Medical network - February 23 February 20, 2017, medicines and medical consumables in liaoning province centralized procurement network business of medical consumables and medical institutions in liaoning province inspection detection reagent sunlight procurement implementation plan "(hereinafter referred to as the" scheme "), and since the date of release is executed. Specifically, including the province to carry out medical consumables and test detection reagent distribution "two votes".
On December 9, 2016, who in liaoning province development planning commission is the medical institutions in liaoning province medical consumables and test detection reagent sunlight procurement plan (draft) "(hereinafter referred to as the" draft ") for public opinion, the file has not yet to implement the "two votes".
"The draft" about the content of the "distribution"
"Solution" about the content of the "distribution", has added a "two votes" rules
Just two months later, finally introduced the "solution" is included in the "two votes", and clearly expressed as "in accordance with the relevant national requirements", is not health reform pilot province of liaoning province, visible medical consumables and test detection reagent "two votes" pushing speed in speed up again, may well like drug "two votes" version of the regulations of the state, the national standard.
"Solution" is put forward, want to "explore ways to establish online settlement, encourage medical institutions and production enterprises direct settlement payment for goods, production and distribution enterprise settlement distribution costs." This is outside of the implementation of the "two votes", encouraging some active implementation of "one vote".
It is forbidden to secondary bargaining, debt collection for acceptance
In addition to carrying out the "two votes", also in liaoning province in the "solution" ban: next to the hospital to rebates, rebates, in any form secondary bargaining! It is forbidden to hospital payment defaults - pay acceptance also not line!
Solutions:
The principle of "city in accordance with the same price, each medical institutions shall not in any way group negotiation or ask the enterprise rebates in various forms, rebates, establish concealed accounts and other forms of secondary bargaining."
"According to the provisions of the state, payment time in principle from the delivery of the goods to the acceptance of payment shall not exceed 30 days. It is strictly prohibited to medical institutions in the form of acceptance of a disguised form phenomenon and the behavior of delay payment time."
The above rules should be conducted in the purchase of consumables and reagents, echoes the provisions in the drug centralized purchasing in liaoning province.
With industry experts, in fact, at the national level, the second negotiation never let go, but to hold around the execution time of various "flexibility", especially in the hospital after cancel the drug consumables addition, revenues, often with all sorts of names makes full text on drug supplies procurement, the so-called "where it is where to find", hospital income losses, largely to fill by pharmaceutical companies' profits.
Such as rebates, rebates, such as establishing "concealed accounts" form is a commonly used means of hospital, there are hospitals in the form of sponsorships, donations - technique is different, the purpose is the same. Variety, various secondary bargaining, severely weakened the authority of the provincial tendering, pharmaceutical companies are also withstand such double bargaining.
If the second negotiation can order, for medicine is a wonderful thing. As for collection and 30 days if it can perform in place, more than for him to dream.
Liaoning province is given in the "solution" for medical institutions non-compliance disciplinary measures.
"Plan" put forward, the medical institutions shall be separately organized secondary bargaining, not according to the amount of settlement payment for goods on time, delay payment, by acceptance shall be criticized, and corrections within a time limit; Deadline do not change or happening again, into the pharmaceutical sales credit record, shall be investigated for the responsibility of the main leaders and related personnel; On suspicion of serious disciplinary violations, or illegal behavior, submitted to the disciplinary inspection department or judicial organs.
Implantable high-value consumables, health care to negotiate prices
It is worth noting that compared with the previous "draft", "the plan" to further strengthen the control in health care in consumables and reagents procurement cost.
"Plan" put forward, people club department to "promote the reform of medical insurance payment methods, develop health care medical consumables and test detection reagent pay standards; to strengthen the medical insurance fund budget management, on the basis of the medical insurance payment transactions to establish bed day paid according to macro-reforms, according to the combination of a variety of forms such as composite payment; for health care products, especially the high value of the implanted material, medical insurance agency orgnaization should actively play a role of negotiations; establish the balance with the medical establishment that decide a dot retention, reasonable overruns sharing mechanism and negotiations negotiation mechanism of incentive and constraint, perfect the fixed-point agreement and to do a good job of clearing medical expenses."
There is no doubt that the rules are in with countries to strengthen the reform of the health control cost function is consistent, and health care directly participate in high value consumables procurement negotiations, more will undoubtedly bring new price pressure.
"Real estate priority" deleted
In addition, in the end of the programme is also removed the "draft" in the "real estate priority use" rules, just put forward "the same condition, medical institutions to give priority to use domestic products". The outside of the liaoning province enterprise, is a big positive. |
