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According to Dr. Hung, the most important thing in the association, association, business cooperation contract (collectively called cooperation), for example, between Bach Mai Hospital and the BMS Company, is to determine the actual market price. how much of the product you intend to buy (Pink robot and Mako robot).
This is not a common good, so we have to hire the VFS company to evaluate the price of the equipment. Interested parties wishing to inflate the price of the equipment must have collusion with the VFS Company. The valuation unit must be investigated and strictly sanctioned to deter other companies.
* Sir, in contracts like the Bach Mai Hospital with BMS, is it possible to run a public tender to choose a cooperative service provider?
– It is possible to choose a company that cooperates in the supply of medical equipment for medical examinations and treatments in public hospitals. The Tender Law stipulates that public health facilities such as Bach Mai Hospital, when using funds such as the state budget, health insurance fund and patient collection … must submit a bid.
Therefore, cooperation contracts in the form of socialization to provide medical equipment for medical examinations and treatments should be publicly tendered.
Consequently, before buying Rosa robots, Mako robots, Bach Mai Hospital must approve the tender plan, the contractor selection form, the budget and the tender package price must be included. The estimation of the price of the package before the tender will be based on the technical specifications of the machinery.
There is certainly no investment activity in which the buyer does not know the purchase price, how long he will use it, how to recover the capital to ensure the profit.
* So if the Bach Mai Hospital, which represents the patient, must do well, the tender will protect the interests of the patient?
– The hospital has no money, does not mean that the price of the equipment that the BMS company accepts. Because the more expensive a device, the higher the cost of people’s medical services, the leaders of Bach Mai Hospital cannot accept the price of the input device at any cost.
In some countries, when investors implement the project, they audit how much the investment amounts to, if the market price is correct, in case the investment cost is higher than the market price, it will not be accepted. . Because if so, investors will no longer make a profit, the state cannot tax investors.
Therefore, as a non-commercial public unit, representing the interests of patients, Bach Mai Hospital is responsible for determining the market price of Rosa robots and Mako robots to cooperate and ensure the right to benefit the patient.
Officers from the Center for Disease Control in Thanh Hoa province operate the COVID-19 tester, which was purchased in April to prevent COVID-19 outbreaks – Photo: HA DONG
* There is an opinion that Bach Mai Hospital and BMS Company only cooperate in business, there is no buyer and no seller, why should bidding be done, right?
Bach Mai Hospital is a public hospital, so it is responsible for the lowest cost of medical examinations and treatments. It is not a partnership between private companies outside the public sector, so a tender is required. The ultimate goal is to create competition, equity and provide the greatest efficiency to society.
One day, Bach Mai Hospital has about 6,000 patients undergoing a medical examination and about 4,000 hospitalized patients, the income from medical examinations and treatments is enormous.
Hospitals use the product of medical examinations and treatments so that patients pay for the business, an indirect payment for the cost of machinery and equipment, so it must comply with the Law of Tenders, which must be transparent in purchasing.
If you want to make an offer, Bach Mai Hospital has to hire a pricing consultant to determine the price before choosing a cooperative unit.
The 2014 Bidding Law stipulates the purchase of drugs and medical supplies with state capital; the health insurance fund, the income from medical examination and treatment services and other legal income of the public medical establishment must pass through the tender. Following the Bidding Law only brings competition and effectiveness.
* Mr. Nguyen Tien Tho (President of the Vietnam Valuation Association):
Equipment prices can be accurately determined by pricing
To assess prices in cases of cooperation, the price of the Rosa and Mako robots can be assessed according to the cost method to determine the purchase price.
With this method, the price of the purchased equipment includes the import price of the equipment, the cost of transporting the equipment from the port to the hospital, the cost of installation, instructions, taxes, fees, and supplier profits. team level. In addition, the market comparison method can also be used to determine the cost of purchasing equipment.
According to the pricing pricing regulations, with specific equipment in the medical industry, such as Rosa robots, Mako robots, the pricing part should apply cost and comparison methods to compare and determine. The exact price of the equipment purchased.
Price appraisal companies authorized by the Ministry of Finance must carry out the appraisal function in accordance with State regulations and be responsible under the law for the price appraisal results.
In case the price is determined according to these two methods but still many times the price of the imported equipment, then the appraisal company made a mistake, did not comply with the process, applied the wrong method or colluded between parts of the statistic. , raise prices above market level.
In case Bach Mai Hospital does not have a similar offer package within the 6 months prior to the time of purchase of the equipment, it is possible to extend the time limit to search for the winning offer for similar equipment as a basis for comparison and determination. the purchase price of the robot. Rosa, the robot Mako.
* Director of a hospital in Hanoi (just won the contract for the consumable package provided by BMS Company):
The results of the tender for equipment and materials must be published.
We organized an online tender, the BMS company was reasonably priced and provided enough as required, so we won the tender. Currently, the regulation is to organize online bidding with 25% of the total procurement costs for the hospital, I think this is an effective way of bidding, corporate documents published online are also tight.
Previously, we were bidding at the winning bid price of Hanoi Public Asset Acquisition Center, but now we are self-employed, all suppliers with the cheapest price, goods that meet technical standards and types, buy.
Previously we also took the form of the board of directors by assigning a deputy director of appraisal, a deputy director of consulting, the director signed, recently found uncertain, the consultation stages, evaluating them. Contract specialists or functional companies.
But the fact shows that there are companies with an appraisal function already, the price is still high, very difficult. Therefore, we expect the Ministry of Health to announce the winning bid for medical equipment and consumables nationwide for hospitals with comparable procurement needs.
There is currently also information on online tender packages, but not completely, unlike drug tenders, the winning results have been published online. If it is not disclosed, it will be difficult for the hospital to know where they buy the price elsewhere, while no supplier publishes the import price (CIF price) that they have reported to customs.
This situation, to be honest, all hospital directors are scared. We will find out more about the prices of other places, if there is cheaper space, we will negotiate with the supplier.
The rule is that the contract can be renegotiated, without mentioning where we buy consumables, where we pay for the merchandise, so that we can negotiate on future payments. We will review the prices of the packages purchased and recently won the bid, but it is better to have tools to search them before bidding. LAN ANH write the
