The payment for drugs and consumables should be paid in one time! Medical insurance bureau starts to act

[industry trends of pharmaceutical network] recently, Liaocheng Medical Insurance Bureau of Shandong Province issued the joint procurement announcement of medical consumables of public medical institutions in Liaocheng City (hereinafter referred to as the announcement) It is worth noting that the announcement shows that if the machinery enterprises supply goods and use them without any quality problems, they will pay off the payment in a lump sum without interest within three months The payment for drugs and consumables should be paid in one time! In fact, from the beginning of the volume purchase policy, ensuring payment collection has become a hot topic related to the policy trend This is due to the fact that the long-term delinquency of drug payments by hospitals has become a common phenomenon in the country, endangering the normal development of the industry, and the continuous national to local policies, but little improvement In a survey conducted by Hubei pharmaceutical industry association in 2018, it can be found that the payment collection period of public medical institutions for drugs is 960 days, 32 times of the 30 day payment required by the state, and the amount owed is up to 86 million yuan For a long time, hospitals are in arrears with distributors, and distributors are in arrears with pharmaceutical companies A pharmaceutical enterprise personage once told the author that in the link of distributors and pharmaceutical enterprises, compared with single variety small enterprises, large pharmaceutical enterprises with more varieties often have more discourse space with distributors in the proportion and time of payment collection In order to change the long-standing chronic disease of hospital default payment, in recent years, the relevant national institutions and local medical insurance bureaus have launched active work At the beginning of this year, Hubei Provincial Health and Health Commission launched a special cleaning up of public hospitals' debts to private enterprises, requiring public hospitals throughout the province to pay off the loans before the end of June 2019, and not to add arrears
As early as November 2017, Quanzhou City, Fujian Province, in order to change the long period of settlement of drug payment between hospitals and drug distribution enterprises and the high financial cost of drug distribution enterprises, further reduce the cost of drug circulation, promoted the unified settlement and payment of drug payment in the city, and included 204 public medical institutions designated by medical insurance into the unified settlement of drug payment in two batches Scope of calculation Since June 2018, 170 grass-roots public medical institutions in the city have been included in the unified settlement of drug payment, achieving the unified settlement coverage rate of 100% for public hospitals
In fact, since November 15, the national health and Health Commission issued the notice of the leading group of deepening the reform of the medical and health system on further promoting the experience of deepening the reform of the medical and health system in Fujian Province and Sanming City, which clearly stated that in 2020, according to the national unified deployment, the comprehensive medical reform pilot province should take the lead in promoting the medical insurance agency to directly settle the payment with the pharmaceutical production or circulation enterprises Before the end of September 2020, the pilot provinces of comprehensive medical reform should take the lead in exploring ways such as independent or cross regional alliance, in accordance with the requirements of volume procurement, integration of bidding and procurement, quality priority, quantity assurance and payment collection All over the country, hospitals in the payment link of medical insurance began to further strengthen the rectification work 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, which put forward clear requirements for the collection of funds First of all, it is determined that the medical institution is the primary responsible person for drug payment settlement, and the payment shall not exceed 30 days from the acceptance of goods to the payment according to the contract 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 At present, for timely settlement and collection, it is also the focus of the national volume procurement program and the provinces when implementing the volume procurement expansion In order to dispel the concern of pharmaceutical enterprises that they are afraid of the long payment recovery cycle, the relevant departments may continue to implement a series of policies to strengthen the governance of payment settlement in the future.