Just confirmed! State-led consumables with volume procurement All provinces to participate.

On July 3,, the State Health Insurance Administration issued a letter of comment on the commissioning of the "National Organization Coronary Bracket Central Band Purchase Program (Draft for Comments)" for commentsafter verification, the State Medical Insurance Administration commissioned the China Medical Devices Industry Association and the China Medical Equipment Association to solicit the opinions and suggestions of the member units for comments on the draftThis bodes well for the start of the national collection of high-value consumablesAftercombed, the key content is as follows (Note: the content is for the draft, or there will be changes)program pointed out that this consultation is for the implementation of the "State Council General Office on the issuance of high-value medical supplies reform program notice" spirit, one of the focus is to improve the high-value medical supplies price formation mechanismthe National Health Insurance Administration will start from the coronary bracket, explore the development of high-value medical supplies centralized procurement of national organizationsthis program pointed out that in the exploration of high-value medical supplies centralized band procurement, will lead the provinces to carry out a comprehensive and standardized high-value consumables centralized band procurementthis procurement will also provide demonstration for local medical high-value supplies procurement, guide the long-term stability of the community expectations, the formation of a normal centralized procurement systemthe program pointed out that the overall will be in accordance with the national organization, alliance procurement, platform operation of the idea, that is, the state to formulate basic policies, scope, requirements, the organization of the country's provinces to form an alliance, the alliance region set up a joint procurement officeto public medical institutions as the main body, to carry out coronary bracket centralized band procurement, but has been self-expanded coronary bracket band procurement or no qualified medical institutions in the provinceson the procurement of products on the requirements, the program pointed out that the central volume of procurement of the target of the coronary bracket products, should be approved by the drug regulatory department to obtain a valid medical device registration certificate materialThe material is cobalt-chromium alloy and platinum-chromium alloy, the carrier class is rapamycin or derivative, the drug carrier coating properties are non-Polyflonic coronal stentsthe national organization of high-value medical supplies joint procurement office is responsible for the development of specific technical indicatorsin this volume purchase, the State Health Insurance Administration has made it clear that in 2019 more than 1000 public medical institutions, military medical institutions should participate in the use of coronary bracket, other public medical institutions, military medical institutions, medical insurance designated social medical institutions in accordance with the province arrangements for voluntary participationprovinces that have carried out centralized band procurement of such products and are still under contract period may not participate in the agreed purchase volume ratio, the medical institutions involved in the alliance procurement according to the 2019 procurement volume to declare the total procurement base and the purchase base of each product (excluding stainless steel bracket) According to the total procurement base of 80% of the agreed purchase volume, and to ensure that each selected product procurement volume is not less than 80% of the declared procurement base in terms of bidding rules, the program points out that, in accordance with the principle of independent quotation, full competition, multiple selection, according to the competitive pattern of products, avoid monopoly, reasonable determination of the number of selected products, by the lower price, a larger price reduction, in line with the quality requirements of the product selection Participating enterprises shall be in accordance with the principles of fairness, reasonableness and honesty The enterprise shall not be less than the cost quotation programme noted that in the procurement cycle, the procurement cycle is two years After the expiration of the agreement, the provinces shall determine the supply enterprise, the agreed purchase volume and the procurement period If there are major changes in supply and demand, technical level and market pattern, the selected enterprises, the winning price sized and the agreed purchase volume can be produced by means of bidding, bargaining, negotiation and inquiry advance payment: the medical insurance fund is not less than 30% of the annual agreed purchase amount, the special prepaid medical institutions should settle the purchase price in time before the end of the next month after the purchase, and promote the direct settlement of the medical insurance fund and the enterprise in the procurement cycle, not because of the centralized procurement of high-value medical supplies costs to reduce the total amount of medical institutions control indicators, due to the price of selected products to save the cost, on the basis of assessment in a certain way to stimulate medical institutions in accordance with the requirements of the national organization of high-value medical supplies with volume procurement guidance, to ensure the quality of selected products, supply, use and return Strengthen for the quality of the selected products inspection, medical institutions to give priority to the procurement of selected products, to ensure the completion of the agreed procurement volume re-selecttheted product sashimi as a priority in the hospital information system In the hospital diagnosis and treatment program to include it in the preferred selection range for the country-led high-value consumables tape procurement has already been preset In June 2019, the National Health Insurance Administration convened a meeting of clinical experts to discuss the procurement of high-value consumables for medical treatment, which will be collected or cut from cardiovascular intervention devices (stents) the State Administration of Health Insurance in the "National Medical Security Administration of the 13th National People's Congress of the second session of the second session of the 1209 proposal" said that the State Medical Security Administration will select key varieties to implement the "belt procurement" pilot work, reduce the price of high-value medical supplies, benefit the people for the purchase of varieties, the State Health Insurance Administration also said in a separate response, for high clinical value, high market prices of exclusive products or patent period products, explore the establishment of a negotiating mechanism to promote its reasonable price currently according to the trend, the national band procurement, bracket class will be the first The negotiations on this consumables have fallen dramaticly for bracket supplies, according to Nanjing Daily news, in July last year, Jiangsu Province, the first supplies negotiation results announced, in which rapamycin and its derivatives bracket by a single variety negotiations, the average decline of the selected varieties 51.01 percent, the highest decline of 66.07 percent other orthopaedic implants supplies are also reduced, but at present has not seen the news of the state-level leading negotiations according to the People's Daily, in July, Anhui Province on orthopaedic implants (spinal) products for the volume of procurement Finally, the overall average price reduction of orthopaedic spine materials was 53.4%, the largest reduction of 95% for individual components, 55.9% in the national product category, and 40.5% in imported products the State Health Insurance Administration's Response to Recommendation No 6395 of the Second Session of the 13th National People's Congress, issued by the National Health Insurance Administration last year, said that the successful experience of reducing drug prices should be extended to consumables the same "response" document, the National Health Insurance Administration also said that the next step will be the National Health and Health Commission in cooperation with the relevant management departments to establish a consistency evaluation of supplies consistency evaluation is equivalent to the supply of supplies set up a "quality standard line", the standard line above the product negotiation procurement, even if only low price is to take, quality can also have the most basic guarantee can see that in the context of health insurance fees, the cancellation of supplies plus, two-vote system, one-vote system and centralized band procurement and so on have struck.