スペイン政府の保健省は、医療費削減の節約のために、薬や病院用品などの共同一括購入を検討
Las farmacéuticas cobrarán antes si centralizan ventas y bajan precios
La cartera básica de Sanidad atenderá solo prestaciones “estrictamente dirigidas a la curación o la prevención de la enfermedad”, según el plan de reformas
Reyes Rincón Sevilla 2 MAY 2012 - 22:40 CET
The drug charge earlier if centralize sales and prices fall
The core portfolio of health benefits will serve only "strictly directed to the cure or prevention of disease," according to the plan of reforms
Rincón Reyes Sevilla 2 MAY 2012 - 22:40 CET
The central government will make public tenders for the purchase of medicines and hospital use. And for companies to introduce themselves and lower their prices, the Executive shall undertake to pay these providers before and do it directly from the Ministry of Finance, which then deducted the money to communities.
This is one of the measures included in the national plan of reforms that the government has sent to Brussels. In health section, the document specifies how they will implement some of the measures approved Royal Decree Law 10 days ago and said others had been outlined but were awaiting clarification. This is the case of centralized purchasing, which so far have been used only for the flu vaccine, which aims to extend health to save 1,000 million euros.
The quarterly executive management control autonomic
The plan calls for purchasing center in a section on "enhancing the efficiency of the healthcare supply" of hospitals. For its operation, the Government will establish various mechanisms, including "contests aggregate purchases and pricing." That is, the award will bring drugs and health products for businesses oferten cheaper prices than the usual with the incentive of guaranteed sales for Spain. These contests are already operating in purchases by hospitals, but each separately. The difference now is that the government will convene the auction and awarded to all communities. The model is also very similar to that Andalusia has launched for the purchase of medicines sold in pharmacies, which is used by central government to the Constitutional Court.
To encourage industry participation in these competitions and, especially, to cut its prices, the government guarantees "prompt payment". It can be an important incentive for communities should more than 6,300 million euros to Medicare providers and hospitals take on average 525 days to pay bills, according to data at the end of 2011 of Farmaindustria employer. With the new model, the Executive agrees to pay not only before, but that money will go directly to the Ministry of Finance, who then deducted from the economic transfers that makes communities.
moreDOWNLOADABLE National Reform Plan 2012
The reform plan specifies that "public service portfolio" will serve only "benefits strictly aimed at cure or prevention of disease", which could open the door to stop funding that benefits such as assisted reproduction or abortion. A spokesman for Health yesterday denied being considering take Tarry common services portfolio. Communities will be able to expand its portfolio "provided they are submitted to the Board and evidencing Interterritorial underfunded," says the document, in which the Government reserves the right to veto, "I could not afford to pay for a community with long delay its suppliers attempt to expand its portfolio of services. "
The document also includes the regional health management "will undergo a quarterly budget monitoring and control" in the Council of Fiscal and Financial Policy.
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