Official post: the hospital has over 30 days to punish!

The hospital didn't pay back the money in time The punishment came 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 has preset detailed supporting measures from multiple links, such as volume purchase medical insurance payment and guarantee use 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 punishment And for the medical institutions that do not pay back according to the contract, we should adjust the proportion of the balance retained, as a measure to standardize the payment Before that, the national documents required medical insurance agencies to settle accounts with pharmaceutical enterprises or circulation enterprises, and Heilongjiang proposed two settlement methods for enterprises, hospitals or medical insurance Prior to the 4 + 7 volume purchase, Shanghai had issued supplementary documents requiring the agreement to pay half of the payment within 5 working days This time, Heilongjiang medical insurance bureau has made greater efforts to ensure the payment collection and created favorable conditions for the smooth implementation of volume purchase It is even expected to solve the long cycle of hospital payment collection in some regions, which has been a long-standing problem for the industry It's a well-known fact that the hospital's payback cycle is long At its worst, some businesses were delayed 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 According to saberan, the payment process in some regions is that after medical insurance calls the fund to the hospital, the hospital calls the payment center, and the payment center calls the money to a department of the Financial Bureau, and then the relevant departments review the quota, then call back the payment center, and finally the payment center calls the business The relatively long process also leads to the slow collection of funds However, some hospitals build infrastructure, build new hospital areas and inpatient buildings, and then inform pharmaceutical companies in a reasonable manner The accounting period is postponed Even when the audit supervision was not strict, the hospitals used the money for financial management Default payment has become a habit, and mutual influence has become a common phenomenon In the short term, the problem of untimely payment collection has seriously affected the operation efficiency of the enterprise, and the price reduction of the enterprise is lack of motivation In the long term, it will damage the quality and safety of patients' medication No matter the national documents and local supporting measures documents of purchasing with quantity, they all have strict requirements on payment collection, and strictly check the problem that medical institutions fail to settle the drug payment on time The medical insurance expense is one of the key factors to maintain the normal operation of the hospital Generally speaking, the hospital pays the expense in advance, and the medical insurance agency then settles with the hospital Once the medical insurance is stopped, the restriction effect on the hospital is obvious Geng Hongwu, general marketing consultant of JIUZHOUTONG Pharmaceutical Group, told saberland that the punishment of not collecting and stopping medical insurance is relatively strong and I believe it will have better effect According to Geng Hongwu, under the new medical insurance mechanism, the relationship between medical institutions and the medical insurance bureau has changed greatly, from simple payment to refined management In the game between the two, medical insurance plays a huge role This is also the best embodiment of the status of medical insurance as the buyer and payer of drugs Zhou Jiuping, a well-known doctor, is also optimistic about this He told saberland that if the medical insurance bureaus were determined to solve the problem of the hospital's drug arrears, if they started to implement the current volume purchase, and then went to the hospital, the effect would still be good Because the health insurance bureau must run the whole chain efficiently, so that the efficiency of the whole industry will be improved Under the guidance of the medical insurance bureau, the price reduction, quality assurance, hospital dosage agreement and timely payment collection of pharmaceutical enterprises are closely linked No matter which link goes wrong, it will have a great impact on the whole structure I believe that the health insurance bureau will not let this happen.