Medical Insurance Bureau issued a document, the province's consumables procurement has changed

Hospitals hold groups for unified procurement, and small dealers face squeeze

NO.1

A batch of hospitals, uniform payment for consumables

Recently, the Sichuan Provincial Medical Insurance Bureau issued the "Opinions on Promoting the Reform of the Medical Security Management of the Close County Medical and Health Community (for Trial Implementation) (Chuanyibaofa [2020] No. 11)" (hereinafter referred to as the "Opinion Draft"). Implement unified procurement of pharmaceuticals and consumables.

Require the establishment of a unified procurement account within the medical community, a unified drug catalog, a unified purchase and distribution, a unified purchase price, and a unified purchase payment model. Conscientiously implement the national and provincial centralized procurement policies for pharmaceutical equipment, fully implement the national and provincial-level procurement of pharmaceutical equipment, and explore the development of medical community procurement on the provincial pharmaceutical procurement platform.

At the same time, improve the payment settlement method, implement the policy of centralized drug purchase and use of payment prepayment as required, and urge medical institutions to pay back on time.

Strengthen the distribution management of pharmaceutical consumables, select companies with good distribution services from the operating companies selected by the selected companies in the procurement of pharmaceutical consumables with volume, and strengthen the comprehensive supervision and management of procurement and distribution.

In addition to Sichuan, as early as July 30, 2019, the Jiangxi Provincial Health Commission issued the "Guiding Opinions of the General Office of the Jiangxi Provincial People's Government on the Pilot Work of Comprehensive Medical Reform in County Areas (Trial)" also stated that a new supply guarantee mechanism should be established.

Pilot counties (cities, districts) implement unified management of pharmaceutical consumables, unified drug catalog, and unified payment for goods. In addition to Chinese medicine decoction pieces, the medicines purchased and used by the Medical Community strictly implement the national and provincial drug centralized procurement policies, and uniformly purchase online through the provincial drug procurement platform.

Explore the overall management of pharmaceutical services and drug use, and standardize the product varieties, dosage forms and specifications used by medical institutions at all levels in the unified medical community. Strengthen the convergence of policies such as price, bidding and procurement, hospital use, and medical insurance reimbursement.

In addition, on October 16, 2019, the People’s Government of Guangdong Province also issued the “Implementation Plan for Strengthening the Construction of a Close County Medical and Health Community in Guangdong Province”. Full body coverage.

NO.2

567 regions, the procurement of consumables has changed

On May 28, 2019, the National Health Commission issued the "Notice on Promoting the Construction of a Close County Medical and Health Community", which shows that each county has established a number of medical and health institutions based on geographic location, population served, and existing medical and health institutions. One (generally 1-3) compact medical community led by county-level medical institutions.

The above notice also requires that the medical community implement unified management of pharmaceutical consumables, unified drug catalog, unified procurement and distribution, and unified payment for goods. Where conditions permit, it is necessary to break the distinction between different medical communities in the county and explore the unified management, procurement and distribution of pharmaceutical consumables in the county.

On September 2, 2019, the National Health Commission continued to issue notices, identifying Shanxi Province and Zhejiang Province as pilot provinces for the construction of a compact county medical community, and 567 counties as pilot counties for the construction of a compact county medical community.

In addition to the medical community, the medical community is also constantly advancing. On May 22, 2019, the National Health Commission issued the "Notice on Printing and Distributing the List of Pilot Cities for Urban Medical Consortium Construction".

It is required to build a pilot 100 urban medical consortia. The medical consortium establishes a unified drug and consumable management platform, unifies the codes of drugs and medical consumables in the medical consortium, and establishes a special department to undertake a series of tasks such as the financial management of the medical consortium.

It is understood that since the original National Health and Family Planning Commission issued the "Guiding Opinions on the Pilot Construction of Medical Consortium" at the end of 2016, the innovative initiative of the Medical Consortium has attracted industry attention.

At present, there are four main organizational models for medical consortia, namely medical consortium (medical consortium), medical community, specialist alliance, and telemedicine collaboration network.

The medical consortium (ie, the medical consortium) is the main mode for the city to develop the medical consortium. Namely: with a tertiary hospital as the lead unit, unite several secondary hospitals, rehabilitation hospitals, nursing homes and community health service centers in several cities to build a "1+X" medical consortium, vertically integrate medical resources, and form resource sharing and division of labor Collaborative management model.

Attachment: List of pilot cities for urban medical consortium construction

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