Notice of Beijing Municipal Health Insurance Bureau on Doing a Good Job in the Implementation of the Second-year Agreement Period of the Selected Results in the Centralized Procurement of Artificial J
Beijing Medical Insurance Office No.15 [2023].
The medical insurance bureaus of all districts, the Social Affairs Bureau of Beijing Economic and Technological Development Zone, relevant medical institutions and relevant production and operation enterprises:
According to the Notice of Beijing Municipal Bureau of Medical Security on Relevant Matters concerning the Implementation of the State-organized Procurement Results of Artificial Joints and the "3+N" Alliance of Beijing-Tianjin-Hebei, such as Pacemakers, Intralenses and Staplers (Beijing Medical Insurance Office [2022] No.6), the city has fully implemented the selected results of the State-organized centralized procurement of artificial joints (hereinafter referred to as "artificial joints centralized procurement") since April 30, 2022. In order to further implement the relevant arrangements and requirements of the National Medical Insurance Bureau on strengthening the implementation of centralized procurement of medicines, and in combination with the Notice of Beijing Medical Insurance Bureau on Further Strengthening the Management of Sunshine Procurement of Medicines and Medical Consumables in this Municipality (Beijing Medical Insurance Office [2023] No.9), we hereby notify you about the implementation of the second-year agreement period of the results of centralized procurement of artificial joints in this Municipality as follows:
I. Relevant provisions on the second-year agreement period
The second-year agreement period of artificial joint procurement is from September 28, 2023 to September 27, 2024. The selection results, work requirements and supporting measures in the second-year agreement period are consistent with the first-year agreement period. After the procurement cycle of artificial joint centralized procurement is completed, the completion of the agreed purchase quantity shall be assessed as a whole according to the two-year agreement period, and the purchase quantity of the selected products between the first year agreement period and the second year agreement period shall be included in the agreed purchase quantity.
Two, the implementation of price-limited online procurement for non-selected products.
In the second year of the agreement period, the net-hanging price limit will be set for the system of artificial joints with non-selected sets, semi-hips and single condyles (see Annex 1). Medical institutions should purchase at a price not higher than the price limit. If medical institutions really need to purchase and use related products above the price limit, they should download and fill out the Application Form for Recording and Purchasing of Artificial Joints (signed by the Dean and Party Secretary and stamped with the official seal of the hospital) in Beijing Medical Security Information Platform (https://fw.ybj.beijing.gov.cn/hallEnter/#/unitLogin) for filing, and accept publicity and supervision.
Third, strengthen the management of procurement and use of medical institutions
(1) All medical institutions should earnestly implement the main responsibility, strengthen organization and leadership, ensure that the selected products enter the hospital in time as required, and establish a daily monitoring and self-examination and self-correction mechanism for the completion progress of the agreed procurement volume and the proportion of the selected products. After the agreed procurement volume is completed, the selected products should still be given priority, and the relevant policy requirements and supporting measures for centralized procurement should be fully implemented.
(II) Medical institutions that purchase and use artificial joints with more non-selected sets should interview the corresponding dealers, convey the requirements of the national centralized purchasing policy to them, urge them to standardize the implementation of the results of centralized purchasing, and actively provide the selected sets at the selected price to prevent irregular practices such as "reorganizing" the selected parts, mixing the selected and non-selected parts and selling them at high prices, and make a written commitment. If it refuses to accept, it may require the selected enterprise to change its distributor.
Fourth, improve the daily supervision and illegal disposal mechanism
(1) At the beginning of each month, the Municipal Medical Insurance Bureau pushes the implementation of artificial joint collection and purchase in January to the medical insurance departments in all districts, and the medical insurance departments in all districts should conduct special monitoring on the implementation of artificial joint collection and purchase in medical institutions under their jurisdiction on a monthly basis, and notify and remind the medical institutions with problems in the implementation on a quarterly basis, and supervise them to make immediate rectification. The existing problems mainly include the following situations (various situation indicators are monitored and evaluated according to the cumulative quantity):
1. Carry out artificial joint replacement surgery but do not participate in artificial joint collection;
2. Without justifiable reasons, the number of artificial joint sets actually purchased is more than 1 times or less than 50% of the reported amount;
3. The artificial joints that undertake the agreed purchase quantity are not admitted to the hospital in time as required or are not actually purchased;
4. A large number of non-selected artificial joint sets are purchased;
5. The number of artificial joint sets that have not completed the purchase agreement and are purchased at a price higher than the selected price accounts for more than 40% of the actual number of artificial joint sets;
6. Without justifiable reasons, purchasing non-selected products of artificial joints above the price limit.
The medical insurance departments of all districts shall, within 5 working days before the next quarter, formally report to the Municipal Medical Insurance Bureau on the overall situation of the implementation of artificial joint collection and procurement in the last quarter and the notification and reminder of medical institutions with problems (the report format shall be issued separately by the Municipal Medical Insurance Bureau).
(II) Since the term of this agreement, the Municipal Medical Insurance Bureau will, in accordance with the requirements of the Letter on Printing and Distributing the Policy of Adjusting and Optimizing the Price of Artificial Joint Replacement Surgery (No.108 [2022] of the Price Recruitment Department of the National Medical Insurance Bureau) and other related documents, impose price limit on the medical institutions that implement the artificial joint purchase in one of the above situations within the complete agreement period, and notify the relevant medical institutions in writing in the next purchase agreement period.
Beijing Municipal Medical Security Bureau
September 13th, 2023
Annex 1
The price limit of artificial joint non-selected products, semi-hip and single condyle products is set by the system.
Annex 2
List of medical service price items
