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2022

刚刚！第三批耗材国采发布正式文件（附解读）

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人工关节国采落槌10个月后，脊柱国采席卷而来。至此，集采战火已几乎蔓延至整个骨科耗材领域。

国家医疗保障局副局长陈金甫曾公开提到，骨科临床需求很大，但是标准不一，产品组成非常复杂，如何按照临床医疗的需要来形成采购产品组，涉及到很高的技术环节。脊柱国采方案的制定过程中，也广泛听取了临床专家和企业的意见。

从本次《公告》中能感受到，此次产品分类和规则都相当系统和详细，以保证符合产品质量要求和临床需要。虽尚未公布最高有效申报价，但从之前的政策导向和集采经验也可略知一二。

2021年12月27日，安徽省骨科植入－脊柱类高值耗材中选结果开始执行。与2019年谈判成功产品相比，集采拟中选价格在上轮谈判成交价基础上平均再降约59%。

安徽省医药集中采购中心主任李育举例介绍，1套国内某主流品牌高端产品临床术式胸腰椎后路钉棒，2019年中选1套价格约6380元，集中带量采购后，拟中选1套价格约为2711元，降幅约57.5%；一套颈椎前路固定融合装置，2019年中选1套价格约5215元，集中带量采购后，拟中选1套价格约为2215元，降幅约57.5%。与类别参考价相比，中选产品平均降幅为75%，经测算，年节约资金约2.95亿元。

陈金甫曾表示，在规则层面，针对特定的品种以及竞争格局来设置竞价规则。放宽竞争格局，平衡使用和供给，适当保持竞争率，使价格达到合理回归。不追求最低价，也坚决反对跑步竞价，让企业公平竞价更加合理。

历时两年，骨科耗材国采迎来收官之战，这场盛大较量正式开始。

来源：赛柏蓝器械

撰文：东台秦酒

编辑：米克

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It was reported on March 19 that CATL is considering a site selection for a US$5 billion battery factory, which will eventually employ as many as 10,000 workers.

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CATL executives reportedly flew to Mexico for a meeting earlier this month. CATL’s new North American plant will produce nickel-manganese-cobalt and lithium iron phosphate batteries to supply Tesla and other automakers, two people familiar with the matter said.

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However, Ningde Times has not responded to this news.

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It is worth noting that last month, Ningde Times said at the media communication meeting about going to the United States to build a factory:

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CATL has a lot of interaction with American customers, including both new forces and traditional car companies. The two sides jointly discussed various possible supply and cooperation plans, as well as the possibility of localized production, but the specific situation needs to consider worker training, The impact of factors such as efficiency and labor unions on quality and cost.

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