Here comes the reassuring pill! The hospital will be fined if it owes more than 30 days

[industry trends of pharmaceutical network] on December 3, Heilongjiang Medical Security Bureau issued the notice on printing and distributing the supporting measures for implementing the pilot of centralized drug purchase and use organized by the state to expand the regional scope The document presets detailed supporting measures from the aspects of volume purchase, medical insurance payment, guarantee use, etc It is worth noting that Heilongjiang medical insurance bureau has put forward clear requirements for payment collection First of all, the medical institution shall be identified as the first person responsible for the settlement of drug payment According to the contract, the period from the acceptance of goods to the payment shall not exceed 30 days If the overdue payment is not collected, an early warning will be given If the payment is still not collected within 5 working days, the medical insurance will be suspended as a punishment It's a well-known fact that the hospital's payback cycle is long Last year, eight representative pharmaceutical commercial enterprises were investigated by the pharmaceutical industry association of a province in the central part of China The results show that some public medical institutions have a payback period of 960 days, 32 times of the 30 day payment in violation of the state's requirements, and the amount owed is up to 86 million yuan According to the survey, the average accounting period of public hospitals at or above the second level in a province is about 640 days, and the total drug payment of a commercial company in arrears is up to 280 million yuan The same is true for the primary hospitals The collection time of primary medical institutions in county-level cities is up to 400-500 days, and they are in arrears with more than 10 million yuan of drug payment of a commercial company Some primary medical institutions are in arrears for 36 months Among them, some hospitals do have difficulty in capital turnover, some are caused by the payment process, and of course, some hospitals use the drug money for other ways It is understood that the payment process in some regions is that after the medical insurance funds are transferred to the hospital, the hospital will call the payment center, and the payment center will call the money to a department of the Finance Bureau, and then the relevant departments will check the quota, then call back the payment center, and then the payment center will call the enterprise The relatively long process also leads to the slow collection of funds However, due to the construction of infrastructure, the construction of new hospital areas, the construction of inpatient buildings and other reasons, some hospitals postpone the accounting period Even when the previous audit and supervision were not strict, some hospitals also used the money for financial management In a word, it is a common phenomenon that the problem of long-term difficulty in hospital's payment collection The long period of payment collection has even become the "rule" in the industry Although the voice of pharmaceutical enterprises has not been interrupted, the problem of payment collection has not been fundamentally resolved This is mainly due to the fact that the hospital is in a strong position at present, and many enterprises can only bear to pay in arrears, because you are not willing to provide, your own business is willing to provide, and maliciously let the hospital delay the payment to extend their own account period, dragging down small enterprises This also leads to some enterprises, often facing a very large market risk This default behavior will affect the business efficiency in the short term, and may damage the quality and safety of patients' medication in the long term Therefore, for this time, Heilongjiang medical insurance bureau used the medical insurance lever to promote the normalization of hospital receipts, some business people said, "the punishment of not collecting and stopping medical insurance is relatively strong, and I believe it will have a better effect on hospital receipts." In fact, no matter the national documents and local supporting measures documents of volume purchase, they are constantly making strict requirements on the payment collection, and strictly checking the medical institutions' failure to settle the drug payment on time For example, prior to the "4 + 7" volume purchase, Shanghai had issued supplementary documents requiring half of the payment within 5 working days after the signing of the agreement On August 16, Gansu Provincial Health and Health Commission issued the administrative measures for accountability of medical and health personnel in medical and health institutions in Gansu Province for industry style violations (for Trial Implementation) It was also proposed for the first time that if public hospitals defaulted on payment and were criticized by relevant departments in a notice, the main responsible person of the hospital would be adjusted by the higher authorities In addition, the timely payment collection will be directly linked to the duty of the person in charge of the hospital Once there is serious arrears of payment, it will face degradation This will greatly enhance the enthusiasm of the hospital to collect funds Earlier, Hubei Provincial Health and Health Commission issued a notice on the special cleaning work plan of public hospitals in Hubei Province for arrears of private enterprises Among them, it is required to clear up the unpaid project construction, medical equipment purchase and drug consumables purchase contract funds of public hospitals at all levels of the province for private enterprises beyond the time specified in the contract For a long time, some pharmaceutical companies and drug dealers are in arrears by the hospital However, with the increasing changes brought by volume procurement to the industry, it may be a breakthrough to solve the problem of hospital default payment, perhaps with the implementation of a set of reforms.