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初恋这件小事_点评:定量采购应注意定额消费,及时付款,确保新浪财经uuuuuuuuu的质量

????在上海“量购”试点三年来,企业投标价格没有低于成本价格的情况。徐慧云的“47”城市采购数量激增,引发了医药行业的冲击。一个直接的原因是价格的降低超过了外界的期望。这也引发了对中奖价格是否不合理的讨论。(政府部门)不定价,而是组织市场竞争活动。具体价格由招标企业自动形成。如果低于成本价格,相关企业或其他竞争企业将予以披露或报告,但自实施三年来,上海没有发生过这种情况。龚波,上海医疗保障局医疗保险部(医疗保险支付办公室)副主任,在12月由中欧国际商学院卫生管理与政策中心主办的“上海卫生政策圆桌会议”上说8,价格是否在市场机制下形成是关键。龚波是上海市医疗保险药品目录管理、药品定额试购、药品采购“阳光平台”建设的负责人。他参与了国家组织的药品集中采购工作计划的制定,也是47个联合采购办公室的主要成员。自2014年以来,上海进行了三次药品定额采购,其中第一批药品于2014年完成,中标品种有3个,规章制度有4个;第二批药品2015年完成,中标品种有6个,规章制度有12个;第三批于2017完成,共有19个品种和26项规定中标。以前购买的药品价格也显着下降,平均下降50%至65%。龚波说,从上海批量采购的实践来看,批量采购的挤压不是生产企业应该得到的利益,而是流通环节中虚拟的高度部分。为什么生产企业有时会做出如此大的反应,因为根据原来的布局或营销方法,它们不能立刻适应,它们的投资或期望也会马上改变。同时要注意三个因素:一是明确剂量,二是及时支付,三是保证质量。为了保证药品的质量和供应,上海采取了一些预防措施,大量购买药品。例如,上一年招标企业药品的生产销售总额达到招标数量的两倍以上(根据标的),企业内部控制标准应当大幅度高于全国。L标准。同时,监管部门将利用近红外光谱技术监测药品的购买情况,以确保每批药品的质量保持稳定。一旦发现中标药品存在质量问题,按数量购买,采购资格将被终止,并列入药品采购的“黑名单”。为了保证采购量的完成,上海建议采购周期应在中标结果执行之日起12个月内完成。如果在执行期内未完成商定的采购量,则采购周期应相应地推迟(原则上不超过15个月)。今年8月发布的《关于做好第三批医保药品定额采购工作的通知》还指出,非营利性医疗机构和定点医疗机构应当优先购买和使用定额优质药品。药品的使用原则上不得低于上一年度同期。为保证及时付款,根据《上海市医疗保险药品招标品种批量购销三方协议》,购药方通过分销从医药企业购入中标药品,并支付给付款人。T三批。其中,第一批预付款总额的50%将在三方协议签署后五个工作日内支付;第二批预付款总额的45%将在第一批相应购买量的90%完成之前支付。“量购”实施后最迟半年,第三批预付款总额的5%在合同交货期末完成。付款后。龚波说,为了纠正误会,不能说一毛钱以上的药物一定是坏的。不同药物的成本是不同的。如果API的制备很简单,那么几分钱是可能的。在一些非专利药品中,外国保险公司的索赔价格比中国低得多,甚至只有中国价格的十分之一。到底谁是非理性的?看看原药,格列卫在美国的价格比在中国高得多。在美国或中国是不合理的吗?龚波认为,在目前的零保证金率或项目支付情况下,大量采购很容易被批评为只是低成本,而且会质疑廉价药品的质量一定很差。但是至于药品的质量,龚波认为这是政府监管者应该做的。责任编辑:李凤

zai shang hai" liang gou" shi dian san nian lai, qi ye tou biao jia ge mei you di yu cheng ben jia ge de qing kuang. xu hui yun de" 47" cheng shi cai gou shu liang ji zeng, yin fa le yi yao hang ye de chong ji. yi ge zhi jie de yuan yin shi jia ge de jiang di chao guo le wai jie de qi wang. zhe ye yin fa le dui zhong jiang jia ge shi fou bu he li de tao lun. zheng fu bu men bu ding jia, er shi zu zhi shi chang jing zheng huo dong. ju ti jia ge you zhao biao qi ye zi dong xing cheng. ru guo di yu cheng ben jia ge, xiang guan qi ye huo qi ta jing zheng qi ye jiang yu yi pi lu huo bao gao, dan zi shi shi san nian lai, shang hai mei you fa sheng guo zhe zhong qing kuang. gong bo, shang hai yi liao bao zhang ju yi liao bao xian bu yi liao bao xian zhi fu ban gong shi fu zhu ren, zai 12 yue you zhong ou guo ji shang xue yuan wei sheng guan li yu zheng ce zhong xin zhu ban de" shang hai wei sheng zheng ce yuan zhuo hui yi" shang shuo 8, jia ge shi fou zai shi chang ji zhi xia xing cheng shi guan jian. gong bo shi shang hai shi yi liao bao xian yao pin mu lu guan li yao pin ding e shi gou yao pin cai gou" yang guang ping tai" jian she de fu ze ren. ta can yu le guo jia zu zhi de yao pin ji zhong cai gou gong zuo ji hua de zhi ding, ye shi 47 ge lian he cai gou ban gong shi de zhu yao cheng yuan. zi 2014 nian yi lai, shang hai jin xing le san ci yao pin ding e cai gou, qi zhong di yi pi yao pin yu 2014 nian wan cheng, zhong biao pin zhong you 3 ge, gui zhang zhi du you 4 ge di er pi yao pin 2015 nian wan cheng, zhong biao pin zhong you 6 ge, gui zhang zhi du you 12 ge di san pi yu 2017 wan cheng, gong you 19 ge pin zhong he 26 xiang gui ding zhong biao. yi qian gou mai de yao pin jia ge ye xian zhu xia jiang, ping jun xia jiang 50 zhi 65. gong bo shuo, cong shang hai pi liang cai gou de shi jian lai kan, pi liang cai gou de ji ya bu shi sheng chan qi ye ying gai de dao de li yi, er shi liu tong huan jie zhong xu ni de gao du bu fen. wei shen me sheng chan qi ye you shi hui zuo chu ru ci da de fan ying, yin wei gen ju yuan lai de bu ju huo ying xiao fang fa, ta men bu neng li ke shi ying, ta men de tou zi huo qi wang ye hui ma shang gai bian. tong shi yao zhu yi san ge yin su: yi shi ming que ji liang, er shi ji shi zhi fu, san shi bao zheng zhi liang. wei le bao zheng yao pin de zhi liang he gong ying, shang hai cai qu le yi xie yu fang cuo shi, da liang gou mai yao pin. li ru, shang yi nian zhao biao qi ye yao pin de sheng chan xiao shou zong e da dao zhao biao shu liang de liang bei yi shang gen ju biao di, qi ye nei bu kong zhi biao zhun ying dang da fu du gao yu quan guo. L biao zhun. tong shi, jian guan bu men jiang li yong jin hong wai guang pu ji shu jian ce yao pin de gou mai qing kuang, yi que bao mei pi yao pin de zhi liang bao chi wen ding. yi dan fa xian zhong biao yao pin cun zai zhi liang wen ti, an shu liang gou mai, cai gou zi ge jiang bei zhong zhi, bing lie ru yao pin cai gou de" hei ming dan". wei le bao zheng cai gou liang de wan cheng, shang hai jian yi cai gou zhou qi ying zai zhong biao jie guo zhi xing zhi ri qi 12 ge yue nei wan cheng. ru guo zai zhi xing qi nei wei wan cheng shang ding de cai gou liang, ze cai gou zhou qi ying xiang ying di tui chi yuan ze shang bu chao guo 15 ge yue. jin nian 8 yue fa bu de guan yu zuo hao di san pi yi bao yao pin ding e cai gou gong zuo de tong zhi hai zhi chu, fei ying li xing yi liao ji gou he ding dian yi liao ji gou ying dang you xian gou mai he shi yong ding e you zhi yao pin. yao pin de shi yong yuan ze shang bu de di yu shang yi nian du tong qi. wei bao zheng ji shi fu kuan, gen ju shang hai shi yi liao bao xian yao pin zhao biao pin zhong pi liang gou xiao san fang xie yi, gou yao fang tong guo fen xiao cong yi yao qi ye gou ru zhong biao yao pin, bing zhi fu gei fu kuan ren. T san pi. qi zhong, di yi pi yu fu kuan zong e de 50 jiang zai san fang xie yi qian shu hou wu ge gong zuo ri nei zhi fu di er pi yu fu kuan zong e de 45 jiang zai di yi pi xiang ying gou mai liang de 90 wan cheng zhi qian zhi fu." liang gou" shi shi hou zui chi ban nian, di san pi yu fu kuan zong e de 5 zai he tong jiao huo qi mo wan cheng. fu kuan hou. gong bo shuo, wei le jiu zheng wu hui, bu neng shuo yi mao qian yi shang de yao wu yi ding shi huai de. bu tong yao wu de cheng ben shi bu tong de. ru guo API de zhi bei hen jian dan, na me ji fen qian shi ke neng de. zai yi xie fei zhuan li yao pin zhong, wai guo bao xian gong si de suo pei jia ge bi zhong guo di de duo, shen zhi zhi you zhong guo jia ge de shi fen zhi yi. dao di shui shi fei li xing de? kan kan yuan yao, ge lie wei zai mei guo de jia ge bi zai zhong guo gao de duo. zai mei guo huo zhong guo shi bu he li de ma? gong bo ren wei, zai mu qian de ling bao zheng jin lv huo xiang mu zhi fu qing kuang xia, da liang cai gou hen rong yi bei pi ping wei zhi shi di cheng ben, er qie hui zhi yi lian jia yao pin de zhi liang yi ding hen cha. dan shi zhi yu yao pin de zhi liang, gong bo ren wei zhe shi zheng fu jian guan zhe ying gai zuo de. ze ren bian ji: li feng

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