Public Purchases and

Fraud Prevention

“GOVERNMENT PURCHASES IN THE MEXICAN HEALTH SYSTEM”

2016 FEBRUARY

1943 It creates the Health and Welfare Ministry

118

2461

32

States

Municipalities

Investment

in Health

Millions of mexicans

Transfer

FEDERAL GOVERNMENT responsible:

Direction Public Health Actions (vaccination, epidemiology, health monitoring, etc.)

STATES assignment:

Give attention first and second level to the population Payment Personal Investment spending (infrastructure) Operating expenses (medicines, healing material, test strips, laboratory reagents, etc.)

6.2% 8.9 vs.

México OECD

HISTORY

1996

Health Services are

descentralized (Transfer

resources)

GDP

STRUCTURE OF THE

HEALTH SYSTEM According to CPEUM*, health services,

are conditioned to the employment

situation, i.e. :

Private Employees

Government Employees

Unemployed or rest of the population (Highly Specialize Institutes and research)

Seguro Popular -2004- (Insurance)

* Constitution of the United Mexican States

SOCIAL DEVELOPMENT Social

Protection 44,019.2

MDD

33.8%

Health 30,809.3

MDD

23.6%

Environmental

Protection 1,737.6

MDD

1.3%

Education 38,777.3

MDD

29.7%

housing and

community

services

13,587.3

MDD

10.4%

Culture 1,166.8

MDD

0.8%

Section 12

Health

7,823,484,129.8

MDD

Expenditure Budget of the Federation 2016

281,886,035,502.9 MDD

Federal Government

Purchases

2009/2015

2018 has an expectation of more than 7,100 MDD

They have multiplied by 5 government purchases for Small

and Medium Enterprises (SMEs) to pass:

1,040 MDD

6,153 MDD

Benefiting 52,327 SMEs.

Support for the Purchase of

Government

COMPRANET: Transparency

Electronic Tool Control Compliance times and processes established

by law

CONTRATOS MARCO: (Global Contracts)

Preliminary negotiations with suppliers Higher limits Cost Electronic Tool Strengthens Antitrust / Example: Vouchers

medicine

PROTOCOLO DE CONTACTO (In transition)

Rules > Government / Supplier Filming of meetings Supervised

ADJUDICACIÓN DIRECTA: (Direct Adjutication)

Article 41, section III LAASSP (2010) Adherence to a Current Public Bidding Generate savings in public procurement Price Negotiating Committee (Brand or unique

distributor)

Since the beginning of this administration, President Enrique Peña

Nieto, was evaluated and revised the scheme of transfer of

resources to States, as some cases the inputs were not purchased, were of low quality, outdated or delivery was untimely;

It was proposed the possibility of sending rather than

financial resources arises, inputs to ensure

timely supply in the states;

It is contemplated to make the purchase of these inputs centrally (single entity buys for all) and on a consolidated basis (make a single purchase of all the Federal Government

and part of what is sent to the States – (IMSS, ISSSTE,

ISSSFAM, PEMEX, HEALTH MINISTRY, STATES), which would help to obtain better prices for volume purchase.

Simultaneous supply is expected, ie for a drug may award two, three or more suppliers to ensure the timely supply and not create monopolies, which also opens the market share and increasing competitiveness.

The first major consolidated purchase was held in

2013 and generated significant savings for the Health

Sector:

Accumulating

639 MDD

Year Purchase Saving

2013 2,544 MDD 218 MDD

2014 3,017 MDD 272 MDD

2015 2,840 MDD 149 MDD

UNIVERSALIZATION HEALTH SERVICES Let this be a reality regardless of employment status, meaning

that focus on the person.

SUPPLY MEDICINES Table Basic Achieving that is reflected in the perception of the beneficiaries, and in case of not having the

input, delivering the medicine

voucher

VALUES Transparency Ethics Commitment Dignify the Public Service Training

BETTER CONDITIONS

DELIVERY AND PRICE In all States, National Institutes of Health and Hospitals Health System.

QUALITY AND WARMTH

The savings generated allow help to strengthen the delivery of services.

CHALLENGE: EFFECTIVENESS Planning on government purchase Efficient spending Generate savings

Unidosis

Inventory control More with less

José Genaro Montiel Rangel General Director of Programming,

Organization and Budget Federal Ministry of Health

T. 52 + 592 3893 5592 4507 T. 52 + 5062 1600 Ext. 58555 E-mail: genaro.montiel@salud.gob.mx

THANK YOU