Xinhua News Agency, Beijing, December 3 -
Questions: Jicai Drug third batch of national organizations in the country has more floor price of drugs on the way
Xinhua News Agency reporter Qu Ting
With the implementation of the third batch of nationally organized centralized drug procurement results in Guangdong, Guangxi, and Yunnan provinces and regions, 55 types of drugs collected by the third batch of nationally organized centralized procurement have been launched in public hospitals across the country.
Calculated according to the agreed procurement volume, the annual related expenses will be reduced from 23.2 billion yuan before centralized procurement to 3.7 billion yuan, saving 19.5 billion yuan.
This is a reform "dividend" delivered to the people at the end of the year.
Take the “star drug” collected by the third batch of national organizations—metformin hydrochloride as an example. In the fierce competition among 44 pharmaceutical companies, the average price of 0.5g monolithic tablets is only For 6 cents.
The reporter learned from a third-class general hospital that after using the metformin collected this time, the monthly cost of medication for some diabetic patients does not exceed about 7 yuan, which is about 4% of the original cost.
In addition to diabetes, the 55 selected drugs in the third batch of centralized procurement also cover multiple treatment areas such as hypertension, anti-infection, and anti-tumor. They are all products that have large clinical usage, passed quality and efficacy consistency evaluations, and have an average price reduction. Up to 53%.
At present, my country's centralized drug procurement work is progressing steadily with remarkable results.
From the 25 selected drugs in the “4+7” pilot in 2019 to the second batch of 32 selected drugs organized by the national organization, a total of three batches of the national organization of the centralized procurement of drugs not only fulfilled the promise of “provisioning”, landed on time, and actually purchased The amount is much higher than the agreed purchase amount, and the burden of the masses on medication has dropped.
The reporter learned that the three batches of nationally organized drug collections involved a total of 112 drugs, and the average drug price fell by 54%.
Calculated according to the agreed procurement volume, the annual procurement cost has dropped from 65.9 billion yuan to 12 billion yuan, saving 53.9 billion yuan.
If calculated at the reimbursement ratio of 60%, it can save patients 21.6 billion yuan and save 32.3 billion yuan for the medical insurance fund.
Hu Shanlian, a professor at the School of Public Health of Fudan University, believes that the three national organizations will cover hundreds of varieties in centralized procurement, which will increase the concentration of pharmaceutical companies in the future, standardize the circulation of drugs, establish payment standards for medical insurance drugs, improve hospital drug catalogs, and increase patient use. Accessibility has played a big role in reducing medical expenses.
It is worth noting that the national organization of centralized procurement of selected drugs will reduce the price of non-selected drugs on a larger scale, and the price reduction effect will extend to pharmacies and non-public medical institutions, and the cost savings will be even greater.
"Taking quantity" is the core of the whole reform.
In order to include more varieties into the scope of centralized procurement, the National Medical Insurance Administration actively guides and promotes local governments to explore the centralized procurement of other varieties such as non-overrated drugs in accordance with the basic rules of the state to organize centralized procurement.
At present, the centralized procurement of local medicines has become a spark. For example, recently, the procurement alliance of the five provinces, districts and cities of Chongqing, Guizhou, Yunnan, Hunan, and Guangxi opened bids, involving drugs in various fields such as digestion, urinary, cardiovascular, and respiratory systems. The average drop was 54.2%.
The reporter noticed that the third batch of countries organized the centralized procurement of medicines, from procurement, payment, prepayment and repayment to landing use, etc., have formed a normalized mechanism.
For example, the medical insurance fund will be prepaid to medical institutions or selected companies in advance at not less than 30% of the special procurement budget for centralized medicines, and medical institutions will be required to settle in a timely manner in accordance with the contract to reduce corporate financial costs.
This means that the problem of the "accounting period" of all purchasers has been solved, the capital pressure and financing costs of the enterprise have been greatly reduced, and the hospital can also pay back in time.
These supporting measures will help the reform effect continue to ferment, so that people can really use and use cheap medicines well.
There are more than 2,600 kinds of medicines in my country's medical insurance catalog, and only 112 kinds are involved in centralized procurement by the state.
It seems that as long as the number or amount of medicines that meet the requirements for centralized procurement reaches a certain level, it will trigger the state to organize centralized procurement.
The national organization of centralized drug procurement will enter normal operation, and it is expected to start two batches a year.
The National Medical Insurance Administration is directing and advancing local explorations to study and formulate centralized procurement policies for drugs that have not yet been evaluated and those that have no consistency evaluation standards.
"Intensifying centralized drug procurement is the general trend." Hu Shanlian believes that in the future, those drugs that are purchased in large quantities and high in value, whether they are oral or injection, chemical drugs, biological drugs, and Chinese patent medicines, may be within the scope of centralized procurement.
The money saved can allow more innovative drugs to enter the medical insurance catalog, which will benefit the health of the people in the long run.
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