The Yangtze River Delta Drug Purchasing Alliance is really here!

Medical Network News on March 17 The
Yangtze River Delta Drug Purchasing Alliance is coming! The medical insurance catalog of three provinces and one city is unified!
On March 15, 2021, the author obtained a document titled "Notice on Printing and Distributing "Key Points for the Integration of Yangtze River Delta Medical Insurance in 2021".
The document clearly stated that there are plans to gradually realize the unification of the three categories of basic medical insurance in the Yangtze River Delta.
, In accordance with the work requirements of the National Medical Insurance Bureau for the unified medical insurance drug catalog, promote the implementation of a unified medical insurance drug catalog in the Yangtze River Delta
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What is more noteworthy is the need to strengthen the linkage between the recruitment and procurement of pharmaceutical supplies in the Yangtze River Delta
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Explore and promote the joint procurement of Changsanjie medicines and medical consumables
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Strengthen the linkage of recruitment, price, and payment
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Since the end of last year, there have been divergent opinions on the issue of the Yangtze River Delta Drug Purchasing Alliance
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On December 8, 2020, the country once organized a symposium on centralized drug procurement.
In addition to clarifying the procurement regulations of 90 countries, the symposium plans to establish the Yangtze River Delta Drug Procurement Alliance in 2021 to organize regional centralized drug procurement.
Work
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According to the 2019 Yangtze River Delta Regional Integration Development Planning Outline, the Yangtze River Delta planning scope is officially designated as the entire area of ​​Jiangsu, Zhejiang, Anhui and Shanghai
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But the difference is that last year, the relevant news was that Shanghai organized some regional procurements, but according to this notification document, the Anhui Provincial Medical Insurance Bureau took the lead in this work
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Regarding the unified medical insurance catalogue, according to the relevant national policies, the local supplementary catalogue will be digested and completed within three years according to the 442 principle, and the supplements will be 40%, 40%, and 20% of the provinces
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According to the notice of the National Basic Medical Insurance, Work Injury Insurance, and Maternity Insurance Drug Catalog issued by the National Medical Insurance Administration in 2019 (Medicine Baofa [2019] No.
46), all localities should strictly implement the Drug Catalog, and no catalogs or catalogues should be made by themselves.
Use alternative methods to add drugs in the catalog, and do not adjust the limited payment scope for drugs in the catalog by yourself
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For Class B drugs that were added as required in the original provincial drug catalog, they should be gradually digested within 3 years
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During the digestion process, provinces should give priority to adjusting the drugs that are included in the national key monitoring scope out of the payment scope
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In accordance with the requirements of the “National Basic Medical Insurance, Work Injury Insurance and Maternity Insurance Drug Catalog (2020)” issued by the Ministry of Human Resources and Social Security of the National Medical Insurance Administration in 2020 (Medical Insurance Fa [2020] No.
53), each provincial medical insurance department shall Speed ​​up the digestion of the original self-added varieties, clean up the varieties that do not meet the requirements of the "Interim Measures for the Administration of Basic Medical Insurance Drugs" as required, and promote the basic unification of the scope of medication
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Regarding the unification of the medical insurance catalog, the requirements of the three provinces and one city in the Yangtze River Delta are roughly the same
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Among them, Anhui Province issued policies earlier and formulated more detailed rules
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Anhui issued a relevant notice on December 12, 2019, which clearly requires that from January 1 to December 31, 2020, the first batch of 40% digestion tasks will be completed, and it will be implemented on January 1, 2021
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From January 1st to December 31st, 2021, the second batch of 40% digestion tasks will be completed and will be implemented from January 1, 2022
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From January 1st to December 31st, 2022, the remaining 20% ​​of digestion tasks will be completed, and the national unified drug catalog will be formally implemented on January 1, 2023
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The author understands that since it is the main point of the integration of medical insurance in three provinces and one city in 2021, especially for such a big event as the pace of medical insurance catalog 442, there should be a clear time node in theory
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But after going through the entire document, there is no clear time for the unified medical insurance drug list
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According to the requirements of the documents, the adjustment of the medical insurance catalogue must be carried out in two steps, one is research and the other is promotion and implementation
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The author speculates that there are only two possibilities.
One is that the unification of the medical insurance catalog must be completed by 2021, and the Yangtze River Delta will take the lead in completing the "clearing" of the original provincial medical insurance catalog one year in advance
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The second is to start "promotion and implementation".
This year is just a starting point.
The real catalog unification will be completed next year according to national requirements.

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In any case, the adjustment speed of the original province-added medical insurance catalogue of three provinces and one city is bound to accelerate
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Especially in Shanghai, how to maintain a unified "rhythm" in the Yangtze River Delta Medical Insurance Catalog is particularly eye-catching
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Regarding the volume procurement alliance in the Yangtze River Delta, a closer look at these three provinces and one city has its own characteristics
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Anhui belongs to the domestic old-brand medical reform province.
It was the founding originator of the double-enveloped drug procurement through centralized public bidding .
It was the first province to carry out bidding and procurement for county-level public hospitals in China, and it was also the first to carry out provincial-level shortlisted and regional procurement in the country (in county-level public hospitals).
16+1) provinces based on the 1118 standard
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Moreover, in the past two years, Anhui has achieved outstanding results in the special procurement of anti-cancer drugs
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Although the capacity of the pharmaceutical market is limited, the province’s "centralized procurement brand" still exists in the industry! "Shanghai has achieved a lot of four batches and five rounds of national procurement by virtue of its high-quality procurement platform, and its stable market The mining operation experience is worthy of recognition
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Since the elevator->
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But in terms of large-scale centralized procurement at the provincial level, there is not much action
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Jiangsu formally promoted the Sunshine Internet New Deal last year, and launched a batch of high-volume procurement varieties, and the overall rhythm is stable
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From this point of view, the three provinces and one city are led by Anhui, which is more appropriate
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2021 will be quite stressful for the provinces
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There is an upper limit of 500 varieties and a bottom line of 50 varieties.
The provinces are bound to come up with an attitude this year
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The key is when to start recruiting? What is the initial planning schedule? ! The provinces are already on the line and have no choice but to issue
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Some provinces are smarter, starting a batch of large-scale procurement every year from 2019.
As of this year, there is little pressure on varieties
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Some provinces are of the type of borrowing boats to go to sea, tied to the chariots of the relevant inter-provincial alliances.

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For the Yangtze River Delta, it is important to grasp that due to the imbalance in the volume of drugs used in the three provinces and one city, it is necessary to take into account the common characteristics in the formulation of the variety of purchases, and the actual situation of each region should be considered in terms of purchase volume.
For instance, Jiangsu is a province with a large number of foreign and state-owned enterprises, and Shanghai is an economically leading gold market.
Zhejiang’s capacity and market are also worthy of great attention
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It is foreseeable that 2021 will be a crucial year for the industry to make a difficult transition.
Under the influence of volume procurement and the 442 standard of the medical insurance catalogue, it is unknown how many companies will have to make many active or passive changes
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Now that the volume purchase is on the line, and since the unified medical insurance catalogue has become a general trend, the medical professionals can only recognize the situation, re-check their mentality and positioning, and meet the challenges
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