Medical network - on July 4, to focus on the provinces of two votes, the industry of new used mouth is: "the most to force the smartest in jiangsu, zhejiang, Shanghai's action, chongqing is the most controversial, the most demanding of fujian, guangdong's most rigorous, gansu the ground, the most serious in shanxi, guizhou is the most neutral, hainan is the most easy..." The two-ticket system has been issued in the provinces successively, the framework has been set up, the detailed rules need to be issued! In 2018, the country will fully implement the two-ticket system, leaving the medical enterprises with limited time to prepare for the exam.
As of June 30, 2017, a total of 26 provinces and municipalities have implemented a two-ticket implementation plan or related document, according to the e-drug manager.
A two-ticket scheme was introduced in zhejiang, Shanghai and Inner Mongolia on June 30.
Among them, Shanghai since the date of announcement, immediate execution, jiangsu clear the second batch of bargain bidding procurement, procurement, procurement price netting results from the procurement of pharmaceuticals executed as of the date of synchronization, the first batch of has been purchasing drugs transition until December 31, 2017. Zhejiang province will be implemented from August 1, 2017, which will be on October 31, 2017.
In the two-ticket scheme, the wisdom of "superior" has been demonstrated in jiangsu and zhejiang provinces. Tongji medical college huazhong university of science and technology and drug policy and management research center to the E medicine manager Tony analysis, said: "in jiangsu province, as a traditional medicine of zhejiang province, developed economy, the pharmaceutical industry size large, in the following countries version two votes trend at the same time, embody the flexibility, at the same time to the transformation of the reform of circulation enterprises standing in the room. And Shanghai as a distribution structure is relatively simple and can realize the last kilometer cover city, two votes reflect trends, namely to support large enterprises."
1. Two ticket-making documents have been issued
According to the national health development planning commission requirements, the comprehensive reform pilot provinces and public hospital reform pilot areas to take the lead to implement the "two votes" in 2017, by the end of June to make "two votes".
Today is the last day of the pilot province issued a formal documents, so far, 11 pilot provinces have developed two votes file, among them, the official document is circulated in the industry in ningxia, the official has not yet been released.
Overall, the zhejiang province two votes file is focused on: the commission drug marketing authorisation holder sales pharmaceutical production enterprise or circulation enterprises (the national 1 only), production enterprise product management rights transfer between the assignee can be regarded as production enterprises; Drug circulation to wholly owned subsidiaries (holding) group company internal allocating medicines, or ERP system with province YaoXie purchasing platform of wholly owned subsidiaries (holding) transfers between drugs, not as a ticket, but most allow open an invoice.
Zhejiang since the first half of 2016 began in zhejiang province people's hospital, zhejiang university school of medicine in the first affiliated hospital, 15 medical institutions to carry out the pilot "third-rate unity", namely the province unified information flow, business flow, cash flow and "c" online drug purchase transaction platform, and running on June 1. This platform to increase the function of clearing, pharmaceutical information flow, business flow, cash flow can be clear tracking and medical institutions to drug firms collection efficiency greatly, shortened drug firms capital turnover period.
According to Chen hao, in the case of good returns, zhejiang's two-ticket system already has a good foundation. The two ticket-making documents in zhejiang also explicitly encourage the public medical institutions to directly settle the payment of drugs through the provincial drug purchasing platform and drug production enterprises.
But the biggest difference in zhejiang province is that the biggest demand for two-ticket documents is that some remote regional drugs take into account the third demand.
Jiangsu official documents of two votes increased a over the draft: the drug circulation between enterprises in a zero rate of allocate drugs in the province is not considered a ticket (limited "two votes" within six months from the date of execution). Chen hao believes that this is actually a disguised three votes. In this case, in jiangsu province is given half a year, in the at the same time, to solve the problem of drug supply security and the profit of circulation enterprises in the industry, its smooth transition, to reduce the loss of large circulation enterprises.
Shanghai's two votes file into effect from the date of printing, regulation of large circulation enterprises have to take the lead in the distribution to the public medical institutions drug requirements stipulated in the "two votes", other circulation enterprises in a gradual adjustment in place before the end of the year. Chen hao said that Shanghai's economy is developed and that there are small differences between medical institutions. The distribution structure is simple and can deliver the last kilometer of distribution. The signals from the two-ticket system are to regulate and support large commercial enterprises.
In Inner Mongolia, two votes file said, due to the strategic cooperation in property rights transfer market products, in product related certificates for examination and approval before allowing unfinished transition increase one vote, but should provide relevant certificates.
2. Focus on chongqing
As of this time, in addition to ningxia, Beijing, shandong, henan, jiangxi, yunnan, xinjiang, Tibet, 26 provinces have officially issued two ballot papers or soliciting submissions. And ningxia have suspected formal document flow, Beijing in the medicine separate implementation scheme of comprehensive reform, to implement the "two votes", Tibet has said in 2016 drug purchase scheme of two votes.
The personage inside course of study to analysis E medicine managers, the provinces of two votes files are two votes in the country on the basis of the adjustment of adjust measures to local conditions, but the current national focus on two votes in chongqing. Earlier this year, chongqing issued by the "two votes" implementation plan, said foreign domestic general agent or directly from the outside of the drug production enterprises as the agent of imported drugs, can be regarded as production enterprise, is not a ticket. In fact, the national general agent's confirmation of the ticket is actually a two-ticket system. |
