第一枪打响！医保局方案公布，高值耗材带量采购正式落地

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                    <section data-role="outer" label="Powered by gulangu"><section data-style-type="4" data-tools="新媒体排版" data-id="9205"><p><p><img src="image/20200927/c1f881d0c487f8e506cf9c11706fe900_1.gif" /></p></p></section><p><span>第一枪正式打响，高值耗材带量采购实施方案正式公布！2类高值耗材先行，效仿药品，不仅剑指大幅度降价，而且必须“两票制”，大批经销商要出局！</span></p><section data-style-type="6" data-tools="新媒体排版" data-id="9156"><section><section><section><section><section><section><section><section><section><section></section><section></section><section></section></section></section><section><section><section><section><span>天了噜</span></section><section><span>这是肿么</span></section><section><span>回事</span></section><section><span>&amp;</span></section><section><span>我此刻</span></section><section><span>心情</span></section><section><span>五彩缤纷</span></section><section><br  /></section></section></section></section></section></section></section></section></section></section></section></section><p><span></span><span></span><br  /></p><p><br  /></p><section data-tools="gulangu" data-id="94151" data-color="#374aae"><section><section><section><section></section><section></section></section><section></section><section><section data-brushtype="text"><p><span><strong>带量采购，砍价砍到血崩</strong></span></p></section><section data-bgless="spin" data-bglessp="280" data-bgopacity="80%" data-width="100%"></section></section><section><section></section><section></section></section><section></section></section></section></section><p><br  /></p><p><span>7月16日，安徽省医保局、卫健委、财政厅、药监局联合印发《安徽省省属公立医疗机构高值医用耗材集中带量采购谈判议价（试点）实施方案》的通知。</span></p><p><br  /></p><p><p><img src="image/20200927/df9706423b261b28a4d6a513ba8725b4_2.png" /></p></p><p><br  /></p><p><span>明确安徽省从<strong><span>骨科植入（脊柱）类、眼科（人工晶体）类高值耗材开始带量采购</span></strong>，《实施方案》明确<strong><span>首要任务就是谈判降价</span></strong>，降低耗材采购价格及企业交易成本，净化流通环境。</span></p><p><br  /></p><p><span>效仿药品“4+7”，高值耗材的带量采购谈判降价，无疑会砍价砍到血崩！为什么这么说呢？此前药品4+7带量采购预中选结果出炉，中选品种大幅度降价，<strong><span>最大降价幅度高达96%</span></strong>，高值耗材本身价格虚高，最终降价幅度之大可想而知！</span><span></span></p><p><br  /></p><section data-tools="gulangu" data-id="94817" data-color="#374aae" data-custom="#374aae"><section data-width="100%"><section><section data-brushtype="text"><p><span><strong>什么是高值耗材带量采购？</strong></span></p></section></section><section><section><section data-autoskip="1"><p><span>以往的高值耗材招标，只招标价格，而没有数量，中标企业还需要组织销售队伍进医院做工作，以此促进高值耗材的使用和销售。<strong><span>而带量采购是，在招标的时候就承诺高值耗材的销量，且保证在1年内用完。这就是所谓的“带量采购，以量换价”。</span></strong></span><span><strong><span></span></strong></span></p></section></section><section></section><section></section></section></section></section><p><br  /></p><p><span>回到安徽省此次带量采购，由安徽省药采中心组织带量采购谈判降价，经专家组两轮谈判降价，<strong><span>对谈判降价成功的高值耗材，形成带量采购谈判降价。</span></strong></span><span><strong><span></span></strong><br  /></span></p><p><br  /></p><p><span>此次谈判降价的范围是<strong><span>从省属公立医院开始试点，逐步推广至全省所有县级及以上公立医疗机构</span></strong>，鼓励其他医疗机构参加，采购周期为1年。</span></p><p><br  /></p><p><span>谈判议价的参考价，是参考2016年以来全国省级中标价或挂网限价的最低价，省属公立医疗机构2018年度实际采购价的中位数价、平均价、最低价及“两票制”的第一票价格，由专家论证议定带量采购谈判议价产品的入围价。</span></p><p><br  /></p><p><span><strong><span>不仅要以全国集采最低价作为谈判参考价，还要将安徽省耗材两票制的第一票价格作为参考价，这就意味着不是“没有中间商赚差价”，而是中间商没有差价赚了！</span></strong><strong><span></span></strong><strong></strong><strong><span>而且《实施方案》明确禁止谈判降价后再二次议价，无疑是断了很多想私下采购的医院和企业的后路！</span></strong></span><span><strong><span></span></strong></span></p><p><br  /></p><section data-tools="gulangu" data-id="94151" data-color="#374aae" data-custom="#374aae"><section><section><section><section></section><section></section></section><section></section><section><section data-brushtype="text"><p><span><strong>以量换价！一批高值耗材产品真的没市场了</strong></span></p></section><section data-bgless="spin" data-bglessp="280" data-bgopacity="80%" data-width="100%"></section></section><section><section></section><section></section></section><section></section></section></section></section><p><br  /></p><p><span>《实施方案》要求参加带量采购的耗材，分别占<strong><span>2018年度安徽省属公立医疗机构骨科植入(脊柱)类和眼科(人工晶体)类高值医用耗材采购量70%、90%的产品。</span></strong><strong><span></span></strong></span></p><p><br  /></p><p><span>且对于谈判成功的高值耗材产品，<strong><span>省属公立医院必须优先采</span></strong>购！最终按谈判议价的采购量，<strong><span>省属公立医院要保证在1年内用完</span></strong>，执行不力的医院，医保局要进行约谈！</span></p><p><br  /></p><p><span>以上操作就是真正意义上的“以量换价”！药品“4+7”带量采购后，很多品牌没有中标影响没有特别大，一个重要的原因是药品可以做院外市场弥补一部分市场下降的份额，但很多耗材不行，比如骨科耗材。另外很多高值耗材在手术低级别或者医护力量不足的医院做不了，即使换其他省份医院，要想拓展市场短时间内很难，这需要比较长的临床培养周期。</span></p><p><br  /></p><p><span><strong><span>当一些谈判议价成功的高值耗材“以量换价”，开始被优先采购，届时很多未中标的产品市场份额会是实实在在的下降，这就相当于给很多高值耗材判了死刑。</span></strong><strong><span></span></strong></span></p><p><br  /></p><section data-tools="gulangu" data-id="94151" data-color="#374aae" data-custom="#374aae"><section><section><section><section></section><section></section></section><section></section><section><section data-brushtype="text"><p><span><strong>高值耗材带量采购风暴！经销商该何去何从？</strong></span></p></section><section data-bgless="spin" data-bglessp="280" data-bgopacity="80%" data-width="100%"></section></section><section><section></section><section></section></section><section></section></section></section></section><p><br  /></p><p><span>高值耗材带量采购的难点在于“一致性”。分类的一致性，质量的一致性，使用方式的一致性，成为了高值耗材带量采购全面铺开的难点。<strong><span>不过随着国家医保局开始实施医用耗材全国“统一编码“，国家药监局发布医疗器械产品注册项目立卷审查文件，对医疗器械注册技术环节开展一致性评价。高值耗材带量采购的难点都在逐一解决，全国推进也只是时间问题！</span></strong></span></p><p><br  /></p><p><span>对于经销商而言，<span>行业肯定是要淘汰人的，你只有比别人跑的更快，才有生存下来的空间。</span></span><span>无论是选择产品还是选择市场，都要提前做好布局。</span></p><p><span>&nbsp;</span><span></span><p><img src="image/20200927/ff857fc70312ba8419c11b2ccc418e97_3.jpg" /></p></p></section><p><p><img src="image/20200927/38beed8bd15381aa489a5d4134f85936_4.jpg" /></p></p><p><br  /></p><p><p><img src="image/20200927/63da699407f973f46a675595a35a8640_5.jpg" /></p></p><p><br  /></p><p><br  /></p><p><br  /></p><p><p><img src="image/20200927/5b0ebefcfe2e9d03a27eff0869a8f74b_6.jpg" /></p><span>&nbsp;</span></p><p><p><img src="image/20200927/e20e61d8aab7a17bbf5b3de6bbf6beee_7.jpg" /></p><span>&nbsp;</span></p><p><p><img src="image/20200927/92fc6c67108ac4445eec3814093ea8ce_8.jpg" /></p></p><section data-style-type="7" data-tools="新媒体排版" data-id="9169"><section powered-by="gulangu"><section><section><section powered-by="gulangu"><section><section><svg xmlns="http://www.w3.org/2000/svg" x="0px" y="0px" viewbox="0 0 113.8 21.3" width="113.8"><g><path d="M97,9.2c5.5-3.4,12.3-4.2,14.5-1.4c1.2,1.5,1.6,3.5-0.4,4.5   c-2,1-3.1-0.6-2.9-1.6c0.2-1,1.4-1.6,2.5-1.2c-0.7-1.2-3.1-1.1-3.9,0.9c-0.8,1.9,1.5,3.9,4.3,2.8c2.8-1.1,3.5-4.4,1.6-6.2   C109,3.4,102,5.2,97.8,8.1c2.1-3.8-1.2-8.3-5.4-8.1c-3.9,0.2-6.4,5.4-4.1,7.4c2.2,2,4.2-0.6,2.8-1.6c-1.2-0.9-1.7,0.4-2.2,0  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