最新解读！第六批高值医用耗材国家集采开标

Core Viewpoint - The sixth batch of national organized high-value medical consumables centralized procurement has introduced significant changes in procurement rules, emphasizing systematic governance rather than merely price reduction [2][12]. Group 1: Drug-Coated Balloons (DCB) - DCB has been officially included in the national procurement, reflecting a clear policy logic that aligns with previously procured coronary and peripheral vascular stents [3]. - All 42 DCB products submitted by 32 companies were selected, indicating a focus on maintaining clinical options and technological integrity while reducing costs [4]. Group 2: Urological Interventions - The inclusion of urological intervention consumables marks a significant development, as this area has long been considered a "blank zone" for centralized procurement due to its complexity [5]. - In this round, 195 companies submitted 454 products, with 398 products selected, covering essential instruments such as guidewires and ureteral catheters, showcasing a shift towards managing complex consumables [6]. Group 3: Key Rule Changes - The procurement process has introduced group bidding based on the demand size of medical institutions and their national supply capabilities, ensuring clinical continuity rather than imposing a uniform standard [9]. - A pricing coefficient for differentiated products with certain functional innovations has been established, allowing for a more nuanced approach to pricing that recognizes clinical value [9]. - The handling of extreme low pricing has changed, with the baseline for price calculations set at 65% of the average selected price, discouraging practices that disrupt the overall pricing structure [10]. Group 4: Evolution of Procurement Role - Since 2020, six batches of high-value medical consumables procurement have been completed, covering nine categories and 142 types of consumables, indicating a shift from rapid cost control to more refined governance objectives [12][14]. - The new procurement framework aims to balance price, quality, supply, and clinical continuity, moving away from a singular focus on price to a more comprehensive regulatory approach [14].