Jiangsu basic medicine call for bid one the intersection of medicine and two price Claim the new rule is popularized " It is difficult "

Jiangsu basic medicine call for bid one the intersection of medicine and two price Claim the new rule is popularized " It is difficult "
Jiangsu basic medicine call for bid one the intersection of medicine and two price Claim the new rule is popularized " It is difficult "
Basic medicine catalogue and trouble not totally eclipsed of medical insurance catalogue, are appearing in the national basic medicine system pilot project gradually. After just carrying on the bid and purchase of the basic medicine system at the end of December of 2009, annual medicines of Jiangsu Province concentrate on bidding and purchasing and raising the curtain in the last ten days of January of 2010, at the stage of the negociation price at present. The former basically uses medicine to the medical organization at the basic level, the latter is catalogue medicines of medical insurance available for large hospital specially, among them but overlap partly. This means that if wins a bid at the same time, the same medicines of the same manufacturing enterprise, will present two prices in Jiangsu area. Because the implementing scheme of the national basic medicine system stipulates, the basic medicine must be bade and purchased, the question which the fastest Jiangsu Province of the pilot project meets, have universality. Two catalogues, soon after two national basic medicine systems of bid are issued, define 307 basic medicine include the intersection of medical insurance and the intersection of catalogue and class-A range of medicine in all ' 100% submit an expense account) . This kind connects, but left the question in relevant bid links. Take Jiangsu Province as examples. The outfit of the basic medicine just uses the medical organization at the basic level in the pilot area at present, it is the large hospital facing the whole province that medical insurance medicines implemented on the provincial platform concentrate on calling for bid. To medicines manufacturing enterprise, the former concerns the sale in the medical organization at the basic level in the future, the latter means very important market share of large hospital, the two all can't give up. This has not only increased the selling cost of enterprises directly also caused the same area " more than prices for a medicine " Confused for situation,is there medical organizations and two kinds of prices of hospitals large at the basic level as a medicine at least, there may also be a plurality of retail prices on the market. The definition of the basic medicine has determined its kind is always smaller than all medical insurance medicines, so even the large hospital edition of the basic medicine will announce, can't totally replace the medicine catalogue of medical insurance either in the future. If the bid and purchase of these two kinds of catalogue medicines can't be merged, will waste the social cost. The countermeasure that Shanghai adopts is bid of catalogue medicine of medical insurance, a plurality of prices. Regulations of Document No. 12 which Shanghai Price Bureau issued in mid-October of 2009, to the basic medicine while already bidding and purchasing in the medical insurance catalogue, medical organization should whom country announce retail the guide price to sell according to higher than, to the intersection of supply price and retail price according to this in unison, go bankrupt, buckle, carry out by 15% of the addition rate again of hospital manufacturer. Shanghai has pursued the whole city and unified the centralized purchasing on the platform earlier, this is that this city can take the lead in carrying out the foundation of the above-mentioned method. Since 2009, the centralized purchasing of regional medical insurance catalogue medicines will come to the provincial platform in unison gradually, and the country defines the basic medicine regards province as the unit to call for bid in unison, this has offered the advantage for simplifying selling procedure of enterprises. " it's time to be implementing all medicine bid to merge " ,Personage responsible for bid of a medicine enterprise inside the province in Jiangsu claims, plan to bid and purchase the above-mentioned two times continuously in nearly two months, all pooped out. But he says at the same time, the stage when is not pushed away in the basic medicine system in an all-round way, this method is unrealistic. Because the tertiary hospital still enjoys to 15% of the medicines addition, they and generally storing in the space of negotiation between the medicine enterprises at present; And every medicine enterprise faces the medical organization at the basic level different from selling share of the tertiary hospital, the bottom line of price that can be afforded in bid is very different too, so its sales tactics are far from each other. Though Jiangsu Province stipulates, " it is low not high " at the final regional sales price ,But may know because of the fact that not in advance " Basically mark " With " mark of province " It is low what who is high, difficulty and risk of enterprise's decision are not little. The tertiary hospital carried out in October of 2009 of opportunity, the national development and reform committee once retailed and guided prices to 296 kinds of announcements that 307 kinds of national basic medicines will be planted, stipulate all types of medical selling price of health organ can't exceed this price. But quite a few of countries retail and guide prices a bit high. Such as injectable preparation of 800,000 units of penicillin, the development and reform committee announces that it is 0.92 yuan each to retail and guide prices, but a lot of pharmacy retail price is 0.4 yuan. However, this time Jiangsu Province Price Bureau stipulates, the tertiary hospital gives basic medicine (include 307 kinds of national basic medicine and 292 kinds of provinces augment medicines) which the patient used ,Price its purchase biding price to be suitable to add for the intersection of province and basic medicine by 15% in unison, call " win a bid of the retail price " . To most tertiary hospitals, this price is lower than the price that they carry out at present. The countermeasure that the tertiary hospital adopts is to shift the pressure to the manufacturing enterprise. Person in charge of commercial association medicine of Jiangsu Province verifies to this newspaper, a plurality of member enterprises reflect on February 2, the tertiary hospital still requires and a lot of equally originally " Return to some " . This person in charge says, Jiangsu Province stipulates the tender price of the basic medicine can't be higher than in the past all previous centralized purchasing supplied prices the most low, space of the profits of enterprises has already been narrowed; In order to keep this captivating market of tertiary hospital, they must also further make concessions. The department of public health of Jiangsu Province counts the personage in the wealth place and claims, the basic medicine system should be pushed away in an all-round way sooner or later, Jiangsu Province hopes the tertiary hospital can integrate as soon as possible. He admits, in a situation that public hospital compensation mechanism has not set up at the same time, really there is a difficulty to do so. Take Nanjing as examples, estimate cancel the intersection of medicines and addition rate, Nanjing public hospital of the whole city compensate and need more than 8 billion while being rough, only the hospital of a drum-tower is 5 hundred million. Municipal development and reform committee, the Bureau of Finance, health bureau of Nanjing,etc. are consulting the scheme of medical reform of Nanjing finally at present.


|