The "most complicated" orthopedic spine consumables set an average price reduction of 84%, saving 26 billion yuan per year

Economic Observation Network reporter Qu Yixian On the evening of September 27, the national organizational orthopedic spine consumable collection announced the results of the proposed selection. There were 171 companies participating in this collection, and 152 were planned to be selected, with an average price reduction of 84%. Calculated according to the agreed purchase volume, it is expected to save 26 billion yuan per year.

This is the third batch of high -value medical consumables carried out by the state organization after cardiac stent and arthric joints. According to the needs of the cervical and thoracic spine surgery, this episode covers five orthopedic spine consumables in cervical fixed fusion, thoracic lumbar fixed fusion, vertebral formalization, endoscopic undercutition, and artificial spinal disk replacement. Form 14 product system categories. In the first year, there were 1.09 million units of intention procurement, accounting for 90%of the total demand for medical institutions in the country, involving a market size of about 31 billion yuan.

From the perspective of enterprises, the selection companies include both cross -border enterprises such as Midunli, Johnson & Johns, Stake, Bellang Medical, as well as domestic -funded enterprises such as Weigao Orthopedic, Dabo Medical, and Sanyou Medical.

According to the National Medical Insurance Bureau, the supply of diversified products is conducive to the smooth implementation of centralized procurement results and can meet clinical needs. In the next step, the National Medical Insurance Administration will work with relevant departments to guide the implementation of the selection results in various places and middle school companies to ensure that in February 2023, the selected products after the price reduction were used in February 2023.

Decrease exceeds expectations

At noon on September 27, a corporate representative who submitted the bid in Shanghai told the Economic Observation News that he estimated that the price this year would not be reported too low. "," It has a rules for winning the bid, and the 4 % discount is basically winning the bid, but if you want to get a lot, you must enter the top a few. If you are a bid, you can only take 50%of your own surgical amount. There is no way to allocate the amount of others. "

In fact, before the National Medical Insurance Bureau announced the average decline of 84%on the evening of the 27th, orthopedic spine companies and pharmaceutical securities companies generally estimate that the decline in this collection will be relatively small. The average decline in %was widely spread before it came out.

Perhaps affected by the judgment of the "most gentle collection". As of the close of September 27, the stock price of many corporate corporate corporate companies in multiple orthopedics rose, and Weigao Orthopedic (688161.SH) rose 13.44%; Dabo Medical (002901.SZ) 10.02%; Sanyou Medical (688085.SH) rose 11.81%; Aikang Medical (01789.HK) rose 12.39%.

In comparison, the average decrease in cardiac stent collection was 93%, and the average decrease in artificial joint collection was 82%. The average decrease of spine products was 84%, which was not the highest, but it was definitely not "mild".

Taking the fixed fusion of the thoracic lumbar vertebral road with a spine surgery as an example, the average price of each set of consumables has dropped from 33,000 yuan to about 4,500 yuan. About 4,800 yuan; the latest technology of the technology of the thoracic lumbar vertebrae, the average price per set of consumables used from nearly 40,000 yuan to about 5,600 yuan; 27,000 yuan dropped to about 1100 yuan.

Unlike previous medicines and consumables, this time the spine collection was changed from Tianjin to Shanghai one week before the bid opening, and it was stipulated that the enterprise representatives left the application materials at the scene. The enterprise attended the closer at the branch venue of the registered place or the province where the headquarters is located.

Gao Xue, the leader of the centralized procurement team of high -value medical consumables in the National Organization, said at the training meeting of last week that the enterprise could witness the bid for the opening of hundreds of people because of inconvenience to organize hundreds of people.

The most complicated collection rules

In the 1805 pages, we can see the complexity of this orthopedic spine consumables. In comparison, the artificial joint collection documents in 2021 were only 384 pages, and the cardiac stent collection documents in 2020 were only 115 pages. This time the spine collection, the document only describes more than 40 pages of pages of procurement products and demand.

Gao Xue said that the collection of spine products is far more complicated than the collection of joint products: the selection of joint products and the unparalleled selection are very good, and the price control is easy; the spine products should be used according to the actual situation of the patient. In addition, because the main components, accompanied by services and optional components can appear too many combinations, which also increases the difficulty of restricting prices.

"The problem of joints (collection), we require not to appear again in the spine (collecting). We first transform the system, and the medical institution can enter the product category and number in use. Is it selected or uninvited (product). "Gao Xue said that if the information technology cannot keep up, Liancai can provide corresponding technical support. Given the requirements for information transformation of various provinces.

This time the collection of products is orthopedic spine medical consumables. The product system is formed according to the type of surgery, the surgical site, and the approach method. The road nail rod fixed system, the thoracic lumbar vertebral front road rod fixed fusion system, the thoracic lumbar vertebral front road plate fixed fusion system, etc. Each system contains multiple main components and optional components. The National Medical Insurance Administration said that the spinal consumables were divided into 14 product system categories, 29 bidding units, and 872 systems. 6,426 medical institutions in the country reported that the purchase demand for procurement reached 1.2084 million units, and a total of 173 applicants were involved in collecting products.

The procurement demand for various product system categories is accumulated according to the purchase demand reported by each medical institution participating in this collection. Gao Xue said that (Joint Procurement Office) had previously verified that the amount of reports of medical institutions was more accurate.

The quotation of "the top priority"

According to the collection documents, the declaration price of the enterprise is the price of the prices of the bidding product system for each major component (including the delivery cost of the product system, the supporting tool distribution costs and the cost of supporting tools) and the price of the accompanying service. The price of different specifications of the same part of the product is the same, and the prices of the same part in different product system categories must be consistent.

Gao Xue said that the quotation is "the top priority", 14 product system categories, and each one allows only one quotation. If the scale of the enterprise is relatively large and the 14 product system categories are produced, it is to report to 14 prices. The same component products, regardless of specifications, models, and short and thickness.

The bone cement is relatively special. The price can be declared by the packaging. 10G and 20G are available. The final calculation price is calculated at a proportion of weight, and the price comparison is compared with 10G.

In accordance with the principles of ensuring the stability of clinical use and supply, taking into account the principles of various types of products and enterprises, comprehensively considering factors such as medical institutions, the willingness and supply capacity of the enterprise, and the integrity of the product portfolio, the Liancai Office bids the enterprise section separately. The same product system category category category Divided into ABC bidding unit.

The A and B units are sorted according to the quotation, and the finalists are determined from low to high. In addition, the offer is not higher than the minimum medium -election price of the same unit 1.3 times, or the price reduction is not higher than the maximum effective declaration price of the same unit, which can also be shortlisted.

Compared with the 2 -year procurement cycle of artificial joints, the procurement cycle of this collection is 3 years. Gao Xue said, "I hope that all enterprises will take product reserves in time after being selected."

The Liancai Office stipulates that the application for enterprises shall declare the annual maximum production capacity of supplying the Chinese market as required and ensure quality. At the same time, it is guaranteed to provide distribution and provide accompanying services in accordance with the procurement agreement. In accordance with the requirements of the Liancai Office, the selected enterprises should use technical means such as informatization docking, and use the "centralized procurement and registration system (orthopedic spine)" in real time to the Liancai Office to submit the inventory of the selected orthopedic spine consumables in Liancai Office Chain flow and other information to ensure accurate data.

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