Following the centralized procurement of coronary stents, the landing of the second batch of high-value medical consumables artificial joints organized by the state has been implemented in various provinces recently.
intends to purchase 540000 sets in the first year, and all provinces begin to implement
In September 2021, the second batch of countries organized the centralized purchase of high-value medical consumables and announced the results: the average price of artificial hip joint decreased from 35000 yuan to about 7000 yuan, and the average price of artificial knee joint decreased from 32000 yuan to about 5000 yuan, with an average price reduction of 82% . The artificial joints collected by the national organization include artificial hip joint and artificial knee joint. The intended purchase volume in the first year reached 540000 sets, and the cost is expected to be saved by 16 billion yuan. Previously, the joint procurement office of high-value medical consumables organized by the state had issued a document requiring the implementation of centralized procurement and selection results from March to April 2022, and the specific implementation date shall be determined by each region. At present, Hainan Province, Guangdong Province, Shaanxi Province and Zhejiang Province have announced the implementation date.
Hainan Province has implemented 80% less patient payment
Due to the deepening of China’s aging society, the demand for artificial hip and knee joints will continue to increase. The centralized purchase of high-value medical consumables will be implemented one after another, which will further reduce the medical burden of patients and improve the quality of life of the people.
At 9 a.m. on March 30, a patient with avascular necrosis of the right femoral head was pushed into the operating room at Haikou Hospital of Shanghai Sixth People’s Hospital in Haikou, Hainan. According to the doctor, the patient who underwent the replacement of total hip joint is a woman, 70 years old, from Chengmai County, Hainan Province. About five years ago, she found that her right leg was inconvenient and painful. The doctor gave the best solution is to replace the artificial hip joint. However, both the patient and his wife are fishermen with limited income. The high cost of artificial joint consumables made it difficult for the old couple. They had to endure the pain and delayed the operation again and again.
On March 25, Hainan Province took the lead in implementing the price of artificial joints after centralized mining in the country. The elderly people successfully replaced their hip joints with more than 5000 yuan, and the out of pocket expenses were reduced by 80% . It is understood that only in Haikou hospital, the Sixth People’s Hospital of Shanghai, there are more than 100 operations to replace the artificial hip every year. Most of the people who need to replace the hip are over 60 years old. The centralized collection policy of artificial joint will greatly reduce the medical burden of patients and improve the quality of life.
Wang Ting, director of orthopedics department of Haikou Hospital of Shanghai Sixth People’s Hospital: especially patients from rural areas, these patients are often unable to accept surgery due to price factors, which is a pity. Therefore, from the original intention of our doctors, we also hope that more patients can receive effective and formal treatment.
A total of 35 medical institutions in Hainan Province participate in the centralized collection of artificial joints, including public hospitals and private hospitals. The scope of purchased products is: artificial hip joint and artificial knee joint. Hainan Province purchased 3356 sets in the first year, which is expected to save 70 million yuan in procurement funds.
In the medical department of Haikou Hospital of Shanghai Sixth People’s Hospital, the reporter compared the prices of the same kind of artificial joints before and after the national centralized collection. The prices of the two kinds of artificial hip joints decreased from more than 45000 yuan and 41000 yuan to more than 6900 yuan and 6300 yuan respectively. The price of three kinds of artificial knee joints has also decreased from more than 29000 yuan to more than 19000 yuan to more than 5400 yuan.
Zhu Yongfeng, deputy director of Hainan Medical Reform Office: in the past, hospitals bought by themselves, and the bargaining power was very weak. Now, the national unified purchase means that the bargaining power is very strong, and the Chinese market is very large. The second is the individual enterprise, which has no reasonable expectation. Now I will tell you how much this product is used this year, so that the enterprise can save a lot of intermediate clinical promotion expenses and marketing expenses, reduce the price, and let Lbx Pharmacy Chain Joint Stock Company(603883) get such a real benefit.
centralized purchase and supporting measures are more detailed, and the principle of clinical use is respected
On March 30, the national medical insurance bureau and the National Health Commission issued the opinions on the supporting measures for the centralized procurement and use of high-value medical consumables artificial joints organized by the state. The opinions require that, in close combination with the characteristics of artificial joint procurement, distribution, use and accompanying services, play the role of strategic purchase of medical insurance funds, and use a variety of policies and measures to promote the smooth implementation of the results of centralized procurement and selection of artificial joints.
According to the opinion, the selected products of artificial joint centralized procurement are linked to the network on each provincial pharmaceutical centralized procurement platform according to the selected price of “including incidental service fee” and “excluding incidental service fee”, and the relevant expenses such as distribution and special surgical tools are included in the selected price. Local medical insurance departments shall timely organize medical institutions to sign purchase agreements with selected enterprises. According to the dynamic adjustment mechanism of medical service price, in 2022, the total amount of price adjustment can be inclined to the surgical items related to artificial joint replacement. All localities should consolidate the supply and distribution responsibilities of selected enterprises and distribution enterprises, strengthen the connection between supply and demand, and ensure clinical use.
Zhu Yongfeng, deputy director of Hainan Medical Reform Office: we are now working closely with the drug regulatory department. All products entering centralized procurement compete. As a key regulatory category, we should strengthen supervision to ensure quality and safety.
