Seven departments jointly issued a document stating that medical consumables shall not be subject to secondary pricing.

【Summary】City-level organizations, alliance procurement, platform operation, content involves high-value consumables, ordinary consumables, in-vitro diagnostic reagents, etc. 1. Group negotiations for some varieties have begun Recently, the Guangzhou Municipal Medical Security Bureau and six other departments issued a "Notice on the Implementation Plan for the Centralized Procurement of Medical Consumables in Guangzhou Medical Institutions," which covers the procurement and transaction behavior of medical consumables (including high-value medical consumables, ordinary medical consumables, and in-vitro diagnostic reagents) in medical institutions. It is understood that this plan aims to effectively reduce the inflated prices of medical consumables, guarantee clinical needs, and promote institutional and mechanism reforms in the pharmaceutical purchasing and sales field in Guangzhou. The content points out that a working mechanism for the procurement and transaction of medical consumables in Guangzhou medical institutions and a Guangzhou medical consumables procurement and transaction platform (hereinafter referred to as the Guangzhou platform) will be established; classified procurement of medical consumables will be implemented to ensure the quality and reasonable prices of medical consumables and guarantee a stable and timely supply of medical consumables; a comprehensive supervision system for medical consumables will be established and improved to standardize the procurement and transaction of medical consumables and achieve online procurement of all types of medical consumables. The centralized procurement of medical consumables in Guangzhou medical institutions will be promoted according to the principle of classification and batching. It is strived to carry out the first batch of product procurement and transaction work from November 2020, and to conduct group negotiations for some varieties. 2. Consumables with stable prices are directly listed online According to Saibai Lan Medical Device Observation, promoting classified procurement is a key emphasis in each plan. The Guangzhou platform implements direct online listing, group negotiation, and price negotiation for the procurement of medical consumables by medical institutions, and medical institutions purchase relevant products on the Guangzhou platform according to regulations. Direct online listing procurement. Nationally and provincially unified centralized procurement varieties and high-value medical consumables that have passed medical insurance access and have clear medical insurance payment standards and relatively stable prices will be implemented through direct online listing procurement. Group negotiation procurement. For some medical consumables with large clinical usage, high procurement amounts, and mature clinical use, the "city-level organization, alliance procurement, platform operation" method can be used to establish a Guangzhou medical institution procurement alliance, and group negotiation procurement can be implemented under the principle of centralized volume procurement. Explore the implementation of cross-regional joint group negotiation procurement. Price negotiation procurement. Medical institutions, in accordance with the principles of volume procurement and quantity-price linkage, combined with factors such as the quantity purchased and the repayment cycle, reasonably negotiate procurement prices with medical consumable production and operation enterprises. Encourage and support medical institutions to jointly conduct price negotiation procurement. The Guangzhou platform collects market price data for reference by medical institutions. Other procurement methods determined by national, provincial, and municipal medical security departments. 3. Establish a medical consumables procurement expert database Under the unified medical consumables coding, establishing an expert database is another highlight. On the establishment of the procurement platform, a unified medical consumables coding standard will be implemented. Implement the national unified classification and coding standards for medical consumables, establish a medical consumables coding database, and carry out dynamic maintenance. Explore and promote the application of national medical consumables coding standards in bidding, procurement, distribution, use, settlement, and supervision, and promote information interoperability between medical institutions, procurement platforms, and supervision platforms. The Guangzhou platform is responsible for the construction and operation and maintenance of the Guangzhou Public Resource Trading Center, integrating functions such as information maintenance, order distribution, contract management, procurement transactions, and settlement payments, connecting with relevant regulatory platforms, providing information release, service object inquiry, information reporting, procurement transactions, price prompts, and supervision and complaints, and continuously optimizing and improving based on actual work. The medical information management system or procurement system of medical institutions will be connected to the Guangzhou platform. At the same time, a medical consumables procurement expert database will be established. In accordance with the principles of fairness, justice, professionalism, and voluntariness, a medical consumables procurement expert database covering different professional categories such as clinical, medical insurance, and management will be established. Experts from the expert database will participate in relevant businesses such as medical consumables procurement consultation, review, and negotiation. When medical institutions jointly conduct price negotiation procurement, they can apply to randomly select experts from the expert database to represent the joint body in conducting price negotiations. 4. Cross-regional price linkage In terms of strengthening comprehensive supervision, the first is to fully implement online procurement. High-value medical consumables used by public medical institutions in Guangzhou (including provincial and ministerial public medical institutions) should be purchased through the procurement platform, and other medical consumables should be purchased through the procurement platform in principle. Other municipal public medical institutions are encouraged and supported to choose the Guangzhou platform for procurement transactions. Private medical institutions and retail pharmacies are encouraged to voluntarily participate in the centralized procurement of medical consumables in Guangzhou. Institutions participating in the centralized procurement of medical consumables in Guangzhou will sign a centralized procurement agreement for medical consumables with the medical insurance agency. In addition, the supervision and management of various parties involved, including the procurement platform, medical consumables production enterprises, distribution enterprises, and medical institutions, will be implemented, and information will be interconnected with medical security, health and health, market supervision, and price monitoring departments to achieve comprehensive supervision. At the same time, the intensity of quality inspections of purchased medical consumables will be increased, quality supervision will be strengthened, monitoring of adverse events of purchased medical consumables will be strengthened, and quality safety will be ensured. A price prompt system for the procurement of medical consumables by medical institutions will be established to promote the reasonable formation of medical consumables prices. A cross-regional linkage mechanism for medical consumables prices will be studied and established, and information interoperability will be achieved with medical consumables procurement and transaction platforms with cooperative relationships. Regulate the circulation and distribution links. Increase the efforts to crack down on tax-related illegal and criminal acts such as issuing false invoices, regulate the distribution of medical consumables, and ensure that the supply of medical consumables is timely and sufficient. Public medical institutions should establish a selection mechanism for the distribution of high-value medical consumables to promote fair market competition. Medical consumables production enterprises are the main body responsible for supply and distribution, guaranteeing the right of medical consumables production enterprises to independently choose distribution enterprises, and guiding medical consumables production enterprises and medical institutions to reasonably choose distribution enterprises. Medical institutions should settle payments in a timely manner in accordance with the contract. Gradually promote online settlement of procurement transactions on the Guangzhou platform by medical institutions. 5. Medical institutions and enterprises shall not re-negotiate prices In terms of procurement supervision mechanisms, the internal management system for the procurement of medical consumables by medical institutions will be standardized, and the procurement situation on the procurement platform, the implementation of the procurement volume, and the implementation of the repayment will be included as the content of the comprehensive reform assessment of public medical institutions, and included in the target management and medical institution evaluation work. Establish an in-hospital access selection mechanism for high-value medical consumables, and strictly prohibit departments from purchasing on their own. For varieties that have passed national, provincial, and municipal centralized volume procurement or group negotiations, medical institutions and enterprises shall not re-negotiate prices. Strictly implement the relevant regulations on备案采购. Comprehensive use of various regulatory measures. Strengthen the management of the procurement situation of key monitoring varieties. Improve the agreement management of medical insurance designated medical institutions, include the procurement situation of medical consumables in medical insurance assessment, and link it with the hierarchical management of designated medical institutions, medical insurance settlement and payment, etc. A scientific and reasonable assessment and management system will be established to regulate the procurement and transaction behavior of medical consumables by medical consumables production and operation enterprises. Strictly implement the system of credit information recording, dishonesty punishment, market exit, and market prohibition, and relevant information will be promptly announced to the public. The Guangzhou platform will record credit information for each procurement transaction entity; for illegal and irregular acts in the procurement and transaction of medical consumables and other dishonest acts applicable to joint punishment, measures such as restricting participation in centralized procurement will be taken in accordance with the law and regulations to constrain or punish them. 6. Time arrangement announced The content points out that this implementation plan will be implemented from the date of issuance and will be valid for 5 years. Disclaimer: The above content is reproduced from Saibai Lan Medical Device, and the published content does not represent the position of this platform.

City-level organizations, alliance procurement, and platform operations, covering high-value consumables, general consumables, and in-vitro diagnostic reagents

1  Group negotiations have begun for some varieties

Recently, the Guangzhou Municipal Medical Security Bureau and six other departments issued a "Notice on the Implementation Plan for the Centralized Procurement of Medical Consumables in Guangzhou Medical Institutions," which covers the procurement and transaction behavior of medical consumables (including high-value medical consumables, general medical consumables, and in-vitro diagnostic reagents) in medical institutions.

It is understood that this plan aims to effectively reduce the inflated prices of medical consumables, ensure clinical needs, and promote institutional and mechanism reforms in the pharmaceutical purchasing and sales field in Guangzhou. The content points out that a working mechanism for the procurement and transaction of medical consumables in Guangzhou medical institutions and a Guangzhou medical consumables procurement and transaction platform (hereinafter referred to as the Guangzhou platform) will be established; classified procurement of medical consumables will be implemented to ensure reliable quality and reasonable prices of medical consumables, and to guarantee a stable and timely supply of medical consumables; a comprehensive regulatory system for medical consumables will be established and improved to standardize the procurement and transaction of medical consumables, and to achieve online procurement of all types of medical consumables. The centralized procurement of medical consumables in Guangzhou medical institutions will be promoted according to the principle of classification and batching. It is striving to launch the procurement and transaction of the first batch of products in November 2020 and conduct group negotiations for some varieties.

2  Price-stable consumables are directly listed online

According to Caibo Blue Medical Device Observation, promoting classified procurement is a key emphasis in each plan.

The Guangzhou platform implements direct online listing, group negotiation, and price negotiation for the procurement of medical consumables by medical institutions. Medical institutions purchase relevant products on the Guangzhou platform according to regulations. Direct online procurement. Centrally procured varieties implemented uniformly at the national and provincial levels, and high-value medical consumables that have passed medical insurance access and have clear medical insurance payment standards and relatively stable prices, will be implemented through direct online procurement. Group negotiation procurement. For some medical consumables with large clinical usage, high procurement amounts, and mature clinical use, the "city-level organization, alliance procurement, platform operation" method can be used to establish a Guangzhou medical institution procurement alliance, and group negotiation procurement can be implemented under the principle of centralized volume procurement. Explore the implementation of cross-regional joint group negotiation procurement. Price negotiation procurement. Medical institutions, in accordance with the principles of volume procurement and quantity-price linkage, will reasonably determine procurement prices with medical consumable production and operation enterprises, combining factors such as procurement quantity and payment cycle. Encourage and support medical institutions to jointly conduct price negotiation procurement. The Guangzhou platform collects market price data for reference by medical institutions. Other procurement methods determined by the national, provincial, and municipal medical security departments.

3  Establish a medical consumables procurement expert database

Under the unified medical consumables coding, establishing an expert database is another highlight. On the establishment of the procurement platform, the unified medical consumables coding standard will be implemented. Implement the national unified classification and coding standards for medical consumables, establish a medical consumables coding database and conduct dynamic maintenance. Explore and promote the application of national medical consumables coding standards in bidding, procurement, distribution, use, settlement, and supervision, and promote information interoperability between medical institutions, procurement platforms, and supervision platforms. The Guangzhou platform is responsible for the construction and maintenance by the Guangzhou Public Resource Trading Center, integrating information maintenance, order distribution, contract management, procurement transactions, settlement and payment functions, connecting with relevant regulatory platforms, providing information release, service object inquiry, information reporting, procurement transactions, price prompts and supervision and complaints, and continuously optimizing and improving according to actual work. The medical institution's medical information management system or procurement system will be connected to the Guangzhou platform. At the same time, a medical consumables procurement expert database will be established. In accordance with the principles of fairness, justice, professionalism, and voluntariness, a medical consumables procurement expert database covering various professional categories such as clinical, medical insurance, and management will be established. Experts from the expert database will participate in relevant businesses such as medical consumables procurement consultation, review, and negotiation. When medical institutions jointly conduct price negotiation procurement, they can apply to randomly select experts from the expert database to represent the joint body in conducting price negotiations.

4  Cross-regional price linkage

In terms of strengthening comprehensive supervision, the first step is to fully implement online procurement. High-value medical consumables used by public medical institutions in Guangzhou (including provincial and ministerial public medical institutions) should be procured through the procurement platform. Other medical consumables should be procured through the procurement platform in principle. Other municipal public medical institutions are encouraged and supported to choose the Guangzhou platform for procurement transactions. Private medical institutions and retail pharmacies are encouraged to voluntarily participate in the centralized procurement of medical consumables in Guangzhou. Institutions participating in the centralized procurement of medical consumables in Guangzhou will sign a centralized procurement agreement for medical consumables with the medical insurance agency. In addition, the supervision and management of various parties involved, including the procurement platform, medical consumables production enterprises, distribution enterprises, and medical institutions, will be implemented. Information will be interconnected with medical security, health and health, market supervision, price monitoring, and other departments to achieve comprehensive and all-round supervision. At the same time, the intensity of quality inspections of procured medical consumables will be increased, quality supervision will be strengthened, and monitoring of adverse events of procured medical consumables will be strengthened to ensure quality and safety. A price prompt system for medical consumables procurement in medical institutions will be established to promote the reasonable formation of medical consumables prices. A cross-regional price linkage mechanism for medical consumables will be studied and established, and information interoperability will be achieved with medical consumables procurement and transaction platforms with cooperative relationships. Regulate the circulation and distribution links. Increase the efforts to crack down on tax-related illegal and criminal activities such as false invoices, regulate the distribution of medical consumables, and ensure the timely and sufficient supply of medical consumables. Public medical institutions should establish a selection mechanism for the distribution of high-value medical consumables to promote fair market competition. Medical consumables production enterprises are the main body responsible for supply and distribution, guaranteeing the right of medical consumables production enterprises to independently choose distribution enterprises, and guiding medical consumables production enterprises and medical institutions to reasonably choose distribution enterprises. Medical institutions should settle payments in a timely manner in accordance with the contract. Gradually promote online settlement of procurement transactions on the Guangzhou platform by medical institutions.

5  Medical institutions and enterprises shall not re-negotiate prices

In terms of procurement supervision mechanisms, the internal management system for medical consumables procurement in medical institutions will be standardized, and the procurement situation on the procurement platform, the implementation of procurement volume, and the implementation of payment will be included as the content of the comprehensive reform assessment of public medical institutions, and included in the target management and medical institution evaluation work. Establish an in-hospital access selection mechanism for high-value medical consumables, and strictly prohibit departments from purchasing independently. For varieties that have been selected through national, provincial, and municipal centralized volume procurement or group negotiations, medical institutions and enterprises shall not re-negotiate prices. Strictly implement the relevant regulations on备案采购. Use a variety of regulatory measures comprehensively. Strengthen the management of the procurement of key monitoring varieties. Improve the agreement management of medical insurance designated medical institutions, include the relevant situation of medical consumables procurement in medical insurance assessment, and link it with the hierarchical management of designated medical institutions, medical insurance settlement and payment, etc. A scientific and reasonable assessment and management system will be established to regulate the procurement and transaction behavior of medical consumables by medical consumables production and operation enterprises. Strictly enforce credit information recording, dishonesty punishment, market exit, and market entry ban systems, and promptly publicize relevant information to the public. The Guangzhou platform records credit information for all procurement and transaction entities; for illegal and irregular acts in the procurement of medical consumables and other dishonest acts applicable to joint punishment, measures such as restricting participation in centralized procurement shall be taken in accordance with the law and regulations to constrain or punish them.

6  Time schedule announcement

The content points out that this implementation plan shall be implemented from the date of issuance and shall be valid for 5 years.

 

 

 

 

 

 

 

 

Disclaimer: The above content is reproduced from Cyber Blue Medical Devices, and the content does not represent the position of this platform.