Set up fraud!Nearly a hundred hospitals only use non -secondary products, involved more than 22 million

In July 2022, when the seventh batch of collection came to the end, some regions were notified.

At the end of July, a "Notice on the Procurement of Pharmaceutical Medical Consumption Procurement" issued by the Head of the Medical Security Bureau of Henan Province was spread online. The "Notice" pointed out the eight major issues in Henan's implementation of the drug concentrated procurement policy, including some drug procurement of more than 1,800 hospitals above the average price of more than 3 times. Individual medical institutions cooperate with pharmaceutical companies with false procurement and illegal supplement to the network. Waiting for matters.

The most prominent of these is that in the past year, nearly 100 public medical institutions in Henan have only purchased non -selected drugs or alternative drugs without purchasing products.

All public hospitals are involved in the procurement of volume, which is the principle that the State Medical Insurance Administration determined in 2019. After three years of operation, the collection of the collection system has a strange smell of not buying collections, which has made the design of the top -level medical insurance system failing.

Procurement of non -secondary products

On July 28, the Henan Provincial Public Resources Trading Center released data online in the first half of this year.

In the first half of this year, there were 15,063 varieties of trading drugs in Henan Province, with a transaction value of 28.073 billion yuan. Among them, the top ten drugs online transaction amounts are imaginative:

Picture source: Henan Province "Notice on the Situation of the Provincial Pharmaceutical Online Transactions in the First Half of 2022"

Among the top ten varieties in the first half of the year, except for the inhaled mixed suspension of Bo Di Nali, the other products were mostly exclusive varieties. Among them, it is the Atropand calcium tablet marked as "Pfizer Pharmaceutical Co., Ltd.".

This medicine is a well -known "Lipur", which has been popular at home and abroad with excellent curative effects. However, with Pfizer's losses with the purchase of volume in 2018 and 2019, "Lipur" has never entered the scope of the national collection.

The "Lipur" who has not entered the collection of collection is not normal for sales to TOP10 in the purchase of Henan hanging network.

Attica is the first time to collect shortlisted varieties in the country. The selection varieties in Henan are the generic drugs of Xing'an Pharmaceutical. The commercial price of each box of 10mg7 pieces of "Lipcao" is generally around 30 yuan; the price of 20mg7 pieces is more than 40 yuan.

70%of the procurement of public medical institutions should be carried out through collection, which is the principle that has been determined very early. The Opinions on Promoting Pharmaceuticals Purchase Purchase Work "and Institutionalization Requirements Requirements to include drugs with large amounts of basic medical insurance directory and high procurement amount into the procurement scope. But in actual operation, there are still varieties of "missing nets".

After disclosing sales data in the first half of this year, Henan also summarized the existence of drug online transactions in the province, which mentioned that some pharmaceutical institutions in the province have not carried out online procurement through the provincial pharmaceutical procurement platform; individual pharmaceutical institutions procurement The program is not standardized, and the purchase of drugs is inaccurate.

This statement is quite vague. The documents from the aforementioned Henan Provincial Medical Insurance Bureau directly click: In 2021, a total of 96 public medical institutions only purchased non -choice of non -secondary drugs or alternative drugs without purchasing the bidding medicines. Rough calculation, the relevant purchase amount exceeds 22 million.

Under the circumstances that there are optional varieties, some institutions have purchased varieties outside the collection. Among them, there are many well -known large hospitals in Henan Province.

The 16th People's Hospital of Zhengzhou City is the most prominent. In 2021, the purchasing volume of non -collection varieties reached 7.3562 million yuan. The official website of the hospital shows that the 16th Hospital of Zhengzhou is now called "Zhengzhou Yangcheng Hospital". It is a three -way hospital with 562 beds. The hospital is the first key project in 2012 determined by Henan. Key projects.

In addition, the community health service center accessing the medical insurance system occupies a large proportion in this notification. Among them, Xuchang Mayor Ge City Jian Road Community Health Service Center has the largest amount, and the amount of illegal regulations in 2021 reached 2.379 million yuan.

Frequent "more torque" collection

In addition to the "inverse collection", the "violation of the alliance commitment" is also an important issue mentioned in the "Notice on the Procurement of Pharmaceutical Medical Consumption".

According to the survey of the first batch of selection of the first collection of public hospital alliances, among the nearly 50 medical consumable products used by more than 30 well-known large hospitals in the provinces in the province, non-secondary products were used in illegal regulations.

There are 7 kinds of medical consumables, and the proportion of many hospitals using non -secondary products is 100%, which is useless to collect products. The products involved include hard brain (ridge) membrane repair materials, anti -adhesive materials, etc.

As a provincial -level specialized hospital in the province, Zhengzhou Maternal and Child Health Hospital entered the warehouse of 7,050 non -collecting varieties during the survey, and the number accounted for the first of the hospital.

Regardless of whether it is a national collection or the alliance collection between different regions, the overall goal is to change the price in quantity. In the case of ensuring the quality of medical treatment, the patient pays pressure. However, many hospitals do not implement the rules and alliance commitments, and the reasons behind this are worth pondering.

If the information of the above hospitals will be announced, it is undoubtedly expected to be able to rectify the phenomenon of non -compliance.

In addition to the above problems, the Henan Provincial Medical Insurance Bureau also pointed out that the prices of some medical institutions procurement of drugs are significantly higher than the average price: In 2021, a total of 1,820 medical institutions purchased by the province were higher than the average price of more than 3 times.

In addition, since November 2021, the Henan Provincial Medical Insurance Bureau has also found that some individual institutions in the province have cooperated with pharmaceutical companies to increase the drug hanging network in violation of regulations.The survey found that the behavior involved 99 products and 116 medical institutions.In the investigation and punishment, Henan Province recovered a total of 13.9 million yuan in illegal funds.The Henan Provincial Medical Insurance Bureau stated that the relevant violations should also be handled in accordance with the relevant agreement of the Medical Institutional Medical Insurance Service Agreement, and at the same time give administrative interviews and notification criticism.

It is worth thinking about that the national collection has been in the seventh batch, and there are still many hospitals and pharmaceutical companies that are still "obsessed" and vaguely.It seems that the system cage is not tight enough.

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