Core Viewpoint - The acceleration of traditional Chinese medicine (TCM) centralized procurement aims to address the long-standing issue of inflated prices in the TCM market, with significant price reductions observed in recent procurement rounds [1][6][9] Group 1: Price Reduction and Procurement Process - The average price reduction for selected TCM products in the third batch of centralized procurement reached 68%, with some products seeing reductions over 90% [1] - The first batch of TCM centralized procurement in 2021 resulted in an average price reduction of 42.27%, while the second batch in 2023 saw a reduction of 49.36% [3] - The third batch of procurement included 19 unique products, with an average price reduction of 47.38% [3] Group 2: Governance and Long-term Mechanisms - Experts suggest that a long-term mechanism for price governance should involve both centralized procurement and regular monitoring of listed prices to identify anomalies [1][2] - The establishment of a robust procurement credit system is essential to ensure that high-priced products are closely monitored for sales performance [2] Group 3: Challenges in the TCM Market - The high prices of TCM are attributed to various factors, including the impact of climate on raw material prices, insufficient market competition, and the complexity of pricing structures [6][7] - The presence of monopolistic practices in the TCM sector leads to concentrated pricing power, exacerbating the issue of inflated prices [7] Group 4: Regional Implementation and Impact - Various provinces, including Guangdong and Jiangsu, are actively implementing centralized procurement to ensure that selected products are available in hospitals and to manage prices effectively [4] - The expected annual savings for patients from the recent procurement efforts are estimated to exceed 31 million yuan [4] Group 5: Future Recommendations - Recommendations for future procurement processes include establishing a reasonable price increase mechanism during supply shortages and ensuring transparency in production costs [5] - A national collaborative governance framework is proposed to standardize pricing rules and monitor price fluctuations across provinces [9][10]