Hebei Province Health Commission issued a pilot supplies one-vote system

Pilot supplies one-vote systemOn December 23, Hebei Provincial Health and Health Commission issued the Implementation Plan for Further Promoting the Experience of Deepening the Reform of the Medical and Health System in Fujian Province and Sanming City (hereinafter referred to as the Implementation Plan), which explicitly requires the implementation of the direct settlement of supplies pilot.According to the Implementation Plan, Hebei Province will carry out a pilot project for direct settlement of drug supplies procurement. For medicines and medical supplies purchased by medical insurance fixed-point medical institutions, the medical insurance department shall be explored for direct settlement.Cut off financial exchanges between hospitals and pharmaceutical supplies manufacturers, standardize the procurement behavior of medical institutions, guarantee timely repayment to pharmaceutical enterprises, and mobilize the enthusiasm of pharmaceutical enterprises to participate in centralized procurement and lower prices.The lead departments are the Hebei Provincial Health Insurance Bureau and the Hebei Provincial Government.It is understood that the two-vote system refers to the production enterprises to the circulation enterprises to open an invoice, the circulation enterprises to the medical institutions to open an invoice. If the health insurance bureau crosses the dealership and production enterprises to pay, it only needs to issue a ticket, that is, "one-vote system."In addition, in November this year, the Shandong Provincial People's Government announced the "two-vote system" implementation plan for drug procurement in public medical institutions in Shandong Province, clearly indicating that Shandong Province will pilot the "one-vote system".Shandong Province will be in the pilot city three-level A and other general hospitals to select part of the use of large, market supply channels simple drug trial "one-vote system", to encourage conditional areas to the city, county units to take the form of joint procurement, centralized payment, etc. , to explore the implementation of procurement "one-vote system."In October this year, Jiangsu Province issued "on the promotion of the province's high-value medical supplies sunshine procurement notice" also said that the province's public medical institutions procurement costs are all settled through the provincial platform, to achieve business flow, information flow, capital flow, referred to as "three-stream one." It is generally accepted in the industry that the main purpose of third-rate in one is to implement a one-vote system.Supplies one-vote system, spread out the possibilitythe implementation of one-vote system of supplies, may be more with the volume of procurement varieties.Insiders said that the purchase of consumables belt volume may be the same situation as drug belt procurement, hospitals and manufacturers settlement, products from the factory directly to the hospital terminal.The relevant person in charge of a circulation machinery enterprise said to Saibai Blue equipment, for equipment or drug circulation enterprises, their income sources generally have two aspects, product price difference and rebates to production enterprises.But because the price reduction after the negotiation of supplies is too much, some products have no room for rebate, many arms and pharmaceutical companies will also choose to distribute their own. In this case, the product in the circulation process in fact only one vote, the circulation of enterprises and production enterprises are forced to make a choice.In fact, the one-vote system is likely to be limited to consumables varieties purchased with volume, and it is unlikely that they will be extended to other varieties.Because if all supplies are a one-vote system, then an arms company will have to dock thousands of hospitals, a hospital will dock tens of thousands of arms enterprises, whether it is management, distribution or after-sales are unimaginable.In addition, supplies one-vote system also means a large number of circulation enterprises eliminated, or converted into logistics companies, only responsible for distribution, not responsible for advance payment, like Shunfeng, postal. But this is basically impossible, because circulation has been an indispensable part of the entire equipment industry, medical equipment from the equipment enterprises to hospitals, not only logistics and distribution so simple, the terminal hospital sales, management, services, etc. are indispensable links, and the production threshold of equipment is higher than the general merchandise, large circulation groups still have a seller's market advantage and lead the supply chain. The purpose is not to eliminate the equipment enterprises the above-mentioned "implementation plan" requires direct settlement of medical insurance, although it can be called a one-vote system, but the purpose is not to eliminate dealers and equipment circulation enterprises, perhaps in order to improve the enthusiasm of the arms enterprises, to ensure the smooth progress of the future procurement of consumables belt volume. From the point of view of supply and demand analysis, with volume procurement is a centralized buyer, with a large number of procurement volume to negotiate with the seller's arms enterprises, and then expand the buyer's advantage, sharply cut prices. But there is a problem, according to the market law, the product price is high, then the supply side production is more, the price is low production is less, but with the opposite amount of procurement, the product price is reduced at the same time, the production of arms enterprises should be increased, which is not in line with the market law. However, this is also one of the characteristics of the supplies and pharmaceutical market, can not be fully regulated by the market. In this case, the armory enterprises will try to reduce costs in the case of lower prices and increased production. However, China's medical supplies can not simply expand production, resulting in scale effect, and thus reduce costs. Because the production cost is only a small part of the price of consumables, the cost of sales is the big head. Then the armed enterprises will change the mode of production and operation, reduce the overall cost, but change the business model, cut off the sales team, the next time do not bid how to do? This is one of the hidden dangers of arms enterprises with volume procurement, in this predicament, if the arms enterprises still have to face six months or even a year of repayment period, the financial costs remain high, then the enthusiasm of arms enterprises to participate in the purchase of volume will continue to be greatly reduced. Buyers and sellers are actively involved, the reform of the supplies market can be smoothly advanced, perhaps this is the national and local continuous text, so that the direct payment of health insurance, to ensure that the reason for the return of the arms enterprises, but the direct payment of health insurance is exactly a one-vote system. For example, in November this year, Hubei Provincial Health and Health Commission issued "on further deepening the reform of the medical and health system" on the clear, explore the procurement of consumables directly settled by the medical insurance department, in order to ensure the timely return of funds to enterprises, mobilize enterprises to participate in centralized procurement and reduce the price of enthusiasm.
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Cypress Blue
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