisting, reports the national health development planning commission and the healthcare reform office of the state council, and public reporting on the Internet.
A production enterprise quotation system. To put an end to a medical representative for the influence of drugs price, the joint limit sunlight procurement only accept domestic drug (consumables) production enterprise of approval documents (that is, the pharmaceutical production enterprise) and import (consumables) total domestic drug agents (i.e., direct customs declaration enterprise) of the declaration.
Encourage bargaining negotiations. Joint limit sunlight procurement of drug screening price ceiling price for purchase of medical institutions, to encourage each district medical institutions in the platform the net price, on the basis of the further negotiate with the enterprise to bring the negotiation, bring the real price of bargaining negotiations is not released.
Clear adjuvant Set up sales threshold
Clear distinctions in the fujian province bidding procurement of therapeutic drugs, auxiliary medication and nutritional medicine, and requirements for its strict control in the purchasing process, it has very important significance for other provinces, this also is each drug firms must focus on one of the main reasons for this round of bidding in fujian.
Therapeutic drugs: refers to the national health development planning commission issued a clinical pathway and the Chinese medical association and so on a national level (category) to learn (association) will be released by the clinical guidelines mentioned, expert consensus for the treatment of clinical symptoms of systemic disease drugs, declare drugs to provide the above information is proved that for review.
Adjuvant drugs: instructions on "auxiliary treatment" or the state development planning commission issued of clinical pathway and the Chinese medical association and so on a national level (category) to learn (association) will be released by the clinical guidelines mentioned, expert consensus of drugs used in the adjuvant treatment of disease.
Nutritional medicine: refers to the drug can replenish nutrients effect.
Of the pharmaceuticals listed in the monitored monthly sales amount is more than 5 million yuan, and quarterly sales value of the top 10 auxiliary medication and nutritional medicine practice the ladder price. From exceed sales quota of the next month, more than 2% per (less than 2%, calculated at 2%), procurement prices fell by 0.5% to pay YaoKuan, reduce the purchase price is no longer the callback and adjust accordingly WangJia and medicare payment standard or benchmark. |
