69 million large order, just two device suppliers
The official website shows that the medical community of Anning City is a tri-jia general hospital (Anning City People's Hospital Jinfang Hospital) as the leader, two second-class hospitals (Anning City People's Hospital Lianran Hospital, Anning City Hospital of Traditional Chinese Medicine) as the backbone, a number of primary medical institutions (6 township health centers, 2 community health service centers and sites, 64 village health offices) as members of the new pattern of "1 + 2 + X" close medical community.
Under the influence of the policy, the hospital's thinking has changed, and the supply, processing and distribution mode of consumables and reagents have been reversed, and the circulation market is being washed by a big wave.
Multiple hospitals, unified procurement and distribution
Recently, Anning City Medical Community Tender Management Office issued the "Anning City Medical Community 2022-2024 annual test reagent distribution supplier selection project bidding announcement".
According to the announcement, the bidding is divided into two packages, each package selection of one supplier, bidders can register all sections at the same time, but can only win a bid, and do not accept consortium bids.
The purchaser is the medical community of An Ning City, the distribution period is 3 years, the annual procurement amount of a package standard is about 20 million yuan, the total amount of procurement for 3 years is expected to be about 60 million yuan, the annual procurement amount of the second package standard is about 3 million yuan, the total amount of procurement for 3 years is expected to be about 9 million yuan, according to the actual hospital procurement volume for settlement.
The official website shows that the medical community of Anning City is a tri-jia general hospital (Anning City People's Hospital No. yi Jinfang Hospital) as the leader, two second-class hospitals (Anning City People's Hospital No. yi Lianran Hospital, Anning City Hospital of Traditional Chinese Medicine) as the backbone, a number of primary medical institutions (6 township health centers, 2 community health service center and site, 64 village health room) as members of the The new pattern of "1+2+X" tightly-knit medical community.
According to the "Notice on Promoting the Construction of Close-Knit County Medical and Health Communities" issued by the National Health Care Commission "Guidance Program on the Pilot Construction of Close-Knit County Medical and Health Communities", medical communities implement unified management of drugs and consumables, unified drug catalog, unified procurement and distribution, and unified payment for goods.
Areas with the conditions to break the distinction between different medical communities in the county, explore the unified management and procurement and distribution of drugs and consumables in the county, etc. Through the construction of compact county medical communities, localities can further integrate county medical and health resources and gradually build a comprehensive, continuous, high-quality, and gao-effective medical and health service system.
Along with the continuous promotion of the construction of the medical community, consumables, reagents unified procurement and distribution model is becoming clearer and clearer, and the changes in the circulation field are still ongoing.
Du family big single frequently, competition white-hot
According to the observation of Cypress Blue Instruments, the distribution supply is becoming more and more intensive, and the industry is undergoing big screening.
On the one hand, the threshold for winning bids is getting higher and higher. Previously, Inner Mongolia Bayannur City Medical Security Bureau issued the "selection of drugs, medical supplies sunshine procurement distribution enterprises" program proposed that the distribution business to score, to achieve more than 60 points to obtain distribution qualifications, and which registered capital of more than 10 million, sales of more than 100 million yuan, storage area of more than 1000m², etc., to get full points.
On the other hand, the case of dokjar winning bids continues to emerge, and the distribution years are often as long as several years.
Previously, China Resources Pharmaceutical Commercial Group Medical Devices Co., Ltd. dujia won the bid for 5 years (45 million) in-hospital medical supplies distribution services at Xinhua Hospital in Tongzhou District, Beijing. Sichuan China Resources Medical Devices Co., Ltd. also du home won the bid for the Liangshan Yi Autonomous Prefecture, the first people's hospital SPD in-hospital refinement management services, the same contract performance period of 5 years.
Need to pay attention to is that the regional package distribution supply model continues to emerge.
Previously, Kangmei Pharmaceutical du family won the bid "Yunfu City People's Hospital Yunfu City public medical institutions drugs and medical supplies modern logistics extension services project", took the Yunfu City, 11 public municipal medical institutions 5 years of drug supplies distribution rights.
Last February, Fuding City Medical Community - Fuding City General Hospital (by Fuding City Hospital, Fuding City Hospital, Fuding City Maternal and Child Health Hospital, three community health services in xin, 14 township health centers and a health management station, a total of 21 member units) medical supplies SPD project results were announced, the medical community SPD project only Sealy Medical a winning bid.
Jiande City Health Bureau has also issued a document that has been successfully online medical community last year the whole medical supply chain management service platform, the formation of the county medical health "a map". It is understood that the city will be the city's medical supplies procurement and distribution rights are entrusted to the State Pharmaceutical Equipment Company, to achieve 19 medical institutions medical supplies unified management.
How to win when big companies are sharing?
With the combination of DRG/DIP reform, zero-plus cost of consumables and new indicators of performance assessment, the hospital's thinking is also changing, and the SPD model, which centralizes the logistics management of medical supplies supply, processing and distribution of medical institutions, continues to heat up.
Saibelan equipment combing Chinese government procurement network released project announcement learned that this year, a total of capital medical university affiliated to the Beijing chest hospital, Hubei University of Nationalities affiliated to Minda Hospital, Jiangmen Zhongxin Hospital, Leshan People's Hospital, Wuxi People's Hospital, Guigang People's Hospital, Guangzhou Baiyun District Third People's Hospital and many other medical institutions, to carry out medical supplies supply chain refinement management ( SPD) project bidding work, a number of projects for du family won the bid.
Large circulation enterprises still have strong competitiveness, and small and medium-sized enterprises are experiencing a filtering period.
Xu Chunxiang, who has been engaged in the procurement and operation of consumables for many years, pointed out to Cyberland Devices that the number of enterprises in the circulation link was relatively large before, and it was easy to see the situation of multi-layer invoicing and price increase, which made the whole market regulation difficult. But from the experience of foreign pharmaceutical market, zui can stay after the collection or large distributors, they put resources together, the competitiveness becomes particularly large, this kind of giant enterprises is the inevitable trend of the pharmaceutical market.
"The cost of conversion is many small enterprises have no way to withstand, and large distribution enterprises will be very good smooth connection, under this, mergers, bankruptcy, acquisition became the norm. At the same time, local inter-district towards union, local inter-district towards union, when medical institutions in a region are proposing integrated consumables management, small distribution companies basically cannot undertake such large orders, so they can only give up to large enterprises."
Saili Medical has analyzed in its annual report that the market size of SPD business is expected to reach more than 800 billion in the next three years. In the hundred billion market, small and medium-sized channels and distribution enterprises or death or mergers and acquisitions, zui will only have about 20 large terminal companies to win.
From fragmentation to concentration, this seems to be the inevitable path of all industries. In the process of breaking, integrating and reconfiguring, it is still necessary to find the right position and direction.