The one-vote system has reached the 400000. Small dealers should think about the way out quickly.


Release time:

2019-11-20

10Department issued a document, the pilot one-vote system.
 
Recently, the people's Government of Shandong Province announced the public medical institutions in Shandong ProvinceDrugsProcurement implementation of the "two-vote system" implementation plan (hereinafter referred to as the "implementation plan").
 
 
"Implementation Plan" by Shandong Province HealthHealthThe committee, Shandong Provincial Development and Reform Commission, Shandong Provincial Department of Industry and Information Technology, Shandong Provincial Department of Commerce, Shandong Provincial Market Supervision Administration, Shandong Provincial Medical Security Bureau, Shandong Provincial Big Data Bureau, Shandong Provincial Drug Administration, State Administration of Taxation Ten departments of Shandong Provincial Taxation Bureau and Shandong Provincial Public Resources Trading Center jointly issued.
 
According to the "Implementation Plan", Shandong Province will implement the "one-vote system" on a pilot basis ".
 
In the pilot cities, some drugs with large consumption and simple market supply channels are selected to try out the "one vote system", and regions with conditions are encouraged to take the form of joint procurement and centralized payment with cities and counties as units to explore the implementation of the "one vote system" for drug procurement ".
 
It is understood that the one-vote system refers to the direct settlement of payment between medical institutions and production enterprises, the production enterprises themselves or entrust distribution, and the drug production enterprises only issue one invoice to the medical institutions.
 
Although the "Implementation Plan" did not disclose the pilot cities, on October 14, the People's Government of Shandong Province announced that since the implementation of the "Two-Invoice System" Implementation Plan for Drug Procurement in Public Medical Institutions in Shandong Province (Trial), 6 The medical reform pilot city took the lead in implementing the "two-invoice system", and then other cities fully implemented it.
 
It is understood that as of May 12, 2016, the former National Health and Family Planning Commission announced a total of 200 medical reform pilot cities, of which Jinan, Qingdao, Dongying, Weifang, Weihai, and Binzhou are the medical reform pilot cities in Shandong Province.
 
Some people in the industry speculate that the one vote system may also start from the above six cities.
 
From two-vote system to one-vote system
 
On November 15, the State Council deepenedMedicineThe Health System Reform Leading Group issued the ''Notice on Further Promoting the Experience of Deepening the Reform of the Medical and Health System in Fujian Province and Sanming City, ''stating that the pilot provinces of comprehensive medical reform should take the lead in promoting the direct production or circulation of drugs by medical insurance agencies.EnterpriseSettlement of payments, other provinces should also actively explore.
 
It can be seen that the pilot provinces of comprehensive medical reform have entered the stage of one vote system.
 
In fact, it took only more than a year from the comprehensive two-vote system of consumables to the current one-vote system.
 
In 2016, the former National Health and Family Planning Commission and other nine departments issued the ''Key Points for the Special Governance of Correcting Unrighteousness in Medical Purchase and Sale and Medical Services in 2016 '', which pointed out that it is necessary to conduct comprehensive medical reform pilot provinces and urban publicHospitalThe two-vote system is implemented in the procurement of drugs and consumables in the pilot areas of comprehensive reform.
 
This document is considered by the industry to be the beginning of the two-vote system for consumables. It was not until 2018 that the two-vote system for consumables began to be rolled out nationwide.
 
On March 20, 2018, the former National Health and Family Planning Commission issued the "Notice on Consolidating and Breaking the Achievements of Supplements with Medicine and Continuing to Deepen the Comprehensive Reform of Public Hospitals", stating that it will gradually implement the "two-vote system" for the purchase and sale of high-value medical consumables ".
 
The above notice also announced 15 national demonstration cities for comprehensive reform of public hospitals, and 30 national demonstration counties (districts, cities, and banners) for comprehensive reform of public hospitals. These demonstration areas are all over the country. So far, the two-vote system for consumables has begun to spread nationwide.
 
After the two-vote system, the one-vote system has also come in. In addition to the relevant documents of the State Council and Shandong Province recently, some provinces have already promoted the one-vote system for consumables.
 
For example, several parts of Jiangsu Province issued the "Notice on Promoting the Sunshine Procurement of High-value Medical Consumables in the Province", stating that the unified settlement of procurement costs of public medical institutions in the province will guide and promote online procurement, so as to realize the integration of provincial platform business flow, information flow and capital flow. It is generally believed in the industry that the main purpose of the integration of the three streams is to implement the "one vote system".
 
In addition, Ningxia has recently issued relevant documents stating that it will build a three-stream recruitment and procurement platform. In 2015, Zhejiang Province issued the Opinions of the General Office of the People's Government of Zhejiang Province on Reforming and Improving the Centralized Drug Procurement Mechanism in Public Hospitals. The provincial pharmaceutical equipment procurement platform to realize direct settlement of medical institutions and enterprises is currently being promoted to the whole province.
 
The solution to the two-vote system does not work for the one-vote system.
 
Some people in the industry said that with the spread of the two-vote system of consumables and the trend of price reduction, 400000 small dealers in China basically have no room for survival in the future. The two-vote system has eliminated a large number of large and small bag dealers and natural persons affiliated with circulation companies.
 
In fact, the core resources of dealers and natural persons are the terminal channels in their hands. After the implementation of the two-vote system, if they can successfully transform into a CSO (contract sales organization), they will not die out or lose their jobs naturally.
 
Because through the status of CSO, they can get rid of the status of the national general and provincial generation, directly connect with the manufacturers in local areas, seize the terminal resources, and maintain the local commercial channels together with the manufacturers, and do not involve tickets and goods, only need to sign a consultation contract with the manufacturers.
 
However, after the implementation of the one-vote system, the CSO used to deal with the two-vote system does not seem to work either, because hospitals cross the middle dealers to settle accounts directly with enterprises, and with the popularity of medical insurance advances, circulation companies no longer play the role of capital advances, only the delivery function.
 
According to analysis by industry insiders, under the implementation of the one-vote system, commercial companies can choose to rely on production companies, or they can transform to serve hospitals and other institutions, break away from the existing operating model and transform into consulting institutions.
 
For small dealers and natural persons, the era of "fighting alone" is gone forever. Some people in the industry suggest that they can use the valuable resources accumulated before to connect with third-party distribution such as SF Express and Post to help third-party platform operators open up the market and achieve a win-win situation.
 
Previously, Yu Qingming, chairman of the board of directors of Chinese medicine equipment, said that the one-vote system could be used for large equipment, and the others were still open to question.
 
However, judging from the current situation of the equipment industry, with the continuous advancement of volume procurement, consumables are still "flat in and flat out" after the substantial price reduction. The middlemen can't earn the difference and can't get much rebate. The one-vote system has changed from large-scale equipment. Shifting to high-value consumables seems to be the foreseeable future.