In the recent interviews, some hospitals and enterprises found that “free gift equipment and bundled consumables†have almost become the marketing model for all medical equipment multinational companies to seize the Chinese market. Although this model allows hospitals to obtain advanced medical equipment for free, it transfers high costs to patients and health care funds. The profitability of this model is staggering, and it has had a huge impact on the domestic high-end medical device industry that has just started.
With the advancement of medical reform in China and the full coverage of medical insurance, China has become one of the world's largest consumers of high-end medical devices. However, statistics show that imported brands account for nearly 90% of the market share of China's high-end medical device market due to the late start of related industries in China.
In recent years, some domestic high-end medical devices have begun to emerge, and some markets have been reclaimed at a lower price and convenient after-sales service. Taking hemodialysis machines as an example, at present, there are five or six companies in China that can produce hemodialysis machines, breaking the monopoly of foreign brands. However, the living environment of the domestically produced hemodialysis machine that has just started is very bad. A person in charge of a equipment manufacturer in Chongqing introduced that some multinational companies have engaged in commercial bribery of officials and medical personnel of relevant departments through high rebates, sponsoring academic conferences, and looking for “official second generation†as agents. Engage in black-box operations; nowadays, multinational corporations have become more sophisticated, and they have seized the market through the new marketing model of “free equipment for hospitals, requiring hospitals to use exclusive consumablesâ€, and profitable with consumables.
Since the new round of medical reform, the hardware conditions of public hospitals have been greatly improved, but due to insufficient government investment, most public hospitals have serious liabilities. Therefore, the model of “free equipment, bundled with consumables†is very popular among hospitals. However, in the case of hemodialysis machines, the cost of bundled consumables is at least 100 yuan higher than that of ordinary consumables. According to one machine, four patients can be used for dialysis and one year of work for 300 days. Multinational companies can have more than one year. The cost of collecting consumables is at least 120,000 yuan - and the current price of an imported hemodialysis machine is only 120,000 yuan to 150,000 yuan.
It is worth noting that the agreement for this marketing model is generally signed for 10 years, and the remaining seven or eight years after multinational companies recover their machine costs are profitable. The reporter learned in an interview that a uremic patient needs to use 160 sets of hemodialysis consumables every year. According to the medical insurance reimbursement policy, “patients pay 15%, medical insurance pays 85%â€, the patient has to pay more than 2,400 yuan, medical insurance Pay more than 13,600 yuan.
China's hemodialysis industry started late, equipment and consumables production is separate, and multinational companies are integrated production of equipment and consumables, this marketing model will cause a fatal blow to China's hemodialysis industry. According to reports, multinational companies began to adopt this marketing model in 2010, mainly in large hospitals, but now they have been extended to district and county hospitals. In recent years, public bidding has become less and less. In 2010, domestic hemodialysis machines accounted for about 10% of the market, and now less than 3%.
When interviewing a number of public hospitals, the reporter found that biochemicals, gene sequencing , immunization and other medical devices requiring inspection and inspection of consumables and reagents, multinational companies have adopted the "free gift equipment, bundled with consumables" to seize the market. In addition to a number of high-value consumables such as orthopedic joints and cardiac stents in China, most low-value consumables do not require bidding. This business model captures the loopholes in China's medical device bidding system and circumvents medical equipment prescribed by the state. In the bidding process and legal supervision, there are also corrupt activities such as the transfer of interests.
This marketing model adopted by multinational corporations seriously disrupts the order of China's medical market, increases the expenditure of medical insurance funds, increases the burden on patients, and severely attacks the national medical device industry, violating the Anti-Unfair Competition Law, the Anti-Monopoly Law, and the Government. The Procurement Law and the Bidding Law, it is imperative to pay attention to this issue and to manage it in time.
Beiqing pursues
Hospital auxiliary inspection equipment "lease" has become a rule
The Beijing Youth Daily reporter learned that at present, many of the inspection departments of the top three hospitals do have the situation of “bundling consumablesâ€, but the specific operation mode is that the two parties sign a “lease†contract, and the contract amount is the annual minimum consumption supporting reagent or other. The way the consumables are implemented.
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