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一盒药降几百元,一个月可以少掏数千元药费——辽宁医改全面实施“两票制”效果初显
2017-09-01 15:56:21 中国青年网
“以往招标中,最终参加的都是直接面对医院的配送企业,报价时会把中间多层配送环节成本考虑进去。现在捋顺中间环节,水分被挤掉,药品价格也会相对降低。”辽宁省肿瘤医院党委副书记、副院长于韬说。
实施“两票制”,还会打击“过票洗钱”、偷税漏税、不合规储存运输等药品购销中的违法违规行为。“配送企业环节越多,需要监管的层级就越多,监管缝隙外出现问题的几率就越大。中间环节的减少,不仅方便监管,减少药品在配送环节因储藏条件不佳变质的可能,一旦出现问题也会更方便、迅速溯源追责。”于韬说。
随着“两票制”的落地铺开,医药配送领域或将迎来行业洗牌。辽宁省医药对外贸易有限公司副总经理张杰等业内人士认为,随着监管力度加强,部分非规范企业和品种单一、终端医院覆盖不足的中小型配送企业或将出局,大浪淘沙留下的是实力更强、更加规范的企业。
“‘两票制’从厂家开始资源整合,并规范行为和税收,对企业自身服务的精准性有了更高要求。”张杰告诉记者,现在配送企业在供药采购前,需要先确认“第一票”是否合规,相当于在企业源头就追溯,并通过信息化技术手段把“第一票”和“第二票”导入医院系统,保证整个流通环节都在阳光下。
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