National Medical Insurance Bureau: In-hospital marketing model of consumables has completely changed

The National Medical Insurance Bureau issued a document that DRG/DIP payment will be implemented nationwide before the end of November.
Recently, the National Medical Insurance Bureau issued an important notice
.
In order to promote the further development of the DRG/DIP payment method reform, the National Medical Insurance Bureau has developed the basic version of the DRG/DIP functional module based on the national unified medical insurance information platform
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The notice stated that before the end of June 2022, select some areas where the DRG/DIP payment method reform is newly implemented, and try out the DRG/DIP functional module of the national unified medical insurance information platform; before the end of November 2022, the DRG/DIP functional module will be implemented nationwide.

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The notice also emphasizes that areas that have not completed the construction of the DRG/DIP payment information system must use the DRG/DIP functional modules provided by the national unified medical insurance information platform, and must not repeat the construction in any form and for any reason
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This means that it will be directly connected with the medical insurance medical consumables payment system, and the monitoring of high-value consumables can be realized by monitoring the amount of consumables in the medical insurance; Consumables control fee has been upgraded again
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Since 2019, the National Medical Insurance Administration has successively launched a national pilot program for DRG payment in 30 cities and a national pilot program for DIP payment in 71 cities
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According to the relevant person in charge of the National Medical Insurance Bureau, since the pilot program for three years, all the pilot cities have entered the actual payment, basically achieving the expected effect, and promoting the profound transformation of the medical insurance management mechanism
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Including the transformation of medical insurance payment from project-based payment to value-based payment, from final payment to active action, from simple manual review to big data application, and from extensive supply-side management to refined supply-side management,
etc.
The success of the three-year pilot is also a necessary condition for this full implementation
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Payment reform strictly controls the proportion of hospital consumption Some consumables are "abandoned" DRG means payment in groups related to disease diagnosis.
It is to classify patients into clinical conditions according to factors such as the type of patient's disease, severity of the disease, and treatment methods.
Similar to resource consumption The medical insurance payment standard is determined by packaging the group as a unit
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DIP pays according to the value of the disease.
It uses big data to use the combination of "disease diagnosis + treatment" as the payment unit.
The medical insurance department determines the payment standard for each disease according to the total amount of medical insurance funds that should be paid each year
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Both of these reforms promote the transformation of the operating mechanism of medical institutions through the method of package pricing, prompting medical service providers to actively control costs, reduce unnecessary diagnosis and treatment, medicine and consumables items, and improve the level of refined management
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For hospitals, how to formulate the most "economical and applicable" treatment mode, while strictly controlling the proportion of consumption, inspection and surgery, will become the focus of the future
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Under the new payment model, medical institutions have significantly improved many performance indicators such as efficiency and resource allocation.
For example, indicators such as average cost, medical consumables cost, and length of stay in hospital have decreased year by year, reducing the burden of seeing a doctor for the common people
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The implementation of DRG has transformed medicines and consumables from a hospital's source of income to the main target of cost control
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Consumables, which account for an important proportion of expenditures, will inevitably be affected
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Under this premise, will a large number of high-value consumables be discarded? Insiders said that it still depends on the importance and necessity of such consumables in treatment
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Consumables that are not clinically necessary, can be used or not, and are not cost-effective compared to competing products, bear the brunt of the consumables that hospitals are the first to "abandon"
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The change of hospital business model brings new challenges to dealers For medical device dealers, the change of hospital business model also means that the marketing model of consumables will also usher in a great change
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While medical insurance is forcing hospitals to reduce costs, it is bound to push hospitals to conduct a new round of strict screening of dealers and choose the best
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According to the previous emphasis of the National Medical Insurance Administration, under the price monitoring of DRG/DIP payment in the future, consumables entering the hospital will have to comply with the following three standards, namely clinical necessity, safety and effectiveness, and appropriate cost
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This also means that in the future, how dealers can provide cost-effective products to "save money" for hospitals will be the key to the transformation of dealers' sales models
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The DRG/DIP payment model and policies such as purchasing with volume have compressed the original profit space, but the necessary investment in R&D and sales expenses of enterprises cannot be reduced
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When the meager profit of a single product is not enough to support the huge input expenditure, more products must be needed to jointly contribute to the profit and share the input cost
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For consumables and equipment distributors, the marketing method may also change from single product sales to combined product sales
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In addition, under the payment of DRG, domestic medical equipment and consumables may usher in new development opportunities
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With the further improvement of the quality of domestic medical equipment, public hospitals that were keen on importing medical equipment "not bad for money" in the past will have a significant increase in demand for domestic medical equipment with good performance and higher cost performance
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In November this year, the DRG/DIP payment reform will be officially implemented nationwide, and medical device distributors must hurry up to adjust their sales models
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Otherwise, under the "combination punch" of the reform of medical insurance payment methods, there is only the fate of being eliminated
.