Guizhou Health Insurance Bureau four departments of the latest text hospital repayment out of the new rules!

On August 18th, Guizhou Provincial Health Insurance Bureau, Health And Health Commission and other four departments jointly issued a notice on the issuance of the Interim Measures for the Unified Settlement and Management of The Purchase Price of Pharmaceutical Centralized Purchasing Platform in Guizhou Province (hereinafter referred to as the Notice).
"Notice" shows that in order to standardize the medical institutions drug supplies centralized purchase price settlement behavior, to safeguard the legitimate rights and interests of suppliers, the future will implement a unified settlement of the purchase price.
online repayment within 30 days, the hospital is prohibited from settling in batches first, Guizhou Province requires, to establish a special settlement account.
funds in the settlement account shall abide by the principle of special account accounting and special funds, and shall not be paid any amount not related to the pharmaceutical procurement business except for the transfer of interest from the account.
, in order to guarantee repayments, a system of turnaround will be introduced.
turnover amount is 50% of the average monthly allocation of health insurance funds for the previous year (of which medicines and medical supplies are allocated 30% and 20% of the monthly medical insurance funds, respectively).
It is worth noting that the Notice also mentions that the city (state) that implements the direct settlement method between the medical insurance agency and the supplier, the medical insurance agency shall pay the purchase purchase money online to the settlement special medical institution sub-account on a monthly date, and the purchase platform settlement special account shall pay the purchase purchase price to the supplier sub-account in a timely manner.
, it is clear that through third-party regulatory platforms, the consumables payment process will also be more visual and transparent.
On the other hand, after the establishment of third-party accounts for supervision, the "trinity" of payment, bidding and pricing also plays a role in combating the "gold sales" of medical supplies in hospitals.
Not only that, in the repayment period limit, Guizhou Province also made it clear that the purchase price allocated to the account time, medical institutions from the drug delivery acceptance and acceptance, confirmation of the next day to calculate, not more than 30 days.
meanwhile, the medical institution shall pay the purchase price in full to the medical institution sub-account within the payment period and do not support the payment of an order in instalments.
30 days without repayment direct interview, 60 days without repayment to suspend the unified settlement of medical insurance costs after the payment system landed, for medical institutions that do not pay back in a timely manner, the Health Care Commission and the health insurance department will take a certain regulatory mechanism.
For medical institutions that have not paid the purchase purchase price for more than 30 days, the Health and Wellness Commission will interview its person in charge, and order the medical institution that has delayed the payment of the purchase purchase price for no reason to pay in full and on time, and hold the principal person in charge of the medical institution and related personnel accountable.
For medical institutions that have not paid the purchase price for more than 60 days, the medical insurance department will temporarily suspend the medical insurance expenses and interview, inform and hold the persons in charge and related personnel responsible for the delay in the payment of medical insurance funds by the agency.
fact, as early as mid-July, the State Council issued a document requesting that from September 1st, public hospitals should not pay back supplies to small and medium-sized enterprises for a maximum of 60 days.
, the State will also establish a system of complaint handling and disciplinary action for failure of trust, with provincial or higher governments responsible for receiving complaints about refusal or delay in payment of payments to small and medium-sized enterprises.
if found to have refused to correct the repayment problem, the public hospital supervisor and the person in charge will be dealt with directly in accordance with the law.
it can be said that the problem of the difficulty of the return of arms enterprises is not only the focus of deepening medical reform in various regions, even the state is actively working to solve.
For the present, with the medical device industry with volume procurement, circulation shuffle in-depth, in addition to keeping a close eye on hospital rebates, there are many regions have been in the promotion of "proposed hospitals" advanced layout, Zhejiang Province, Anhui Province, Jiangsu Province and other provinces and cities have begun to land health insurance direct payment methods.
Hospital out, health insurance directly and suppliers to settle the purchase price, from the source to solve the supplies enterprise worries at the same time, medical insurance is bound to increase the price pressure in the negotiations, the corresponding circulation link dealers will also be greatly compressed.
means that after solving the most critical issue of volume-for-price, hospitals in the future are bound to have higher price requirements.
, for dealers, health insurance supervision rebates to give good, after that more will certainly be a higher challenge ...