Health Insurance Bureau's latest message: more than 60 days of unpaid, suspended health care costs!

The four departments of the Medical Insurance Bureau issued the latest document, unified settlement to safeguard the rights and interests of suppliers Recently (August 13), Guizhou Provincial Health Insurance Bureau, health care committee and other four departments jointly issued a notice on the issuance of "The Guizhou Province pharmaceutical centralized procurement platform unified settlement management interim measures" (hereinafter referred to as the "Notice").
"Notice" shows that in order to standardize the medical institutions centralized procurement of drug supplies settlement behavior, to safeguard the legitimate rights and interests of suppliers, the future will be unified settlement of purchase prices.
online payment within 30 days, prohibit hospitals from settlement in batches First, Guizhou Province requires that a special settlement account be established.
the principle of special account accounting and earmarking of funds within the special account, and no payments unrelevant to the pharmaceutical procurement business shall be made except for interest on the transfer account.
addition, in order to guarantee the return, a cash-out system would be introduced.
turnover amount is 50% of the average monthly allocation of the health insurance fund for the previous year (of which 30% and 20% of the medical insurance fund are allocated to the average monthly allocation of medicines and medical supplies, 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 shall pay the purchase money online to the settlement special medical institution sub-account on a monthly, and the purchasing platform settlement account shall pay the purchase payment to the supplier sub-account in a timely manner.
, through a third-party regulatory platform, the consumables payment process will also be more visual and transparent.
On the other hand, after medical insurance establishes a third-party account for supervision, the payment, bidding and pricing of the "Tmity" also plays a role in combating the "gold sales" behavior of medical supplies in hospitals.
Not only that, in the term limit of the return, Guizhou Province also made it clear that the purchase price transfer to the account time, medical institutions from the drug delivery acceptance and acceptance, confirmation of the next day of storage calculation, not more than 30 days.
same time, the medical institution shall pay the purchase price in full to the medical institution sub-account within the payment period, and does not support the instalment of an order.
30 days of non-payment direct interview, 60 days of non-payment suspension of medical insurance costs unified settlement payment system landed, for medical institutions that did not pay back in time, the Health Care Commission and the health care department will take a certain regulatory mechanism.
For medical institutions that have not paid the purchase price for more than 30 days, the Health and Wellness Commission will interview its person in charge, order the medical institution that has delayed the payment of the purchase purchase price for no reason, order it to pay in full and on time, and hold the principal person in charge of the medical institution and the relevant 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 person in charge and related personnel accountable for the delay in the allocation of medical insurance funds by the operating institutions.
fact, as early as mid-July, the State Council issued a document requiring that from September 1st, public hospitals should not pay back supplies and equipment for small and medium-sized enterprises for a maximum of 60 days.
, the State will also establish a complaint handling and disciplinary system for disreponment, with governments at or above the provincial level responsible for receiving complaints about the refusal or delay in the payment of payments to SMEs.
if found to refuse to correct the problem of repayment, the public hospital supervisors and persons in charge will be directly punished in accordance with the law.
can be said that the difficult problem 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.
At present, with the medical device industry with volume procurement, circulation shuffle continues to deepen, in addition to keeping a close eye on hospital rebates, there are many areas have been promoting the "proposed hospital" 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 settlement of payment, from the source to solve the supplies enterprises worry at the same time, health 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 problem of volume-for-price, hospitals will inevitably have higher price requirements in the future.
in general, for dealers, health care supervision rebates give good, and then more will certainly be a higher challenge ...