Comparable to the country! Three consumables welcome "lowest price in history"

With a wide range of procurement, low price linkage can lead to a hurricane effect, quickly level the remaining price plateau, the national price further level.

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South of the new moon

With a wide range of procurement, low price linkage can lead to a hurricane effect, quickly level the remaining price plateau, the national price further level.

Lowest price linkage, some products need to be haggled twice

On November 18, Tianjin Medical Insurance Bureau issued the "3+N" Alliance coronary artery guide wire, coronary artery guide catheter, coronary artery dilation balloon volume linkage procurement and use of the work Plan (draft) (hereinafter referred to as the Draft). A second bargain is required

The products purchased this time include coronary artery guide wire, coronary artery guide catheter and coronary balloon consumables., among which, coronary artery guide wire includes but is not limited to medical insurance consumables and products with code beginning with C020221; Coronary guide catheters include but are not limited to medical consumables classified by medical insurance and products with code beginning with C020210; Coronary dilator balloon structure is rapid exchange type, including but not limited to medical consumables classified by medical insurance and the first 15 bits of code C02020500200001 or C02020500200003 products, functional attributes include semi-compliant and non-compliant.

Form purchasing alliance according to purchasing variety respectively and implement joint purchasing with quantity.Public medical institutions in the alliance area that need to purchase corresponding consumables should participate.Medical institutions run by social organizations shall participate voluntarily in accordance with relevant regulations of their alliance regions. Support medical institutions in other provinces (autonomous regions, municipalities) of the "3+N" pharmaceutical purchasing Alliance to participate in accordance with the requirements of local medical security departments.

The collection method is volume linkage and two-way selection, and the procurement cycle is three years.

In particular, the alliance will collect data on prices of companies reporting. For the declared products that have been selected in the procurement projects at the provincial level and above nationwide, the corresponding selected price and the proposed supply price shall be truthfully filled in.In principle, the proposed supply price shall not be higher than the lowest price selected in the procurement of the product at the provincial level and above.

If the price to be supplied is obviously higher than that of other products to be declared in the same purchasing unit, the negotiating group shall be determined and organized to negotiate with the declaring enterprise with reference to the price of the same purchasing unit，If the negotiation is successful, the proposed supply price shall be determined. If the negotiation is unsuccessful, the product shall be treated as unselected. Products with the same functional attributes as the enterprise shall be quoted at a reasonable price difference.

That is to say, on the basis of the linkage of the lowest selected price of national collective-mining, the previous collective-mining in the selected price of higher products, but also twice.

The purchase demand of the next year shall be filled in by the purchasing subject with reference to the historical purchase quantity and the price to be supplied. In principle, the purchasing demand filled in by the purchasing subject is regarded as the purchasing demand of this volume linkage purchase.

In terms of quotation, the declaring enterprise shall fill in the actual supply price of the declared products according to the purchasing demand of the purchasing subject. The actual supply price shall not be higher than the proposed supply price.

The applicant enterprise and the purchasing subject make two-way selection to form the selected products and task quantity.

In addition, within the procurement cycle, if the selected price of the volume purchase in other provinces and above regions is lower than the selected price of the volume linkage purchase, the price linkage will be implemented.

Within the purchasing cycle, if any unselected product or newly approved product accepts the highest price of the selected product in the same purchasing unit, and it is not higher than the selected price of the selected product in other provinces and above regions, the enterprise shall apply, and the unselected product can be hung on the network within the purchasing cycle. And allow them to participate in the volume purchase of selected products in the next annual purchasing cycle according to the principle of linking quantity and price.

New trend: the national consumable low price linkage

According to the observation of Cyberlan equipment, the 3+N alliance has carried out multiple coordinated procurement of consumables.

In April this year, Beijing-Tianjin-Hebei 17 province alliance and Henan 12 provinces orthopedic trauma medical consumables alliance with volume purchase price linkage.

The final average reduction of aggregate production was 83.48%. The lowest price of the selected products in the ordinary bone plate system is 167.11 yuan/set, and the average price is 640.99 yuan/set; The lowest price of the selected products in the locking compression plate system (including universal) is 343.87 yuan/set, the average price is 907.48 yuan/set; The lowest price of selected products in the intramedullary nail system was 298.87 yuan/set, and the average price was 1117.30 yuan/set.

The highest decline for Beijing Libel agent "locking compression bone plate system (including universal), hand bone plate, pure titanium", from 14155.39 yuan to 367.22 yuan, a decline of 97.41%; The highest price for Yantai Sona Mengtuo agent "locking compression bone plate system (including universal), pelvic bone plate, pure titanium", from 23638.36 yuan to 993.98 yuan, 22644.38 yuan.

Last November, Beijing, Tianjin, Hebei and other 17 provinces (municipalities, districts) alliance, the implementation of volume linkage procurement of stapler.

Compared with the historical purchase price in the alliance area, the average price of tube type/end stapler decreased from 2530 yuan/piece to 320.72 yuan/piece, with an average decrease of 86.89% and the highest decrease of 94.41%. The average price of hemorrhoid stapler decreased from 2333.98 yuan/piece to 267.26 yuan/piece, the average decline of 88.09%, the highest decline of 94.88%.

Under normal circumstances, volume linkage procurement no longer adopts the bidding mode that determines the selected enterprises and the agreed purchase quantity by ranking the prices, but forms the selected products and task quantity in a two-way selection way.

The consumables started with the volume linkage procurement rules are mostly the categories that have been collected by many provinces or inter-provincial alliances. The price of consumables has experienced one or more rounds of bargaining, and the price is not much water.The new price system will quickly radiate the whole country and further level the prices of consumables in different parts of the country through the linkage of the results of early mining.

The linkage range is comparable to national mining

Coronary artery guide wire is an essential medical consumable in coronary interventional therapy. It can pass through coronary artery stenosis or occlusion to the distal end of the blood vessel, provide a "track" for the balloon, stent, ultrasonic catheter, rotary mills and other subsequent instruments entering the diseased blood vessel, and guide the balloon or stent to the corresponding position.

Since coronary stent entered the 100 yuan era, coronary intervention consumables have been pushed down the price button. Balloon, catheter, guide wire have been included in the belt procurement, and are large scale alliance collection.

According to the statistics collected by Huachao Instrument network, about 25 provinces (municipalities directly under the Central Government and autonomous regions) are currently carrying out the centralized procurement of coronary guide wire, including Inner Mongolia Inter-provincial Alliance, Jiangxi Inter-provincial Alliance, Zhejiang, Anhui and Hunan Alliance and Jiangsu and Fujian.

In terms of guiding conduit, the two major alliances and Jiangsu, Fujian and other regions have been covered by belt procurement, covering about 87.1% of the areas.

Coronary balloon expansion has the widest coverage among the three varieties, and only Hunan and Fujian have not carried out procurement work. The procurement cycle of many places is coming to an end, including Beijing, Tianjin, Hebei, Xinjiang, Zhejiang and other places.

In terms of the specific reduction, in July last year, Inner Mongolia and other 13 provinces (regions, corps) alliance had carried out centralized procurement of coronary guide wire. There are 13 enterprises to be selected, including 7 import enterprises and 6 domestic enterprises. The average price of selected products decreased from 1510.16 yuan to 590.58 yuan,the average drop was 60.89% and the maximum was 77.29%.

After mining in the alliance of Jiangxi, Hebei, Henan, Hubei, Chongqing, Yunnan and Shaanxi provinces, the final coronary guide catheter decreased from 890 yuan before mining to 434.21 yuan with an average decrease of 51%, and the coronary guide silk decreased from 950 yuan before mining to 447.65 yuan with an average decrease of 53%.

In addition, the Beijing-Tianjin-Hebei "3+N" alliance has organized coordinated procurement of coronary artery expansion balloon consumables in March this year. A total of 78 products selected, the overall average selected price is 318.57 yuan, the highest not more than 430 yuan. Among them, 44 semi-compliant medium selected, the average medium selected price is 315.86 yuan, the lowest price is 123 yuan, the highest price is 425 yuan; Thirty-four non-compliant intermediate prices were selected, the average intermediate price was 322.07 yuan, the lowest price was 124.99 yuan, and the highest price was 409.7 yuan.

Eight months later, based on the collection of several major alliances, "3+N" organizes the volume linkage of three major coronary intervention consumables again, and it is believed that the price will hit a new low.

Although coronary intervention consumables have not been adopted in China, they are better than those adopted in China.

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