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Medical Insurance Bureau ordered: priority purchase of domestic medical consumables

2021-05-13

After the equipment, the import substitution of domestic medical consumables will also speed up...

Domestic medical consumables are given priority, and the Medical Insurance Bureau issued a document to support the development of the industry

A few days ago (May 10), the Guangdong Provincial Medical Insurance Bureau recently issued a "Letter on the Proposal for Co-organization of the Representative No. 1116 of the Fourth Session of the Thirteenth People's Congress of Guangdong Province."

The opinion letter shows that during the fourth meeting of the 13th People’s Congress of Guangdong Province, representative Liu Jinbao put forward suggestions on enhancing the independent research and development capabilities of the medical device industry and ensuring the health of the whole people.

After research, the Guangdong Provincial Medical Insurance Bureau stated that in the future, it will support the development and use of domestic consumables through the establishment of medical insurance payment standards and centralized procurement coordination mechanisms, and improve the bidding procurement mechanism to support the development and use of domestic consumables and promote the replacement of domestic consumables.

In other words, in addition to accelerating the import substitution of domestic medical devices, Guangdong Province will also vigorously support the purchase and development of domestic medical consumables in the future.

02

Improve the recruitment mechanism and promote the substitution of domestic consumables

The Guangdong Provincial Medical Insurance Bureau stated that in the future, it will establish and improve the coordination mechanism of medical insurance payment standards and centralized procurement of medical consumables, and support the development and use of domestic high-quality medical consumables by formulating medical insurance payment standards for selected and non-selected types of medical consumables in centralized procurement. The development of the consumables industry.

In December 2020, Guangdong Province issued the "Notice on the Implementation of <The National Medical Security Administration's Opinions on the National Organization for the Centralized Procurement of Coronary Stents and the Use of Supporting Measures>" (Yueyibaofa [2020] No. 42) , Requiring listed medical insurance departments at all levels to do a good job in formulating payment standards for coronary stent medical insurance. The selected price of the selected products in the centralized procurement of coronary stents of the national organization is used as the payment standard, and the full amount is included in the payment scope of the medical insurance fund. The highest medical insurance payment standard is set for the non-selected products, and corresponding measures are taken in accordance with local conditions to gradually adjust the payment standard within two years. , So that it does not exceed the highest winning price.

The listed medical insurance bureaus at the prefecture level formulate payment standards for the selected varieties in the centralized procurement of coronary stents organized by the state, regulate the medical insurance payment of corresponding medical consumables, and encourage medical institutions to give priority to using domestic medical consumables selected in the national centralized procurement.

In addition, in March 2021, Guangdong Province issued the "Guangdong Province Basic Medical Insurance, Work Injury Insurance, and Maternity Insurance Medical Consumables Catalog (2021)" (Yueyibaofa [2021] No. 14), which has high clinical value and excellent economic evaluation The medical consumables included in the medical insurance payment scope have further clarified the medical insurance payment scope of medical consumables. When the insured uses the medical consumables in the catalog according to the regulations, the medical insurance fund will pay according to the regulations, which reduces the medical expenses burden of the insured and promotes domestic production. The development of medical consumables industry.

It is worth noting that in the bidding and procurement of medical consumables, Guangdong Province has clearly issued the "Guiding Opinions of Guangdong Medical Security Bureau on Doing a Good Job in Procurement of Medicines and Medical Consumables" (Guangdong Medical Insurance Regulation [2020] No. 2), requiring the whole province Pharmaceuticals and medical consumables used by public medical institutions at all levels are purchased on the procurement platform. All products that have obtained the official production approval issued by the State Drug Administration can choose to register for online trading on the provincial, Guangzhou, and Shenzhen platforms. Institutions purchase and use online according to clinical needs, and gradually realize "online transactions, available across the province", and reduce corporate sales costs.

For the types of medical consumables that are not available on the procurement platform, such as emergency approvals or urgent shortages in response to public health emergencies, no actual transactions or other reasons that cause difficulty in procurement, are clinically necessary, and have very little clinical use, etc. , Medical institutions can independently negotiate purchases within 5% of the total annual purchase amount to promote domestic medical consumables to be put into clinical use as soon as possible.

At the same time, in formulating the rules for centralized procurement of medical consumables in Guangdong Province, the same group bidding policy for domestic medical consumables and imported medical consumables was implemented to enhance the price advantage of domestic medical consumables and increase the chance of domestic medical consumables being selected.

The above-mentioned requirements of Guangdong Province also means that domestic medical consumables will be given preferential treatment in the future, whether in the bidding process or in the hospital use process.

03

In the golden decade, domestic medical equipment began to accelerate

In fact, Guangdong Province has been in the vanguard in supporting domestic medical equipment. Since 2019, Guangdong Province has issued many documents stating that it is necessary to vigorously develop the domestic medical equipment industry.

Earlier on March 11, the Guangzhou Provincial People's Government just issued the "Optimizing the Administration of Government Procurement of Imported Products" document which stated that the procurement of imported equipment must be submitted for approval.

In addition, the State Council has previously issued a notice stating that if domestic drugs and medical devices can meet the requirements, government procurement projects must in principle purchase domestic products, and gradually improve the level of domestic equipment deployment in public medical institutions.

It can be said that the country and various regions have been continuously deepening in promoting the domestic substitution of medical devices.

At this stage, although the degree of localization of public medical institutions is still not high, and due to the high technology-intensive characteristics of medical devices, the threshold of technology and capital is also higher, and the degree of intensification of the industry is further increasing. However, with the continuous development of my country's medical device industry in recent years, most of the common diagnosis and treatment equipment and consumables, such as electrocardiographs, biochemical analyzers, and ultrasonic diagnostic equipment, domestic products have basically met the general clinical diagnosis and treatment needs.

According to industry analysts, in the next 10 years, the development direction of my country's medical device industry will continue to be localized, intelligent, and high-end. Correspondingly, under favorable policies, this will inevitably become a decade of rapid development of domestic medical devices......


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