On October 9, liaoning medicine and medical consumables centralized procurement network issued the "notice on the joint bargaining and procurement of medical consumables and test reagents in a city-based unit" (hereinafter referred to as the "notice").
It is worth noting that, unlike other provinces, liaoning province has not only purchased medical consumables, but also test reagents.
"Notice", according to the scope of procurement, one is the medical consumables, including in the liaoning province sunshine purchasing medical consumables information database of medical institution "in the product, and as of September 30, 2019 medical institutions through" did not put in storage products purchasing management "side is allowed to centralized purchasing platform in liaoning province and the actual transaction product.
The second is the inspection and testing reagent, including the related products included in the notice on publicizing the sunshine purchase list of inspection and testing reagent for medical institutions in liaoning province.
As can be seen, the volume purchase will not only be expanded from one province to another, but also from one category of equipment to another category of equipment.
At the beginning, the procurement of belt volume was basically high-value consumables, such as anhui and jiangsu provinces, and the negotiations were conducted on orthopedic implant, ophthalmic and dual-chamber pacemaker products.
After that, nanjing medical insurance bureau released the negotiation results of nanjing alliance on four types of consumables on August 20, which was the first time that the belt quantity purchase negotiation of ordinary consumables was involved, including prefilled catheter irrigator, precision infusion device, closed indwelling needle, etc.
In addition, on August 26, the centralized purchasing website of drugs and medical consumables of liaoning province released the implementation plan of procurement of infusion sets in 2019 for medical and health institutions in liaoyang city. The pre-negotiation prices of some products were only 0.69 yuan and 0.83 yuan.
With the release of the notice, the bulk purchase has been expanded from high-value consumables to low-value consumables.
Take city as unit, level whole province price
Different from other provinces, liaoning province not only selects some varieties for quantity negotiation and purchase in the whole province, but also starts from the municipal level, realizes the same price with the city first, and then promotes the unified price of the whole province.
The notice requires that, on the basis of realizing online sunshine purchase of medical consumables by medical institutions, the same price can be achieved in the same city by means of joint negotiation of medical consumables in the city or unified price set by relying on sunshine purchase price of medical institutions in the jurisdiction, so as to ensure the same price for patients in each municipal planning area.
Then each city will report the bargaining result or the unified price of medical consumables to the centralized purchasing platform of drugs and medical consumables in liaoning province, encourage the inter-regional price linkage at the municipal level, and promote the unified market and price of the whole province.
As we have learned, liaoning province chooses shenyang city, dalian city and liaoyang city as consumable material to manage pilot before, among them liaoyang city is pair of infusion implement take quantity to purchase, the price drops the highest 82.14%, average drops 57.67%.
Previously, the relevant industry insiders in liaoyang city said to cybeland equipment that liaoyang city adopts the principle of minimum price for the quantity of purchased varieties, that is, the price of the varieties after the negotiation must be the lowest price in the whole province. If a lower price appears in the province before the purchase, even if the negotiation has been concluded, the products of the relevant equipment enterprises shall continue to fall to the minimum price.
In addition, according to the notice, liaoning province will also select 2-3 types of high-value consumables, ordinary consumables and test reagents produced by several enterprises with large clinical dosage, high purchase amount, mature clinical use, and high value consumables and common consumables produced by a number of enterprises to carry out bulk purchase and price exchange with volume, so as to ensure a substantial drop in price and gradually expand the variety of bulk purchase.
At the same time, liaoning provincial alliance will be formed to carry out mass procurement in a unified manner, and encourage cities to independently and jointly carry out mass procurement in addition to the unified organization of mass procurement in the province.
According to the notice, by March 1, 2020, liaoning province will complete the procurement of medical consumables at the same price in the same city and the first batch of medical consumables and test reagents, and release the results to the public.
This city's belt quantity purchase, specific to individual
According to the notice, medical and health institutions and relevant selected enterprises must implement the purchase amount, and the base of the first batch of purchase amount shall be based on the data of the centralized procurement platform of drugs and medical consumables in liaoning province from April 2018 to March 2019.
In principle, the agreed purchase amount shall not be less than 60% of the annual purchase amount of similar products (or 80% of the annual purchase amount of such products).
To ensure the purchase quantity, or take liaoyang city as an example, before the purchase quantity will be specific varieties of procurement quantity and procurement budget are accurate to a single place.
Such as "single head, all kinds of specifications" one-time use with needle infusion device, the purchase quantity is 657,135, the purchase budget is 453,423 yuan, the lowest price in liaoyang city before the negotiation is 0.69 yuan.
In addition to provincial and municipal purchases, liaoning city's bulk purchases may also be balanced to counties, townships and villages.
According to the notice, liaoning will promote integrated management of counties and townships and villages, and unified management within the medical community to carry out unified procurement, distribution and payment.
It is required that conditional areas should break the differences between different medical communities in the county, and explore the unified management, procurement and payment for goods in the county.Medical consumables and test reagents are purchased from the designated village clinics online, and are collected on behalf of the township clinics where they are located.