The Beijing-Tianjin-Hebei 3+N Alliance centralized procurement of consumables involving hemostasis and anti-adhesion, neurointervention, hemodialysis, peripheral vascular intervention, etc., ** The decryption work has been completed at the end of last month, and the results of the proposed selection have not yet been announced, and the circuit breaker remediation work has been started.
Circuit breaker remediation starts, clear price
On February 2, the Hebei Provincial Centralized Procurement Center for Medical Drugs and Devices issued the "Notice on Carrying out the Centralized Procurement of 28 Medical Consumables in the Beijing-Tianjin-Hebei "3+N" Alliance (hereinafter referred to as the "Notice").
Official ** time: 9:00 on February 5, 2024 - 10:00 on February 5, 2024;
Official ** decryption time: 10:00 on February 5, 2024 - 10:30 on February 5, 2024.
A few days ago, the decryption of the centralized procurement of 28 kinds of medical consumables in the Beijing-Tianjin-Hebei "3+N" alliance has been completed at 17 o'clock on January 31, 2024, and the results of the proposed selection will be announced separately in accordance with the provisions of the procurement documents.
Product range that triggers circuit breaker remediation:Peripheral vascular coil - free, left atrial appendage occluder and its delivery system - disc, hemostatic gauze - body surface use, hemostatic nonwoven fabric - in vivo use, intracranial thrombectomy stent, long-term central venous catheter (TCC) for dialysis - symmetrical type, long-term central venous catheter (TCC) for dialysis - bifurcation, stepped type, temporary central venous catheter (NCC) for dialysis - jugular vein, subclavian vein cannulation, disposable implantable drug delivery device special needle - safety type, peripheral thrombolytic catheter, Coronary microcatheter - single lumen perforation, coronary microcatheter - single lumen ordinary, coronary microcatheter - double lumen, coronary artery cutting spinous process mastoid balloon - blunt cutting balloon, tracheobronchial stent - membrane graft and neurointerventional guide catheter and support auxiliary catheter - distal access (length 100 cm) and other 13 procurement varieties and 16 product categories.
Procurement varieties (product classification) that trigger circuit breaker remediation:
The specific requirements are as follows:
In terms of rules, the reporting enterprises participating in the circuit breaker remediation need to complete ** and encryption according to the catalog or according to the registration certificate, and the failure to ** or not encrypted is deemed invalid. If the application is not higher than the minimum to be selected**15 times (inclusive), after the proposed winning enterprises (medical device registration certificate), they will be sorted from low to high according to the application ** grid; If the application is the same, the demand is preferred, and the actual winning rate is up to 70% (rounded to the whole number), and those who meet the above conditions are determined to be selected.
According to the content of the previous draft for comments, for products divided into group AB, the circuit breaker remedy mechanism is only enjoyed by group A.
Availability:If one of the following conditions is met, the number of valid declaration ** units in the group is 3; The number of valid declaration ** units in the group is 3 and the number of proposed winners is 1.
Trigger Condition:The selection rate of 70% was not reached in the group and the number of candidates was 2.
Remediation Requirements:Confirmation of non-proposed winning products** The lowest proposed winning price in the same group is 15 times (inclusive), after the product to be selected, it will be sorted from low to high according to the confirmation**, if the confirmation ** is the same, the one with more demand will be preferred. The actual winning rate is up to 70%. After the circuit breaker remediation mechanism is activated, if the actual winning rate in the group does not reach 70% and cannot meet the clinical needs of the alliance area, the negotiation mechanism will be activated to determine the proposed winner through negotiation and bargaining.
In the official documents of this centralized procurement, the rules for the selection are proposed.
The 2nd and 3rd determination principles are also basically in line with the above-mentioned circuit breaker remediation trigger mechanism.
The purchase of consumables and alliance regions are shown in the following table:
Multi-category "packaged" price reduction mode
The rules of centralized procurement are being tested
The centralized procurement of consumables in the super-large inter-provincial alliance continues to appear, and while the scope is expanding, the category is also "breaking the ice". Under the principle of "one product, one policy", the rule setting of one-time centralized procurement of multiple types of consumables is facing a great test.
Since the beginning of national procurement of spine, the "guaranteed floor price" has gradually become a regular setting for many inter-provincial centralized procurement. The fourth round of national procurement also continued the principle of bottom-up.
In addition to the best factors, the bidding rules comprehensively consider product quality, market share, and supporting services, etc., fully consider the use habits of medical institutions, give clinical more choice, and stabilize the clinical use pattern; Respect innovation and give high clinical value products a certain premium; At the same time, a guaranteed selection mechanism is set up to increase the chances of enterprises and stabilize the expectation of selection.
The Beijing-Tianjin-Hebei "3+N" alliance has a large variety of 28 kinds of consumables, which are divided into 28 centralized procurement documents, and the rules for each type of consumables are set in a targeted manner.
In terms of rules, the group bidding + negotiation mode is adopted. After the implementation of the second rule of the proposed selection, if the actual winning rate of Group A does not reach 70% (rounded to the nearest integer) and cannot meet the clinical needs of the alliance region, a negotiation mechanism will be initiated to determine the proposed winning enterprise through negotiation and bargaining.
The introduction of the negotiation mechanism has also reserved room for more enterprises to be selected.
However, on the whole, the centralized procurement rules do not set a guaranteed reserve price. According to the proposed winning specification 1, the highest proposed winning ** in the same bidding group shall not exceed 1 of the lowest proposed winning **5 times. If the proposed winning ** of group B is not higher than the average proposed winning ** of group A (including the proposed winning rule 2 and the proposed winning rule 3), if the application of group B is higher than the average proposed winning of group A**, the declared enterprise product is a non-winning product. From this point of view, the level of group A is directly related to the overall selection rate.
After the circuit breaker remediation work is launched, the winning rate of this centralized procurement will be further improved.
The centralized procurement includes both high-value consumables and low-value consumables, and domestic brands are expected to win more victories in the market share competition by virtue of the first-chain advantage and cost-effectiveness, and accelerate the realization of import substitution and concentration improvement.