022 has two months left, and the centralized procurement of consumables in centralized volume-based procurement of these large alliances needs to be paid attention to.
1
Ultra-large-scale reagent procurement is coming
(Follow me to take you to learn about cutting-edge articles in the medical industry)
On October 31, Jiangxi Provincial Medical Procurement Service Platform "Announcement on Soliciting Opinions of Liver Biochemical Detection Reagent Inter-Provincial Alliance Centralized Volume Procurement Document (Draft for Comments) " (hereinafter referred to as the "Draft for Comments").
"Draft of Opinions" shows that Jiangxi Province will take the lead in Hebei, Shanxi, Inner Mongolia, Liaoning, Jilin, Heilongjiang, Fujian, Henan, Hubei, Hunan, Guangdong, Guangxi, Hainan, Chongqing, Guizhou, Yunnan, Shaanxi, Gansu, Qinghai, Ningxia, Xinjiang, Xinjiang Production and Construction Corps Twenty-two provinces (autonomous regions, municipalities, and corps) to carry out the procurement of liver biochemical detection reagents alliance.
The variety purchased in volume refers to a single-variety liquid biochemical diagnostic reagent used for in vitro detection of human samples managed by medical devices. For details of the specific substances being tested, please refer to the table below.
The diagnostic reagents registered separately, and diagnostic reagents with calibration products and (or) quality control products included in the registration certificate are all within the scope of this procurement product range. Combined diagnostic reagents with a substance to be tested greater than or equal to 2 types are not within the scope of this purchased product. Dry reagents, test strips and diagnostic reagents managed by drugs are not within the scope of this procurement product.
Organization and regional medical institutions submit annual procurement demand for specific enterprises and specifications and models in units of boxes. According to the registration certificate, it is divided into two groups: ml and test, and the procurement demand for ml and test is calculated respectively. The intended purchase volume of each variety is accumulated based on the total number of ml of each product submitted by each medical institution participating in this centralized volume procurement and the number of tests of 90% (rounded and rounded).
The product whose registration certificate and (or) instruction manual indicate the specific ml number will be included in the ml group. The product whose registration certificate and/or instructions indicate the specific number of tests will be included in the test group. registration certificate and (or) instructions indicate the specific ml number and test number of products, and are grouped according to the enterprise application.
This procurement calculates the highest effective declaration price for 26 varieties in units of ml and test. In terms of quotation, the declaration price of shall not be higher than the highest valid declaration price. If it is higher than the highest valid declaration price, it is deemed to be invalid declaration. quote should be the actual supply price after the declaration product is selected, including taxes, delivery fees, and accompanying services. In terms of grouping, products with ml as the registration unit are sorted in order from more to less according to the intended purchase volume of medical institutions. promises to meet all procurement needs in the entire alliance region, and enterprises with large purchase volumes of the entire alliance or any alliance province enter Group A , and other enterprises enter Group B. Under the same variety, all applied companies are included in Group A with the products with the testing as the registration unit.
volume-based procurement cycle is 2 years, which can be extended by 1 year depending on the situation, and will be calculated from the date of actual execution of the selected result.
2
does not accept price adjustments, and the intended selection qualification will be cancelled
Pre-selected selection rules 1:
In the same bidding unit, the intended selection enterprise is determined based on the effective declared enterprise ranking, and the intended selection ranking is the same as the enterprise ranking rules. is sorted from high to low by enterprise ranking, with a 60% winning ratio.
Pre-selected rules 2: Take appropriate measures to promote more enterprises to be selected, and are not limited by the number of enterprises selected. Their intended ranking ranks after the selected enterprises are selected according to "Pre-selected Rule One".
In addition, the price to be selected shall not be higher than the minimum effective procurement price of medical institutions in the entire alliance.If an enterprise accepts price adjustments, it retains the qualification to be selected; if the enterprise does not accept it, it will cancel the qualification to be selected for the relevant specifications of products. vs. the most effective bidding price. The price drop in the product of the proposed enterprise in units of test shall not be lower than the minimum drop in the selected enterprise in units of ml of the same variety.
protocol procurement volume allocation is divided into two steps.
Step 1: Determine the initial agreement purchase volume according to the selected ranking. The proportion of the initial agreement purchase volume to the intended purchase volume is shown in the table below. Based on the intended purchase volume of medical institutions, round up and calculate the initial agreement purchase volume of each variety and enterprise.
Supplementary enterprises allocate the agreement procurement volume according to a certain proportion.
Since January 1, 2019, if the relevant varieties have passed the inter-office quality evaluation results of the National Health Commission, the proportion of the initial agreement procurement volume in the first step increases by 5% (not more than 100%), and the undistributed intent procurement volume of selected products will be reduced by 5%. The reagents used for special aircraft of , the proportion of the initial agreement procurement volume in the first step is reduced by 5%, and the undistributed intention procurement volume of selected products increases by 5%.
(Follow me to take you to learn about cutting-edge articles in the medical industry)
Step 2: 90% of the intended purchase volume of the unselected enterprises and the unselected purchase volume of the selected products, as the secondary agreement procurement volume of the medical institution. When medical institutions allocate the purchase volume of secondary agreements, they must select other selected companies.
3
Multiple large-scale alliance centralized procurement is coming
022 has the last two months left. It is expected that in the next period of time, the centralized volume-based procurement of multiple super-large-scale inter-provincial alliances across the country will be implemented.
Overall, the rules are more detailed, and quotations tend to be rational by setting the most effective bidding, implementing low-price linkage of volume-based procurement, and arranging resurrection mechanisms. There is no limit on the procurement category. Electrophysiology, liver function biochemical reagents, dental implants, orthodontics and other categories are new faces in centralized procurement, and some consumables are not included in medical insurance payment.
Highlights 1: 27 electrophysiological centralized procurement
7 Provincial and regional cardiac interventional electrophysiological consumables alliance centralized procurement announcement was released on October 14. Electrophysiological surgery is relatively complicated. This centralized procurement is divided into three modes: set procurement model, single-piece procurement model, and supporting procurement model. The highest effective declaration price and guaranteed reduction are set in different situations.
According to Frost & Sullivan statistics, based on sales revenue, in the Chinese cardiac electrophysiological device market in 2020, the three companies, Johnson & Johnson , Abbott and Medtronic, accounted for more than 85% of the market share, while domestic products accounted for less than 10%. From 2015 to 2019, the domestic share continued to drop from 11.6% to 9.0%, and until 2020, there was less than 1% share rebound.
According to previous experience in centralized procurement, the field of consumables with a high proportion will have a certain degree of acceleration of domestic substitution after centralized procurement. After electrophysiological procurement, the price trend and market changes need to be further observed.
Highlights 2: Dental implants and orthodontic consumables centralized procurement
Sichuan-led dental implant procurement will participate in all provinces across the country. According to the previous plan, this round of centralized procurement will be launched this year. The special treatment of oral implant medical service charges and consumable prices are carried out simultaneously. The 15 Provincial Alliance of Orthodontic Consumables Co., Ltd. was released on October 19, with the guaranteed reduction of 30%.
centralized procurement category has been promoted to consumer medical care, and the management of medical service price has been put on the agenda, which seems to mean that the comprehensive management of medical expenses has entered a new stage. Areas with large profit margins may have to go through soul-searching questions about the price.
Highlights 3: Hebei 20 types of consumables centralized procurement
(Follow me Let you learn about cutting-edge articles in the medical industry)
This round of procurement varieties include: artificial bone filling material, disposable ureteral guide sheath, disposable sterile peripheral intravascular drug-coated balloon, disposable contrast catheter, Y joint, suture , cardiac stabilizer, disposable temperature sensor, disposable blood oxygen saturation sensor, medical dry film, vascular sheath, disposable biopsy needle , disposable pressure extension tube, disposable high-pressure contrast syringe and accessories, disposable stone net basket, absorbable vascular ligation clip, hard breathable contact lens for corneal shaping, atrial septal defect occlusion device, intracranial stent, aneurysm clip, and 20 varieties.
Although this procurement only radiates to one province, the artificial bone filling materials, OK mirror , intracranial stents, aneurysm clips and other categories involved have attracted much attention. Hebei Province just launched a centralized procurement of 18 types of consumables with volume a few months ago. In the short term, centralized procurement is so frequent that it can also show that it will explore the daily development of centralized procurement. Whether this model has the opportunity to be launched in other provinces is worth paying attention to.
In addition to the above-mentioned centralized procurement, there are also new trends in recent days for the centralized procurement of 15 provinces led by Fujian and the 22 provinces led by Jilin.
(Follow me to take you to learn about cutting-edge articles in the medical industry)
As the centralized procurement rules mature, the pace of market response and adaptation to centralized procurement has accelerated. Domestic substitutes pressed the acceleration button after purchasing with volume, and the field of equipment with low domestic production rates was also torn apart, and raw faces continued to join. Whether it is traditional medical care or consumer medical care, "everything can be purchased in a centralized manner" is being continuously verified in new fields. With the gradual improvement of the mechanism, centralized procurement price cuts have become more rational and scientific.
