After the bidding for a hot and dangerous drug, a high-value consumables tender has ushered in a new round of climax. Now many provinces have already carried out one or more rounds of provincial gathering, and in the process, it has appeared again. The following ten development trends.

First, the provincial level mining is strengthened

Some people think that the provincial collection of consumables will not come too far, which is really wrong. Since the introduction of the high-value consumables procurement document in 2012, a number of provinces have carried out collections, some of which have been in existence for several years, meaning that new standards will continue to emerge.

At the same time, in January this year, the State Council once again emphasized the need to carry out high-value medical consumables and centralized inspection and testing of reagents in the 13th Five-Year Plan for medical reform. The National Health and Family Planning Commission also strengthened the procurement of high-value consumables in the Sunshine in this year's work.

Even if it is placed under the medical reform environment, high-value consumables are also an important part of medical reform. Even CCTV has “concerned” and reported the “experience” of Ningbo and Sanming, which is worth considering.

Second, the sharp price cut is the mainstream

After combing the province-level collection of high-value consumables in the past one or two years, you will find that many provinces have mentioned the principle of “lowest price bidding”. Just think about it, people who do bidding for consumables in the bidding office often do Can those people who are bidding for drugs be inconsistent?

Not only has it fallen in the past, but it has fallen in the future, and it will fall in the future. Even the number of ratios that are stipulated in the text should be reduced. People’s livelihood will be happy, which is the result of thinking and acting in their positions. It is impossible to expect not to cut prices. Just like 'prices can't grow too fast', machinery enterprises try to pursue 'consumables can't cut prices too quickly', and they are all happy.

Third, the inter-provincial alliance broke out

Among the inter-provincial alliances, the largest and most unsuccessful is the Beijing-Tianjin-Hebei consumables procurement alliance. The Beijing market is big and important. Now, with Tianjin and Hebei, this volume is too big. It has just started. It is a place where high-end-consuming enterprises must compete. What needs to be done now is to understand the rules and coping strategies of Beijing-Tianjin-Hebei consumables bidding as soon as possible, and make full preparations to reduce various accidents that may occur in the process, and try to ensure the winning bid. Protect the market, keep sales, and seek development.

Another noteworthy is the Sanming Limit Coalition, which currently covers at least 18 prefecture-level cities in 11 provinces including Fujian, Zhejiang, Guangdong, Inner Mongolia, Yunnan, Shanxi, Gansu, Henan, Qinghai, Hebei, and Guizhou. In 29 counties, Sanming is the national standard for medical reform, and the possibility that its alliance will continue to expand in the future is a high probability event.

List of Sanming Pharmaceutical, Consumables and Testing Reagent Limit Price Alliances, the statistics period ends on February 15, 2017

Western Union is also a high-consumption enterprise must pay attention to, not only high consumption, in vitro diagnostic reagent companies should also pay attention. The alliance includes Shaanxi, Inner Mongolia, Sichuan, Ningxia, Qinghai, and Gansu provinces. Sichuan and Shaanxi are also considered to be larger markets, while the six provinces add up and have considerable capacity. The alliance has just been formed in 2016. At present, some provinces have started to start collecting, but there is still no start, and it is expected to start in 2017. The biggest feature of the alliance is data sharing, data sharing, and bidding materials for diagnostic reagents. This allows the company to save a lot of bidding workload, but there is no joint collection, and it also scores provincial bids.

In 2017, the most need to pay close attention to the trend, Saibai blue equipment is considered to be the 'Eastern Union', that is, the five provinces and one city alliance in East China, including Shanghai, Zhejiang, Jiangsu, Anhui, Fujian and other five provinces and cities. The Eastern Alliance only signed an agreement under the witness of Li Bin, the director of the National Health Planning Commission, and mentioned that it is necessary to achieve 'collaboration' on consumables collection, but the landing action has not yet come out, so we should pay close attention to the trend. Once established, this volume will undoubtedly be the biggest.

As a result, there will be 14 provinces and autonomous regions affiliated to the three major leagues, close to half of the provinces. Without paying attention to the alliance, the market will shrink sharply.

Fourth, data sharing into the normal state

Not only does the above mentioned alliance need to share data within the alliance, the National Health and Family Planning Commission also mentioned in this year's work points that the 'consumable material coding' work should be completed, which provides basic support for data sharing. At present, the National Health and Family Planning Commission has established the “National Drug Supply and Security Integrated Management Information Platform” for medicines, which enables the sharing of the winning bid data in all provinces. Consumables may be difficult to share data due to the fact that names may not be uniform across the country. However, after the consumable code is completed, national sharing becomes inevitable.

V. Violation of regulations is more severe

In the past period of time, we have seen some of the provincial bidding offices “encourage” the misinformation in the bidding of consumables in the industry. This is very embarrassing but impeccable, and it’s dishonest, let people catch the report and then suffer Severe punishment can only be swallowed up. The provinces have also introduced a 'blacklist' system, coupled with medical anti-corruption, the penalties after the violations are more stringent, and the varieties involved are disqualified from bidding, and all products of the company are kicked out of the provincial market.

Sixth, reagents, mining, floating surface

In vitro diagnostic reagents are not common in provincial collections, but at the beginning of last year, Henan issued a notice to save reagents. In June, Sichuan launched a centralized procurement of provincial-level in vitro diagnostic reagents; in the future, Shanxi also started reagent recovery. In the future, more provinces may adopt similar measures.

Seven, low-cost provincial mining is valued

Low-value consumables are usually tenders at prefecture-level cities, but in some places they are collected at provincial level, such as Sichuan and Shaanxi. Sichuan was launched before October 2015. At that time, a report released by Saibailan equipment listed 157 low-value consumables in Sichuan. The highest price was 1.6 yuan, most of which was less than 1 yuan. After finishing the medicine and finishing the high consumption, it is also the turn of reagents and low-value consumables. It is not excluded that more provinces may enter, but 2017 should not become a 'mainstream model.'

Eight, the city is measured by the wind direction

Shaanxi, Chongqing, and Hubei are all under the provincial-level network, allowing prefecture-level cities to carry out quantity procurement, which means that enterprises must submit more power to conduct secondary bargaining with each prefecture-level city to determine purchase volume and procurement. price. There have been some cases before going to sleep, that is, the purchaser is 'capital' to negotiate a very low price, the enterprise thinks that the amount is large enough, and the bite will be gone. But the result is that it was shipped at a low price, but the amount did not come up, and it was miserable.

Nine, the independent influence of the department

The Health Planning Commission issued 4 articles in a row. In the future, the four departments of the county-level hospitals for inspection, pathology, medical imaging, and blood purification will be completely separated, forming an independent center, realizing resource sharing, and this action is accelerating. In the case of a small number of institutions in the launch of a chain of medical service centers, from the feedback received by cypress equipment, the market is very concerned about these new projects. A new problem that will be brought about is that the consumables and reagents used in these departments are involved. As the departments go out of the hospital, the purchases no longer exist, and the bidding does not exist anymore. The national county-level market capacity is not small, it will be A huge influencing factor.

Ten or two-vote distribution shuffling

Recently, many provinces have clearly implemented a two-vote system for consumables. The latest is the release of documents on February 22 in Liaoning. It is necessary to implement a two-vote system in the new round of consumables and in vitro diagnostic reagents. Distribution as a part of the tender, combined with a two-vote system, is likely to allow a large number of distributors to be eliminated.

For example, the western province has requested a registered capital of 10 million yuan and a warehouse area of 500-1000 square meters. The key requirement is that the sales of consumables should reach 50 million to 100 million yuan per year. It is also required to stamp the industrial and commercial, taxation, drug supervision, and procuratorial organs, and also require the sales contract invoices, sales and written evaluations of the three tertiary hospitals, and the tax payment certificate of the tax authorities.

Similarly, the two-vote system of Taizhou consumables also imposes more stringent conditions on the distributors. It can be expected that a large number of machinery dealers will be eliminated in the tender because of the combination of the two-vote system.