Medical network on September 12 - on September 8, hunan yueyang pingjiang xian who plan bureau sent a file - "about in the center of the town of nanjiang pilot institutes to carry out the public debate competition price discount announcement of choice of medicines and chemical reagents, consumable purchase cooperative enterprises.
Announcement, pingjiang xian who plan bureau decided to pilot county public medical institutions, the promotion of a new distributors to choose his own pattern in medicines and chemical reagents, consumable price discount open competition to select purchasing cooperative enterprises.
In the first pilot of nanjiang town center hospital to choose his own announcement, the core content of this model can be simply summarized as: a towns and townships courtyard only a medical consumables distributors, who more discount will choose who, the bottom line is that the discount 20%, still have to implement the "two votes", and enterprise pay high quality retention money to help pay...
In particular, the provincial and municipal procurement platform has been bidding for the price, or allowing the price of medicines and consumables to be negotiated on the basis of the county, and the pingjiang county health bureau shall organize the competitive bargaining.
This is actually a "second price negotiation".
According to the announcement, the center of the central hospital of nanjiang town will make a package of drugs and consumables, and then the maximum discount for each package will be selected as the partner. Among them, the comprehensive discount limit set by consumables bag is 20%.
The two bags of medicine and consumables only choose one distributor, but the announcement also suggests that the same distribution company can compete in both medicines and supplies. That is to say, it is possible that a company will take the medicine and consumables distribution of the whole hospital.
Let's look at quality retention money again. According to the notice, the consumption bag charges quality retention money million yuan, although only half the amount of the medicine bag, but also a lot of sincerity. Quality retention money is mainly to replace the debt of the central health hospital of nanjiang town.
Which enterprise wants to participate in the selection, take out 3 million first, can not take a side to go away.
In addition, the announcement also made clear, the enterprise of the selected, the hospital party is to be according to "two ticket system" the request, carries on the payment settlement.
So conditional, hehe.
No matter how you look, the reality is that, "the second negotiation" and the distribution of monopoly is under "purchase price", and improve the distribution of concentration, prevalent in medicines and chemical reagents, consumable purchase.
The new "meat cutting era" has come, and the winner will have, but only a few.
Annex: on the pilot of the pilot project of the center of the town center of nanjiang town, the public competition for the price discount selection of drugs, consumables procurement cooperative enterprise announcement
To actively yet prudently proceed with medicine procurement sunshine, medicines and chemical reagents, consumable purchase link integrity, risk reduction and ensuring the supply of medicines and chemical reagents, consumables, according to the law of the People's Republic of China against unfair competition ", "the general office of the state council on further reform and improve the pharmaceutical production circulation use policy several opinions do hair [2017] no. 13 (countries)," on drug procurement in the public medical institutions in implementing the implementation of the "two votes" opinion (trial) notice (the reform do hair [2016] no. 4), the hunan health reform leading group meeting minutes (Gordon house read [2016] no. 65) legal documents, such as regulation, pingjiang xian who plan bureau party who plan bureau, county commission for discipline inspection is assigned to the team decided to nanjiang town center hospital (including board jiang town hospitals, township hospitals, tower) as a pilot unit, the county towns and townships to medicines and chemical reagents, consumable price discount open competition to select a cooperative enterprise; The results of the pilot project will be applied to other public medical institutions in the county in an appropriate manner. The relevant matters are hereby announced as follows:
1. About the subject of discount
The pingjiang county health bureau is responsible for organizing public competitive discounts. Nanjiang town center health hospital as the subject of the contract signing performance.
Ii. Drug and consumables that are included in the scope of the proposal
In addition to the state applies a special management of narcotic drugs, psychotropic drugs, toxic drugs for medical use and radioactive pharmaceuticals, nanjiang hospitals at the provincial drug procurement platform in the centre of the town, city consumables procurement platform directory within the scope of actual procurement directory and 2016 to 2017 by the department and the purchase of new directory of all drugs and consumables; And the list of 25 non-prescription medicines identified by our county according to relevant policies.
3. Package discounts
In order to improve the distribution concentration, the discount range will be increased by competition, and the two categories of drugs and consumables will be packed into one package. Each package publicly competes for discounts to select an independent legal person distribution company with relevant qualifications. The same independent legal entity can compete in two packages as long as it meets relevant qualifications.
Competition and discount methods
Medicines and chemical reagents, consumable packages competition negotiate discounts: enterprise each product gauge discount offer x 2016 each product gauge the actual purchase amount (for the new department in 2017 of new medicines and chemical reagents, consumables, on June 1, 2017 - the actual purchase quantity for reference; Only new rules for 2017 are indicated. Below) = reference purchase for each product gauge. According to the rules of each goods refer to the sum of purchases, from small to large, from comprehensive discount order as in a discount line (see the first 6), on the basis of through comprehensive comparison of discounts public fair and choose the cooperative enterprise.
The amount of purchase in 2016 is only the reference amount for the calculation of the comprehensive discount of open competition, and does not represent the actual purchase quantity of each year of the contract. The actual purchase quantity of the contract shall be determined by the nanjiang town center hospital according to the business needs.
The competition about the discount of drug purchasing platform, consumables are all provinces and cities have bid price or allowed by county as the unit to bargaining rules, therefore, each packet as long as there is an enterprise to participate in public debate competition discount and achieve the set line, the announcement is the discount of competitive debate effectively.
After successfully negotiate discounts, nanjiang institutes in the centre of the town through the provinces and cities in all types of medicines and chemical reagents, consumable purchase procurement, procurement platform are chosen by the open competition of shipping enterprises according to the "two votes" is responsible for the distribution and related regulation, or by the enterprise in accordance with the relevant drug procurement channels and the provisions of the "two votes" coordination third-party enterprise distribution.
Nanjiang town center hospital, according to the actual needs of medical service in pingjiang xian who plan bureau (drug administration) after filing for the record, can compete in the public debate discount directory product besides the gauge purchase not exceeding 5% of the total amount of drug purchase other product rules; If the purchasing quota of 5% of the purchasing shares is listed in the provincial procurement platform, it should be purchased after approval. The 5 per cent of the purchase share should be purchased through the competition selected by the company or the third party responsible for the coordination of the company.
Fifth, distribution enterprises participate in the competition conditions
The enterprises that meet the relevant regulations of the state and province and have the qualifications for drug and consumables distribution and agree to the content of this announcement are welcome to participate in the open competition. But nearly three years (on September 1, 2014 - August 30, 2017) in pingjiang xian public medical institution pharmaceutical sales link of commercial bribery, bribery and other illegal disciplinary cases or medicine, the material quality problem enterprise, cannot participate in; In the list of companies listed on the list of companies, it is true that the information reflects the above-mentioned problems in the past three years in other public medical institutions in the province.
6. Set minimum comprehensive discount for each package and the corresponding period
To prevent related link of enterprise competition complicity "hunting", according to the reference mentioned in the first four drugs, consumable purchase amount, and the early stage of the multi-channel market investigation, pay attention to openly discuss discounts for both, more requirements ensures that the cooperative enterprises through open competition selection "to ensure supply, ensure quality, ensure service". Therefore, it is reasonable to set a comprehensive discount line for each package from the width, and reasonably set the follow-up supervision and management of the enterprise.
The comprehensive discount calculation method of pharmaceutical package: the new price of the drug procurement platform of the province, which has been published on September 4, 2017, is the new price of the drug purchasing platform. The company's discount price on the new price based on the new price in the province's platform is made up by the purchase quantity of 2016. (the sum of the annual purchase sum of each article) - (the sum of the reference purchase amount of the purchase amount of the purchase amount in 2016) shall be the sum of the annual purchase sum of the goods of each article = comprehensive discount. The general discount of the drug package except for the agreed price shall not be less than 10% of the bottom line (the bargaining drug shall be indicated in the quotation of the enterprise).
The comprehensive discount calculation method of consumables package: the quantity of discount quotation of each article is x 2016, which is equal to the reference purchase amount of each article. (in 2016, the sum of the actual purchase amount of each product regulation - the sum of the annual reference purchase sum of each article) shall be the sum of the actual purchase amount of each article in 2016 = comprehensive discount. Consumables package sets a 20% bottom line.
Open competition, and, if the largest comprehensive discount discount below the bottom line of enterprise, competition will be announced about discount link failure, discount to deal directly with other related enterprises, comprehensive consultation results as long as discount is greater than or equal to the open set of comprehensive discount bottom line, can be formally signed with the enterprise.
The contract of each package is two years, whether it is a contract with an open competition, or a contract with a company that directly deals with the choice. During the contract period, the contract was terminated due to the policy reasons of the superior, and the contract was terminated. Quality retention money was returned to the enterprise from the central hospital of nanjiang town, and the two parties did not make up for each other.
7. Competitive discount specific operating procedures
The medicine bag collects quality retention money million yuan; Quality retention money is mainly used to replace the debt of the central health hospital of nanjiang town.
All conform to the conditions of the first five, and in September 9, 2017 to 2017 on September 15, 17, into the quality retention money as required to the designated account of the distribution companies (please indicate: the nanjiang institutes of medicine or consumables procurement quality retention money in the centre of the town. Designated account as follows: the pingjiang xian health institutes of nanjiang town center, nanjiang at pingkiang, hunan agricultural business bank branches, 86051520018850882012), can be in on September 18, 2017, 17 before bring relevant information to the pingjiang xian who plan bureau of drug administration for registration
(contact: fu wei, li bin; Tel: 6699960; Work days, 8:00 a.m. to 12:00 a.m., 15:00-18:00 p.m. Relevant information as follows: a, the period of validity of a copy of the business license of enterprise legal person or legal person registration certificate, organization code certificate copy, the duplicate of the unity of three certificates and simply duplicate of the business license. B. Copy of legal representative's id card or legal representative's authorization letter of authorization and copy of the agent's id card. C. A copy of the operating permit of pharmaceutical or medical device in the term of validity. D, quality retention money bank into the voucher. A, b and c shall be stamped with the official seal of the enterprise.
Package after confirmation, collect the relevant procurement directory and as discuss discount reference of actual purchasing amount of paper documents in 2016 a (by the nanjiang town center hospital build official seal), and copy the electronic document (can be provided by the enterprise, E-mail, online send electronic documents). The list of companies to register for competition with two packages before 12:00, September 19, 2017, will be announced at 17:00 on September 24, 2017. Welcome all sectors of society to check the qualification of enterprises.
On September 25, 2017, 10, each participation competition of enterprises with registration at the collar paper documents and manual to fill in each black pen clear product gauge discount offer (enterprise should photocopy a a preservation), page by page, build official seal of the enterprise, to the pingjiang xian statistics bureau at the scene of the meeting room on the fourth floor open discount offer paper documents, by various enterprises to participate in the competition for cross check, and then the pingjiang xian who plan bureau and the relevant person in charge of nanjiang town center hospital review. Select a distribution company according to the requirements of the fourth point.
Same situation, drug package first order priority except bargaining medicine product discounts the largest gauge, the second order priority 2016 directory single product gauge purchase amount the biggest top 50 product gauge integrated discount and greater than the second compared to the 1% of the enterprise; The consumables package is implemented directly in the second order priority (because there are no bargaining rules in the city consumables purchasing platform).
In the same case, the general discount is to meet or exceed the bottom line requirement, and the comprehensive discount gap is less than or equal to 1 percentage point. If the difference in priority condition of the second order is less than or equal to 1 percentage point, the enterprise that chooses the largest absolute value of the whole package is the partner.
After the open competition, the company that was not selected as the partner of the company has made quality retention money, and the original channel will be returned within 5 working days.
The provisions on the bargaining drugs
To prevent after signing, less dosage of distribution enterprises in the bargaining drug abuse concentration distribution status, market price adjustment: bargaining if drug pricing due to market changes, all by the two sides in accordance with the rules negotiation, if both sides talks things over consistent, in accordance with the rules about purchasing; If the negotiation fails, nanjiang town center health center can purchase from other lower prices.
Ix. Payment of drugs and consumables
Contract period, the two sides according to the nanjiang town center hospital procurement of medicines and chemical reagents, consumable goods gauge, quantity and the corresponding amount according to solid settlement, issued by the enterprise according to the requirements of the "two votes" delivery list and invoice, the hospital according to the invoice amount and "two votes" for payment. If the relevant drugs and consumables price adjustment of the provincial and municipal procurement platform are adjusted, and the new platform price is lower than the agreed discount price, the new price shall be implemented unconditionally according to the provincial and municipal platforms. The new price of the provincial and municipal platform is higher than the agreed discount price, and the price is executed according to the agreed discount price. The agreed price shall be settled on the basis of the actual purchase price.
In principle, the central health hospital of nanjiang town will click on the purchasing catalogue and quantity list on the website of the provincial and municipal purchasing platform, and the enterprise shall deliver the inventory to the hospital in a timely manner. In principle, the monthly payment should be settled in the next month, but the maximum period of not exceeding 3 months shall be settled in consideration of the timeliness and timeliness of reimbursement of medical insurance reimbursement. College, distribution, both sides should be properly kept purchasing list data such as receipt of payment instrument, as evaluation enterprise is truly "ensure supply, ensure quality, ensure service" of the important basis.
Strengthen supervision and control over enterprises
In case of special circumstances such as first aid, disaster, epidemic situation and public health emergencies, it is necessary for the enterprise to provide the medicine with unconditional and full support.
During the contract period, the drug and consumables catalogue, which has been publicly contested for discounts, has clarified the manufacturers' requirements. As long as the hospital requires procurement, the enterprise shall guarantee the supply of the products. Purchasing platform for provinces and cities directory adjustment, the original manufacturer production and have to switch to other manufacturers of similar product rules, and because of the hospital itself directory information, did not specify what the manufacturer or the manufacturer information accurately, cause can gauge of similar goods delivery is not a specific manufacturer, as long as meet the national standards, belongs to the provinces and cities procurement platform directory within the scope of the product rules, specific decided by both parties of college; But in addition to "procurement platform directory adjustment for provinces and cities, the discussion related product gauge can't discount directory from the provincial and municipal procurement platform, must be similar product rules" to switch to other manufacturers, for other reasons similar enterprise distribution related to a particular manufacturer product gauge, settlement of make out an invoice price is not higher than the negotiated price after discount.
If not timely and medicines at the distribution for their own reasons (product gauge) supply chain scission, especially a few cheap drugs, selling price drugs outages), every appeared to booked, and the hospital intends to purchase, which cannot guarantee medical supplies 10 times the amount of liquidated damages. Companies within the same contract year cumulative three times a yellow card or cumulative failure to secure supplies of purchasing drug amount to 80000 yuan, or should a cold-chain transport without pharmaceutical cold-chain transport situation, nanjiang institutes in the centre of the town shall have the right to rescission, unconditionally and termination of quality retention money will not be refunded.
The central hospital of nanjiang town strengthens the supervision over the supply and service quality of the distribution enterprises. Welcome the public to strengthen the supervision of the distribution enterprises selected by the public competition.
11. Concerning the promotion and use of new drugs in the contract period and the purchase of new consumables for new medical equipment
According to the relevant policies of the state and the departments of higher health and pingjiang county.
Special agreement
After signing the contract between the two parties, if both parties are in dispute during the performance of the contract, the two parties shall settle the dispute amicably. If the negotiation fails, it shall be resolved through judicial means, and the jurisdiction shall be the people's court of the central health center of nanjiang town.
Pingjiang county health bureau
September 8, 2017
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