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On September 3, the National Medical Security Administration made a unified reply to the recommendations of the Fifth Session of the Thirteenth National People's Congress, revealing a lot of first-hand information
.
Including the next step in the procurement of high-value consumables with volume, innovative devices are not included in the procurement with volume, the payment for selected products in centralized procurement is directly settled by the medical insurance fund, and the price of imported medical devices is further controlled
.
.
Including the next step in the procurement of high-value consumables with volume, innovative devices are not included in the procurement with volume, the payment for selected products in centralized procurement is directly settled by the medical insurance fund, and the price of imported medical devices is further controlled
.
It is worth mentioning that, in all the replies, the National Medical Insurance Bureau has repeatedly emphasized that it is working on establishing a unified national medicine listing and transaction rules
.
At present, with the establishment of the national unified medical insurance information platform, the era of national chess game of integration of recruitment and purchase and price linkage is really coming
.
.
At present, with the establishment of the national unified medical insurance information platform, the era of national chess game of integration of recruitment and purchase and price linkage is really coming
.
The next step in the centralized procurement of high-value consumables is set
On September 3, the National Medical Insurance Administration made the latest response to the next step in the centralized procurement of high-value medical consumables in the "Reply to Recommendation No.
2536 of the Fifth Session of the Thirteenth National People's Congress"
.
2536 of the Fifth Session of the Thirteenth National People's Congress"
.
The National Health and Health Commission has made it clear that alliance procurement should become an important method of local centralized procurement, and unnecessary repeated bidding work by enterprises should be reduced
.
At present, two batches of coronary stents and artificial joints have been collectively purchased by the state organization of high-value consumables.
The average price of selected products in the centralized procurement of coronary stents has been reduced by 93%, and the average price of artificial joints has been reduced by 82%
.
.
At present, two batches of coronary stents and artificial joints have been collectively purchased by the state organization of high-value consumables.
The average price of selected products in the centralized procurement of coronary stents has been reduced by 93%, and the average price of artificial joints has been reduced by 82%
.
The National Medical Insurance Bureau stated that it will unswervingly promote reforms, gradually expand the coverage of centralized procurement products, and focus on promoting centralized procurement of spinal consumables in the near future
.
.
At the same time, guide all provinces to carry out the centralized procurement of consumables at the provincial level or participate in the inter-provincial alliance to form a recruitment and procurement pattern of upper and lower linkage and coordinated promotion.
The centralized procurement of coronary balloons and intraocular lenses has covered all provinces.
The centralized procurement of staplers and pacemakers is steadily advancing in many provinces
.
The centralized procurement of coronary balloons and intraocular lenses has covered all provinces.
The centralized procurement of staplers and pacemakers is steadily advancing in many provinces
.
In addition, the National Medical Insurance Bureau has further deployed the work of local inter-provincial alliances, forming a Chinese patent medicine alliance led by Hubei, a dental implant alliance led by Sichuan, an electrophysiology alliance led by Fujian, etc.
standards, and standardize the procurement of inter-provincial alliances
.
standards, and standardize the procurement of inter-provincial alliances
.
Encourage and guide provinces that have not participated in inter-provincial alliance procurement to refer to the results of other provinces or inter-provincial alliances, and carry out volume-based linkages in a timely manner, further standardize inter-provincial alliance procurement, and make alliance procurement an important way for local centralized procurement to reduce unnecessary enterprises.
of repetitive bidding work
.
of repetitive bidding work
.
There is no doubt that the state-led + inter-provincial alliance centralized procurement will completely subvert the entire public hospital consumables market after the implementation of the national unified recruitment platform
.
.
For innovative medical devices , volume procurement will not be implemented for the time being
DRG/DIP payment is supported
In the "Proposal No.
4955 of the Fifth Session of the Thirteenth National People's Congress", in response to the "centralized procurement of innovative medical devices" proposed by Zhang Haijun, the National Medical Insurance Bureau clarified that innovative devices will not be subject to volume procurement for the time being
.
4955 of the Fifth Session of the Thirteenth National People's Congress", in response to the "centralized procurement of innovative medical devices" proposed by Zhang Haijun, the National Medical Insurance Bureau clarified that innovative devices will not be subject to volume procurement for the time being
.
In the process of centralized procurement with volume, medical institutions determine the procurement volume based on historical usage, combined with clinical usage and medical technology progress.
Since the clinical use of innovative medical devices is not yet mature and the usage volume is temporarily difficult to predict, it is still difficult to achieve volume delivery
.
Since the clinical use of innovative medical devices is not yet mature and the usage volume is temporarily difficult to predict, it is still difficult to achieve volume delivery
.
At the same time, in the process of centralized procurement with volume, the National Medical Insurance Bureau will reasonably determine the proportion of volume based on factors such as clinical use characteristics, market competition pattern and the number of selected companies , and set aside a certain market for innovative products in addition to centralized procurement with volume.
Provide space
.
Provide space
.
In addition, in response to the issue of "medical insurance payment for innovative medical devices", the National Medical Security Administration has already made it clear in its "Reply to Recommendation No.
8013 of the Fifth Session of the Thirteenth National People's Congress"
.
8013 of the Fifth Session of the Thirteenth National People's Congress"
.
The National Medical Insurance Administration said: Currently, it is studying and improving relevant policies to guide local governments to timely incorporate qualified innovative medical consumables into the scope of medical insurance payment according to procedures, and steadily improve the level of protection for insured patients
.
.
At the same time, in promoting the reform of medical insurance payment methods, determining the relevant groupings by disease diagnosis (CHS-DRG) and payment by disease points (DIP) payment standards, etc.
, support for innovative medical consumables according to relevant regulations and procedures
.
, support for innovative medical consumables according to relevant regulations and procedures
.
As we all know, the inclusion of innovative consumables and equipment into medical insurance payment is the real greatest benefit for all equipment companies.
We also hope that the policy will be introduced as soon as possible.
The research and development of innovative equipment is not easy, and only making profits as soon as possible is the biggest incentive for enterprises
.
We also hope that the policy will be introduced as soon as possible.
The research and development of innovative equipment is not easy, and only making profits as soon as possible is the biggest incentive for enterprises
.
Medical insurance funds, direct settlement by enterprises
Regarding the payment settlement for the selected products in centralized procurement, the National Medical Insurance Bureau stated in its reply to the "No.
Exploring the direct settlement of payment by the medical insurance fund and the supplier company through the platform has achieved positive results
.
Exploring the direct settlement of payment by the medical insurance fund and the supplier company through the platform has achieved positive results
.
Recently (August 29-September 1, 2022), according to the National Medical Insurance Bureau, Shi Zihai, a member of the party group and deputy director of the National Medical Insurance Bureau, went to Fujian Province to investigate the standardization of medical insurance informatization
.
.
Relying on the national unified recruitment platform to realize the direct settlement of medical insurance funds and enterprises, Fujian has achieved initial results.
With the standardization of medical insurance information and the gradual improvement of the national unified medical network and transaction rules, the problem of payment settlement for the purchase of consumables in the country has also become a problem.
will be broken one by one
.
With the standardization of medical insurance information and the gradual improvement of the national unified medical network and transaction rules, the problem of payment settlement for the purchase of consumables in the country has also become a problem.
will be broken one by one
.
Priority for centralized procurement of domestic medical devices
Representative Ma Tianlong proposed in the "Proposal No.
8427 of the Fifth Session of the Thirteenth National People's Congress" to increase the support for domestic medical devices
.
8427 of the Fifth Session of the Thirteenth National People's Congress" to increase the support for domestic medical devices
.
The National Medical Insurance Administration responded: Purchasing with quantity adheres to an open and transparent market mechanism.
On the premise of ensuring quality, it is treated equally, but it objectively supports domestic high-quality enterprises of the same quality but lower costs to win the competition
.
On the premise of ensuring quality, it is treated equally, but it objectively supports domestic high-quality enterprises of the same quality but lower costs to win the competition
.
Judging from the results of the two batches of national procurement currently carried out, 6 of the 8 selected enterprises for the centralized procurement of coronary stents are domestic-funded enterprises, and 30 of the 44 selected enterprises for the centralized procurement of artificial joints are domestic-funded enterprises.
The market share has increased compared to before the centralized procurement
.
The market share has increased compared to before the centralized procurement
.
The National Medical Insurance Administration very much agrees with the opinions and suggestions of the representatives.
In the next step, it will continue to do a good job in the reform of centralized procurement of medicines, expand the coverage of medicines and consumables, and further squeeze out the excessively high price of medicines, set reasonable procurement rules, and promote fair competition among enterprises.
Provide a good market environment for the development of domestic high-quality enterprises
.
In the next step, it will continue to do a good job in the reform of centralized procurement of medicines, expand the coverage of medicines and consumables, and further squeeze out the excessively high price of medicines, set reasonable procurement rules, and promote fair competition among enterprises.
Provide a good market environment for the development of domestic high-quality enterprises
.
Further improve the price of imported equipment
In "Proposal No.
5993 of the Fifth Session of the 13th National People's Congress", representative Zhang Haijun also put forward a proposal on "reforming the medical insurance pricing mechanism for imported medical devices"
.
5993 of the Fifth Session of the 13th National People's Congress", representative Zhang Haijun also put forward a proposal on "reforming the medical insurance pricing mechanism for imported medical devices"
.
The National Medical Insurance Administration said that it fully agrees with Zhang Haijun's proposal that "international prices for imported medical devices should be provided when applying for online purchases.
" This has been reflected in the current centralized procurement work.
The imported coronary stents, Artificial joints have dropped from significantly above international prices to slightly below international prices
.
" This has been reflected in the current centralized procurement work.
The imported coronary stents, Artificial joints have dropped from significantly above international prices to slightly below international prices
.
In the next step, we will further optimize the online procurement rules, do a good job in the collection and analysis of international prices, make better use of China's huge market scale effect, and return the prices of imported medical devices to a reasonable level
.
.
On September 3, the National Medical Security Administration made a unified reply to the recommendations of the Fifth Session of the Thirteenth National People's Congress, revealing a lot of first-hand information
.
Including the next step in the procurement of high-value consumables with volume, innovative devices are not included in the procurement with volume, the payment for selected products in centralized procurement is directly settled by the medical insurance fund, and the price of imported medical devices is further controlled
.
.
Including the next step in the procurement of high-value consumables with volume, innovative devices are not included in the procurement with volume, the payment for selected products in centralized procurement is directly settled by the medical insurance fund, and the price of imported medical devices is further controlled
.
It is worth mentioning that, in all the replies, the National Medical Insurance Bureau has repeatedly emphasized that it is working on establishing a unified national medicine listing and transaction rules
.
At present, with the establishment of the national unified medical insurance information platform, the era of national chess game of integration of recruitment and purchase and price linkage is really coming
.
Medicine and medicine.
At present, with the establishment of the national unified medical insurance information platform, the era of national chess game of integration of recruitment and purchase and price linkage is really coming
.
The next step in the centralized procurement of high-value consumables is set
The next step in the centralized procurement of high-value consumables is set On September 3, the National Medical Insurance Administration made the latest response to the next step in the centralized procurement of high-value medical consumables in the "Reply to Recommendation No.
2536 of the Fifth Session of the Thirteenth National People's Congress"
.
2536 of the Fifth Session of the Thirteenth National People's Congress"
.
The National Health and Health Commission has made it clear that alliance procurement should become an important method of local centralized procurement, and unnecessary repeated bidding work by enterprises should be reduced
.
At present, two batches of coronary stents and artificial joints have been collectively purchased by the state organization of high-value consumables.
The average price of selected products in the centralized procurement of coronary stents has been reduced by 93%, and the average price of artificial joints has been reduced by 82%
.
.
At present, two batches of coronary stents and artificial joints have been collectively purchased by the state organization of high-value consumables.
The average price of selected products in the centralized procurement of coronary stents has been reduced by 93%, and the average price of artificial joints has been reduced by 82%
.
The National Medical Insurance Bureau stated that it will unswervingly promote reforms, gradually expand the coverage of centralized procurement products, and focus on promoting centralized procurement of spinal consumables in the near future
.
.
At the same time, guide all provinces to carry out the centralized procurement of consumables at the provincial level or participate in the inter-provincial alliance to form a recruitment and procurement pattern of upper and lower linkage and coordinated promotion.
The centralized procurement of coronary balloons and intraocular lenses has covered all provinces.
The centralized procurement of staplers and pacemakers is steadily advancing in many provinces
.
The centralized procurement of coronary balloons and intraocular lenses has covered all provinces.
The centralized procurement of staplers and pacemakers is steadily advancing in many provinces
.
In addition, the National Medical Insurance Bureau has further deployed the work of local inter-provincial alliances, forming a Chinese patent medicine alliance led by Hubei, a dental implant alliance led by Sichuan, an electrophysiology alliance led by Fujian, etc.
standards, and standardize the procurement of inter-provincial alliances
.
standards, and standardize the procurement of inter-provincial alliances
.
Encourage and guide provinces that have not participated in inter-provincial alliance procurement to refer to the results of other provinces or inter-provincial alliances, and carry out volume-based linkages in a timely manner, further standardize inter-provincial alliance procurement, and make alliance procurement an important way for local centralized procurement to reduce unnecessary enterprises.
of repetitive bidding work
.
of repetitive bidding work
.
There is no doubt that the state-led + inter-provincial alliance centralized procurement will completely subvert the entire public hospital consumables market after the implementation of the national unified recruitment platform
.
hospital hospital.
For innovative medical devices , volume procurement will not be implemented for the time being
Innovative medical devicesMedical devicesMedical devices , temporarily not implementing volume purchases DRG/DIP payment is supported
DRG/DIP payment is supported In the "Proposal No.
4955 of the Fifth Session of the Thirteenth National People's Congress", in response to the "centralized procurement of innovative medical devices" proposed by Zhang Haijun, the National Medical Insurance Bureau clarified that innovative devices will not be subject to volume procurement for the time being
.
4955 of the Fifth Session of the Thirteenth National People's Congress", in response to the "centralized procurement of innovative medical devices" proposed by Zhang Haijun, the National Medical Insurance Bureau clarified that innovative devices will not be subject to volume procurement for the time being
.
In the process of centralized procurement with volume, medical institutions determine the procurement volume based on historical usage, combined with clinical usage and medical technology progress.
Since the clinical use of innovative medical devices is not yet mature and the usage volume is temporarily difficult to predict, it is still difficult to achieve volume delivery
.
Since the clinical use of innovative medical devices is not yet mature and the usage volume is temporarily difficult to predict, it is still difficult to achieve volume delivery
.
At the same time, in the process of centralized procurement with volume, the National Medical Insurance Bureau will reasonably determine the proportion of volume based on factors such as clinical use characteristics, market competition pattern and the number of selected companies , and set aside a certain market for innovative products in addition to centralized procurement with volume.
Provide space
.
enterprise enterpriseProvide space
.
In addition, in response to the issue of "medical insurance payment for innovative medical devices", the National Medical Security Administration has already made it clear in its "Reply to Recommendation No.
8013 of the Fifth Session of the Thirteenth National People's Congress"
.
8013 of the Fifth Session of the Thirteenth National People's Congress"
.
The National Medical Insurance Administration said: Currently, it is studying and improving relevant policies to guide local governments to timely incorporate qualified innovative medical consumables into the scope of medical insurance payment according to procedures, and steadily improve the level of protection for insured patients
.
.
At the same time, in promoting the reform of medical insurance payment methods, determining the relevant groupings by disease diagnosis (CHS-DRG) and payment by disease points (DIP) payment standards, etc.
, support for innovative medical consumables according to relevant regulations and procedures
.
, support for innovative medical consumables according to relevant regulations and procedures
.
As we all know, the inclusion of innovative consumables and equipment into medical insurance payment is the real greatest benefit for all equipment companies.
We also hope that the policy will be introduced as soon as possible.
The research and development of innovative equipment is not easy, and only making profits as soon as possible is the biggest incentive for enterprises
.
We also hope that the policy will be introduced as soon as possible.
The research and development of innovative equipment is not easy, and only making profits as soon as possible is the biggest incentive for enterprises
.
Medical insurance funds, direct settlement by enterprises
Medical insurance funds, direct settlement by enterprises Regarding the payment settlement for the selected products in centralized procurement, the National Medical Insurance Bureau stated in its reply to the "No.
Exploring the direct settlement of payment by the medical insurance fund and the supplier company through the platform has achieved positive results
.
Exploring the direct settlement of payment by the medical insurance fund and the supplier company through the platform has achieved positive results
.
Recently (August 29-September 1, 2022), according to the National Medical Insurance Bureau, Shi Zihai, a member of the party group and deputy director of the National Medical Insurance Bureau, went to Fujian Province to investigate the standardization of medical insurance informatization
.
.
Relying on the national unified recruitment platform to realize the direct settlement of medical insurance funds and enterprises, Fujian has achieved initial results.
With the standardization of medical insurance information and the gradual improvement of the national unified medical network and transaction rules, the problem of payment settlement for the purchase of consumables in the country has also become a problem.
will be broken one by one
.
With the standardization of medical insurance information and the gradual improvement of the national unified medical network and transaction rules, the problem of payment settlement for the purchase of consumables in the country has also become a problem.
will be broken one by one
.
Priority for centralized procurement of domestic medical devices
Priority for centralized procurement of domestic medical devices Representative Ma Tianlong proposed in the "Proposal No.
8427 of the Fifth Session of the Thirteenth National People's Congress" to increase the support for domestic medical devices
.
8427 of the Fifth Session of the Thirteenth National People's Congress" to increase the support for domestic medical devices
.
The National Medical Insurance Administration responded: Purchasing with quantity adheres to an open and transparent market mechanism.
On the premise of ensuring quality, it is treated equally, but it objectively supports domestic high-quality enterprises of the same quality but lower costs to win the competition
.
On the premise of ensuring quality, it is treated equally, but it objectively supports domestic high-quality enterprises of the same quality but lower costs to win the competition
.
Judging from the results of the two batches of national procurement currently carried out, 6 of the 8 selected enterprises for the centralized procurement of coronary stents are domestic-funded enterprises, and 30 of the 44 selected enterprises for the centralized procurement of artificial joints are domestic-funded enterprises.
The market share has increased compared to before the centralized procurement
.
The market share has increased compared to before the centralized procurement
.
The National Medical Insurance Administration very much agrees with the opinions and suggestions of the representatives.
In the next step, it will continue to do a good job in the reform of centralized procurement of medicines, expand the coverage of medicines and consumables, and further squeeze out the excessively high price of medicines, set reasonable procurement rules, and promote fair competition among enterprises.
Provide a good market environment for the development of domestic high-quality enterprises
.
medicines _In the next step, it will continue to do a good job in the reform of centralized procurement of medicines, expand the coverage of medicines and consumables, and further squeeze out the excessively high price of medicines, set reasonable procurement rules, and promote fair competition among enterprises.
Provide a good market environment for the development of domestic high-quality enterprises
.
Further improve the price of imported equipment
Further improve the price of imported equipment In "Proposal No.
5993 of the Fifth Session of the 13th National People's Congress", representative Zhang Haijun also put forward a proposal on "reforming the medical insurance pricing mechanism for imported medical devices"
.
5993 of the Fifth Session of the 13th National People's Congress", representative Zhang Haijun also put forward a proposal on "reforming the medical insurance pricing mechanism for imported medical devices"
.
The National Medical Insurance Administration said that it fully agrees with Zhang Haijun's proposal that "international prices for imported medical devices should be provided when applying for online purchases.
" This has been reflected in the current centralized procurement work.
The imported coronary stents, Artificial joints have dropped from significantly above international prices to slightly below international prices
.
" This has been reflected in the current centralized procurement work.
The imported coronary stents, Artificial joints have dropped from significantly above international prices to slightly below international prices
.
In the next step, we will further optimize the online procurement rules, do a good job in the collection and analysis of international prices, make better use of China's huge market scale effect, and return the prices of imported medical devices to a reasonable level
.
.