Anhui Province Strengthens Supervision and Promotes the Reform of Centralized Purchasing of Medicine to Increase the Speed and Expand the Scope
2022-11-14
Ms. Zheng, 67, suffered from knee osteoarthritis and underwent total knee replacement on October 14 in the Second Affiliated Hospital of Anhui Medical University. The high value consumables "total knee replacement prosthesis" used in the operation cost 7200 yuan. "Before the reform of centralized procurement of medical consumables in 2019, the price of this consumables was 34000 yuan, more than four times that of today." Jing Juehua, the vice president of the Second Affiliated Hospital of An Medical University and professor of orthopaedics, told the reporter that three years ago, Ms. Zheng had to pay more than 30000 yuan for her surgery and hospitalization expenses after being reimbursed by the medical insurance. Now she only needs to pay about 10000 yuan. "The money is mainly saved on consumables". Behind the price jump of "total knee replacement prosthesis" is the continuous efforts made by the Anhui Provincial Commission for Discipline Inspection to urge the provincial medical insurance department to promote the reform of centralized procurement of medical consumables in quantity. Centralized purchase with quantity, referred to as "centralized purchase", is organized by the medical insurance department to directly negotiate with pharmaceutical manufacturers through the "volume for price, volume price linkage" mode. The products selected by centralized purchase "do not have middlemen to earn price difference", which can greatly squeeze out the high profits and reduce the power rent-seeking space. In order to solve the problem of "difficult and expensive access to medical services", since 2019, the Anhui Provincial Commission for Discipline Inspection has played a good supervision "combination fist", continued to promote the reform of centralized procurement of medicine to speed up its expansion, go deep and go solid, resolutely eradicate the breeding ground of corruption in the field of medicine purchase and marketing, and constantly purify the political ecology of the medical and health industry. Focusing on the concerns of the masses to break the "ice" of high prices of medical consumables, there are many circulation links of medical consumables, large profit margins, and high prices for a long time, which have increased the burden of medical care and medical insurance fund expenditure of the masses, and the masses have expressed strong feelings. The CPC Central Committee has always attached great importance to this, and the discipline inspection and supervision organs have also taken it as the focus of supervision and discipline enforcement. The Supervision Committee of Anhui Provincial Commission for Discipline Inspection earnestly fulfilled its political supervision responsibilities. Shortly after the establishment of the provincial medical security bureau in 2018, it held regular meetings with the party group of the bureau to strengthen the main responsibility of medical procurement. At the beginning of 2019, the provincial medical insurance bureau started to plan the centralized procurement of high-value medical consumables in quantity; In April, the Supervision Committee of the Provincial Commission for Discipline Inspection sent personnel to the provincial medical insurance bureau for special research, urged the implementation of the responsibility of medical procurement, and explored the pilot reform of centralized procurement of high-value medical consumables in quantity. Reform is imperative, but at the beginning, there were many obstacles. "The industry format is solidified, and the vested interests' protection is like a piece of ice, which is difficult to pry." Jin Weijia, secretary of the Party Leadership Group and director of Anhui Medical Insurance Bureau, introduced that under the promotion and guidance of the Provincial Commission for Discipline Inspection, in July of that year, the provincial medical insurance bureau took provincial hospitals as a breakthrough, selected orthopedic spine and ophthalmic intraocular lens consumables with large clinical demand and high social concern for centralized procurement reform pilot, and took the lead in carrying out the "ice breaking" action of centralized procurement of high-value medical consumables in China. It is reported that the Anhui Provincial Medical Insurance Bureau has explored and innovated the centralized purchase method of "marking the bar with quantity, centralized purchase with quantity, group negotiation, and price reduction step by step". Through centralized purchase negotiation and price negotiation, the average price of 86 spine products has been reduced by 53.4%, and the average price of 8 intraocular lens products has been reduced by 20.5%, breaking the "ice" of high value medical consumables. Gathering is the trend of the times, and "breaking the ice" should be indomitable. In August 2020, Anhui Province
Edit：sishi Responsible editor：xingyong
Source：http://www.ccdi.gov.cn/
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