Monthly settlement of drug payment Fujian Laizhen

Source: news from Sina pharmaceutical 2017-07-07 market, recently, distributors participating in the pharmaceutical sunshine purchase in Fujian Province received the first batch of drug payment Further verification shows that the payment for goods is directly paid by the electronic settlement center of Fujian Medical Insurance Office for the hospital Fujian Province announced the drug payment settlement rules in February this year According to the principle of territoriality and hierarchical management, the medical insurance departments at all levels shall conduct sunshine settlement with the local distribution enterprises in a unified way; the electronic settlement center of provincial medical insurance office shall be responsible for the drug payment settlement of the designated medical institutions under the provincial medical insurance, and the medical insurance departments of each city divided into districts and Pingtan Comprehensive Experimental Zone shall be responsible for the drug payment settlement of the designated medical institutions under the local medical insurance Fujian Province began to implement the new policy in May and settled the payment for goods in June They are really here! The problem of drug payment has a long history of "triangle debt" among hospitals, drug suppliers and medical insurance departments The problem of long period of hospital payment collection has been criticized for a long time, but it has not been effectively solved The problem of payment collection has become the eternal pain of supply enterprises! According to the latest data, there are 53 county (city, district) primary medical institutions in Jilin Province, which owe a total of 220 million yuan (as of March 21 this year), of which 15 county (city, district) medical institutions owe more than six months, the longest of which is more than 18 months At the end of last year, 20 hospitals including Hunan Xiangya Hospital, which shocked the industry in Changsha, owe 10 billion yuan in total It is estimated that many people still remember it vividly Does the hospital really have no money to pay for the medicine? The old problem of "triangle debt" In most cases, the hospital pays the drug first, and the medical insurance department settles the medical insurance expenses with the hospital If the medical insurance settlement is not timely, the operation of the hospital is bound to be affected, which causes the hospitals, drug suppliers, and medical insurance departments to default on each other's expenses The new contradiction of hospital income By the end of September this year, public hospitals will completely cancel the drug mark up (except for Chinese herbal pieces), and implement zero margin sales The income from the drug markup is gone What kind of income will make up for it? It is a common practice across the country that about 80% of the original drug markup income was made up by raising the price of medical services, that is, medical technology income However, the price adjustment of medical services needs to be calculated precisely It is estimated that it will be difficult to balance in the short term if the increase is too much for fear that patients' dissatisfaction will affect social stability and the increase is too little for nothing There are solutions, but the implementation is a little less in response to the problem of payment collection The industry has appealed for many years, and the government also has guidance For example, the State Office Document No 7 issued in February 2015 made it clear that the hospital should pay the payment strictly according to the time stipulated in the contract, from the qualified delivery and acceptance to the payment should not exceed 30 days Several opinions on further reform and improvement of drug production, circulation and use policies issued this year put forward that hospitals do not collect money on time or extend the payment cycle in disguised form without justifiable reasons, and competent health authorities should take measures such as informing criticism and rectifying within a time limit According to Zhu Yongchun, director of the supervision office of the medical reform office of the State Council, at present, relevant rules are being formulated for the assessment of public hospitals and the assessment of presidents In the future, the hospital's drug payment collection will be linked with the appointment of presidents, and a credit system will be established to increase the cost of dishonesty Even if there are such policies and regulations, from the current public information point of view, there are only a few provinces that do so Zhejiang Province should have started to explore earlier The province introduced 30-56 day interest free credit loan from the bank through the procurement platform In addition, the medical insurance fund prepaid the hospital's medical expenses for two months The hospital printed the payment to the provincial regulatory account within 30 days after the acceptance and warehousing of drugs, and the regulatory account paid the supplier the next day At the end of April this year, Gansu Province announced the idea of drug payment settlement It is planned to adopt a unified platform for centralized payment, and the whole province will introduce a bank as a third party to provide liquidity financing According to the procurement data provided by the provincial drug procurement platform, the bank will provide drug suppliers with 30 days of drug payment (within 30 days from the date of acceptance and warehousing), and the bank will provide hospitals with XX days of credit repayment period However, according to the construction plan of the platform, it is expected to be completed and put into trial operation in 2018 It is understood that in May, Fujian Medical Insurance Office issued a special document on drug payment settlement, which further clarified that the medical insurance department should settle and pay with the distribution enterprises on a monthly and unified basis, and the medical insurance agencies in cities with districts should establish a reserve fund for drug payment settlement to ensure that the drug payment can be settled on a monthly and timely basis This time, Fujian dropped the documents As a star province of medical reform, Fujian's innovative practices will have a strong radiation effect, which is absolutely a major good for the vast number of drug supply enterprises!