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

　　CCTV News:According to the monitoring summary data of the Office of the Leading Group for Logistics Guarantee and Smooth Work in the State Council, on September 26th, the national freight logistics was operated in an orderly manner, including:

　　The national railway freight continued to operate at a high level, transporting 11.122 million tons of goods, up 0.9% from the previous month;

　　There were 8.099 million expressway trucks in China, up 12.87% from the previous month.

　　The cargo throughput of the monitoring port was 36.512 million tons, up 3.9% from the previous month, and the container throughput was 862,000 TEU, up 9.8% from the previous month.

　　Civil aviation secured 500 cargo flights (including 360 international cargo flights and 140 domestic cargo flights), a decrease of 21.9% from the previous month;

　　The volume of postal express delivery was about 352 million pieces, an increase of 8.3% from the previous month; The delivery volume was about 328 million pieces, an increase of 1.2% from the previous month.

　　As of 24: 00 on September 26, there were no toll stations temporarily closed on expressways in all provinces (autonomous regions and municipalities); A total of 2 service areas were closed, unchanged from the previous day. Specifically, the Gaoling service area (two-way) was temporarily closed in Xi ‘an (the original G3021 Xi ‘an Outer Ring Expressway was renamed and merged into the G30 Lianhuo Expressway).

　　□ Our reporter Han Yu

　　The salesman was stabbed and blackmailed when he was on a business trip abroad. The police followed the trail, and a 19-member evil gang that intercepted large trucks on the national highway for extortion surfaced. Recently, the police in Jinzhou City, Liaoning Province successfully destroyed this evil gang, and all 19 suspects were arrested. Jinzhou police recently introduced the detection process of the case to the reporter of Legal Daily.

　　Importance of "Fairy Jump" Line Index

　　On April 28, the 110 Command Center of Jinzhou Public Security Bureau received a report from Chen that on April 13, he was blackmailed by four men and four women in Room 314 of a hotel in Linghai City, Jinzhou. After seeing that he was a "fairy jump" routine, he failed to meet their requirements and was stabbed by one of them with a knife.

　　According to the police investigating the case, "Fairy Jumping" refers to a kind of behavior that uses the psychology of hooking up to design a trap for people, deceiving money or even extorting money. The recruiter usually stays calm with the psychology of breaking money and eliminating disasters.

　　The police in Jinzhou City attached great importance to this warning, and the police quickly dispatched elite police to form the "4 28" task force.

　　　After investigation, since March, Wang Mouliang, together with Zhang Mouyu, Mu Mouxin, Wang Mou and others, have used Zhang Moujia (female, Linghai native, 13 years old) as bait in three different hotels in Linghai City, extorting and robbing twice and robbing once by the way of "Fairy Jump", and got a total of 5,500 yuan.

　　Choose to call the police after ideological struggle

　　The police handling the case restored the whole process of Chen’s encounter with the "fairy jump".

　　On April 13th, Wang Mouliang used Zhang Moujia’s mobile phone and its micro-signal to search for people nearby and added Chen as a WeChat friend.

　　Chen Moumou is a salesman. He went to Linghai to discuss a business. After a full meal, he was lonely and unbearable. Just when he saw a beautiful woman invited to meet, Chen Moumou readily agreed to the request.

　　Chen fell in love with Zhang Moujia at first sight and met to open a hotel. However, Zhang Mojia took the opportunity to quietly send out the short message code of "Come and save me". Just as the two were about to have sex, four men and four women dressed as Zhang’s brother, sister-in-law, sister and brother-in-law broke into the house one after another, asking for 10,000 yuan, otherwise they would call the police.

　　Chen saw this as a "fairy jump" scam, and the counter-offer could only be 2000 yuan. Wang Mouliang instigated Zhang Mouyu (a minor) to stab Chen Moumou with a knife, and Zhang Mouyu stabbed Chen Moumou in the back rib of his right chest. Seeing that Chen was bleeding, Wang Mouliang and others were at a loss, and Chen was sent to the hospital in a panic. The next day, Chen was quietly discharged from the hospital and returned home to recuperate.

　　On April 28, Chen, who was indignant, chose to report to the 110 Command Center of Jinzhou Public Security Bureau after a fierce ideological struggle.

　　After Chen’s injury, Zhang Moujia was afraid and quietly left Wang Mouliang’s gang, but was quickly found and controlled by Wang. After investigation, since April, Wang, together with Wang Moliang, Zhao Mouqin (female) and others, has forced and introduced the minor Zhang Mojia to engage in prostitution three times, and obtained a whoring fund of 2,000 yuan, a jade necklace, a pendant and a watch.

　　Interception and extortion of truck drivers

　　It is worth mentioning that when handling the "Fairy Jump" case, the task force followed the line, taking the physical characteristics of one of them as a breakthrough, and made a lot of analysis and comparison using the big data platform, and found a shocking clue: Wang Mouliang and others were highly consistent with the suspect information of the violent robbery of large truck drivers in Linghai City in January.

　　After a week’s work, 19 criminal gangs headed by Wang Mouliang, Wang Mou and Zhang Mou surfaced.

　　Since January this year, on the National Highway 102, Wang Mouliang and others have chosen large trucks parked on the side of the road or driving slowly as the target. After finding the parking target, they directly parked in front of the target vehicle; When you find a slow-moving truck, don’t stop it immediately if you think the target is suitable, and don’t stop the self-driving vehicle in front of the target vehicle. Then, according to the division of labor, they held knives, iron bars, baseball bats, electric batons and other murder weapons, and threatened the drivers of large trucks to give them money on the grounds that they had just been released from prison. If they didn’t give money, they would smash the car glass and threaten the drivers with a knife to achieve the purpose of robbery. In order to cover up the crime of robbery, Wang Mouliang and others usually throw the driver two apples or two bottles of drinks and a mahogany axe after they succeed. The value of the property involved in each case ranged from tens of yuan to 1200 yuan, and a total of 23 robberies were carried out, involving more than 10 thousand yuan of property.

　　After grasping the situation, the task force organized a capable police force to arrest. After nearly a month of overnight fighting, 19 people including Wang, Wang Mouliang, Zhang, Zhang Mouhang, Zhang Mouyu, Wang Moxing, Liu Mojian, Wang Moxin, Zhao Moqin and Tang Mou were arrested and brought to justice. At this point, 19 evil gangs were completely uprooted.

　　At present, 19 people, including the suspect Wang Mouliang, have been criminally detained by the police according to law, and the case is under further investigation.