In the fourth quarter of 2018, for medical consumables, not only the restrictions on control fees, but also some continuous control measures, in the context of 2018 medical purchase and sales, combined with the bulk of the documents clearly required to manage high-value consumables The pace of the second half is very tight.
During this time period, the cost of consumables seems to be a topic that has to be discussed. At present, many places have begun to take action in light of their own circumstances.
On September 25th, Henan Provincial Health Planning Commission held the 2018 Provincial Health and Family Planning Key Work Promotion Conference, which affirmed the increase in the price reduction and control of Henan Province's pharmaceutical consumables in the first half of 2018. In view of this, comprehensive supervision will be established in the second half of the year. The system continues to control fees and ensure that the overall growth rate of medical expenses is within 10%. At the same time, the control fee is taken as an important indicator of performance appraisal, and is linked to the hospital level review.
It is a basic standard to control medical cost growth within 10%. The Heilongjiang Provincial Health and Family Planning Commission also issued a notice on September 20th requesting that the cost of consumables consumed by the public hospitals in the province for 20 yuan should not exceed 20 yuan, and the hospital's cost increase control target should not exceed 9.28%.
What needs to be seen is that the Xi'an Municipal Health Planning Commission also held a meeting in September to interview the five district and county health bureaus with high medical control fees and 11 public hospital directors, asking them to formulate immediately. Rectification program.
In the monitoring of fee control, there are provinces that have taken out scientific and technological means. The Hubei Provincial Health Planning Commission issued relevant opinions in early September to control the unreasonable growth of medical expenses, promote the intelligent supervision system for medical services, and play the role of medical insurance for control fees and standardized medical services.
In addition to consumables control fees, the high-value consumables supervision measures that have been put on the ground some time ago are enough to drink a pot.
The first thing to say is Henan Province. One point of view is that its “Double Ten System” has been in the forefront of the country for the supervision of high-value consumables.
On September 12th, the Henan Provincial Weihe City Health Planning Commission issued the "Notice on the Ranking of Double Values of High-value Medical Consumables in 12 City Public Hospitals from June to July in 2018", which exposed the first hospital consumption in the country for two consecutive months. Top 10 list, up to 30 high value consumables. At the same time, there were hundreds of medical staff who used a large amount of consumables.
At that time, Saibailan equipment learned from the relevant personnel of the Municipal Health Planning Commission that for the 12 public hospitals in the city, they all entered the list of “Double Ten” in June and July. Next, the hospital will start. Self-inspection and verification, and then enter the medical staff interviews and related consumables subsequent decommissioning, restrictions and other links.
Luohe City’s exposure list is the implementation of the “Notice on the Management of the “Double Ten” System for the Use of High-value Medical Consumables in Medical Institutions in Henan Province” issued by the Henan Provincial Health and Family Planning Commission on May 30 this year, which directly triggered the province’s consumables. The fee will be upgraded again.
In addition to the "Double Ten System", Henan also has a devastating trick, the "18+1" procurement model for consumables, and the high-value consumables market price. Up to now, eight cities in Henan Province have launched bargaining prices for high-value consumables, and a wave of consumables is coming.
If the price negotiation in Henan Province is only a big concern in a province, then the provincial consortium of medical consumables will be exposed to 14 provinces with high value consumables. The lowest selling price will be like a deep-water bomb, which will cause conspiracy companies to worry.
On September 29th, the Hainan Provincial Centralized Purchasing Service Platform issued the “Notice on the Inter-provincial Union's High-value Medical Consumables Joint Purchase Variety Networking Notice”, which clearly uses 14 provincial inter-provincial high-value medical consumables joint procurement data as Hainan Province. The high-value consumables procurement catalogue is directly linked to the net transaction, and is accompanied by a catalogue of high-value consumables hanging nets (14 provincial alliance libraries).
Simply put, the message revealed in this paragraph is that the provincial consortium of medical consumables has been expanded to 14 provinces, including Hainan, and some of the high-value consumables are exposed in the lowest sales price and net price of the 14 provinces. .
At present, the list of “14 Interprovincial High-value Medical Consumables Union” is: Shaanxi, Sichuan, Inner Mongolia, Ningxia, Qinghai, Gansu, Xinjiang, Hunan, Heilongjiang, Liaoning, Guizhou, Guangxi, Hainan, and Tibet. The lowest selling price of half of China's high-value consumables is “streaking”.
In addition, the regulation of high-value consumables also includes blocking, suspending or canceling online transactions.
On September 19, the Heilongjiang Provincial Health and Family Planning Commission issued an announcement notifying that the high-value medical consumables manufacturing enterprise that did not respond to orders from medical institutions for more than 10 working days since May 28 was notified in the September 6 notification. The result of processing the order of the medical institution. The results showed that the plot was more serious but did not make any clarifications to explain the suspension of the related transactions of the five consumable enterprises.
Jilin Province recently also informed that all the products of the eight consumables companies have been kicked out of the Jilin market for one year and are not allowed to go online.
The notice said that due to the vascular intervention in the previous online transaction, and other 12 categories of high-value consumable products, some enterprises did not update the provincial-level net (winning bid) in a timely manner, and did not truthfully declare the lowest price of the provincial-level net (winning bid) and me. Jilin Province launched a price check on issues such as the minimum purchase price of public medical institutions in the province. On September 7th, 91 companies that did not submit relevant rectification (clarification) materials were interviewed in batches. After the interview, there were still 8 companies that did not update in time or did not truthfully report the relevant low prices. They did not clarify the response or did not comply with the relevant policies of Jilin Province. Therefore, all products of 8 companies were kicked out of the market for one year to 2019. The ban was lifted on September 18th.
On August 23 this year, the National Health and Health Commission and other nine ministries and commissions jointly issued a notice to correct the main points of the special treatment of unhealthy winds in the field of medicine purchase and sale and medical services in 2018. Intensified the supervision of medical consumables in the second half of the year, and continued to make efforts to correct the unhealthy trend in the field of medicine purchase and sale.
On September 20th, the Anhui Provincial Health Planning Commission issued a briefing on the rectification of the fourth round of inspections by the Party Committee of the 10th Provincial Party Committee.
During the inspection, it was found that “the implementation of the “nine-not allowed” system in the medical and health field is not strict, and some hospitals still link the income of medical personnel with the income of medicines and medical examinations; the industry management system is not implemented within the system”.
In this regard, it will be scored according to the "Notice on Further Standardizing the Implementation of the Scores for the Bad Practice of Medical Institutions and Medical Staff", and the serious transfer of supervision or judicial departments will be handled. The patrol required the relevant university affiliated hospitals to seriously carry out the rectification and implementation of the patrol feedback problem. Eight leaders have resigned as the head of the department.
On August 28 this year, the State Council issued the "Notice of the General Office of the State Council on Printing and Distributing the Key Tasks for Deepening the Reform of the Medical and Health System in the Second Half of 2018", including high-value consumables. It is clear that reforms to manage high-value medical consumables and excessive medical examinations should be developed.
In addition, in July this year, according to Xinhua News Agency, Vice Premier Han Zheng investigated and presided over a symposium at the National Health Insurance Bureau on the afternoon of July 10. Focus on understanding the development of high-value medical supplies overuse work.
For medical consumables, the control fees, the local market price, the double ten system, the provincial minimum share sales price, medical insurance control fees, rectification, cancellation or suspension of online transactions, etc. must be brave to face in the next three months. The real problem is unavoidable.
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