Hospital out! Medical Insurance Bureau of 20 hospitals directly settles accounts with suppliers

Hospital out, medical insurance and suppliers directly settle the payment! Another city landed! On September 26, 20 hospitals and medical insurance bureau issued the notice on opening centralized settlement bank account for supply (distribution) enterprises and the notice on opening Centralized Settlement System account and Ca for supply (distribution) enterprises It is clearly required that the medical consumables and drug revenue and expenditure of all designated medical institutions in Nanjing shall be included in the centralized settlement management of the special account set up by the municipal pharmaceutical centralized procurement Guarantee Center According to the unified deployment and arrangement of the whole city, each enterprise is requested to open a special account for medical consumables and drugs revenue and expenditure and a special CA for settlement system before September 30, corresponding to the settlement account bank of the provincial and municipal three-level medical institutions supplied by each enterprise That is to say, the payment for drug consumables of these 9 hospitals and 11 hospitals under Nanjing municipal government should be settled by medical insurance! As early as the 5th of this month, Nanjing Medical Insurance Bureau issued the opinions on the implementation of centralized procurement of medical consumables, which clearly requires that medical consumables and drugs shall not exceed 30 days and 60 days respectively from qualified delivery and acceptance to payment! For the payment for medical consumables purchased with quantity, the medical insurance fund is determined to prepay 30% - 50% of the total cost to the purchasing medical institution, so as to accelerate the payment settlement and realize the exchange of quantity for price On the same day, the implementation plan on the construction of Nanjing Medical Consumables sunshine supervision platform was released, which shows that this is the first record of the whole process of medical consumables from bidding, procurement, distribution, use, settlement and payment in China Sunshine supervision platform for comprehensive monitoring of hospitals, doctors and suppliers It is also clearly proposed to realize centralized settlement and unified revenue and expenditure of medical consumables under the unified supervision platform Cut off the triangle debt among medical insurance, hospitals and consumables suppliers In the payment settlement link, let the hospital out directly Medical insurance directly settles the payment with consumables suppliers! There is no doubt that it is necessary to solve the problem of long-term overdue payment and slow payment collection from the source! To solve the arrears of payment, the medical insurance bureau should start at the source! At present, the phenomenon of the hospital defaulting on payment for goods is becoming more and more serious, which has become the normal Some suppliers make complaints about accounts receivable accounts for almost 50% of the total assets of the end period Medical equipment companies are facing not only financial pressure, but also survival crisis In addition, at present, the implementation of the nationwide medical consumables with volume procurement, "volume for price", although the bid winning enterprises exchange 70% - 80% of the procurement volume for a substantial price reduction, but the payment collection is not timely are all hoodlums At present, Nanjing has cooperated with Xuzhou and Huai'an to carry out cross regional belt purchase The implementation of unified medical consumables medical insurance settlement is undoubtedly to solve the problem of payment collection from the source and promote the further implementation of belt purchase! In addition to Nanjing City, Quanzhou City, Fujian Province and above public medical institutions medical consumables by the medical insurance department unified settlement payment has officially landed! This is also the second city in Fujian Province and even the whole country to implement unified settlement of medical consumables payment by medical insurance department after Sanming dynasty! With the medical insurance bureau of Fujian Province taking over the centralized procurement bidding of medical consumables and bringing the unified medical insurance settlement of medical consumables into the work plan of 2019, it is expected that Fujian Province will soon push forward! The unified medical insurance payment system for medical consumables originated from Sanming medical reform and is now encouraged to be implemented nationwide It means that the medical insurance will be directly connected to the price limit in the purchase process, and the hospital will be kicked out in the settlement process, and the medical insurance department will directly settle the payment to the supplier "Negotiation and price reduction" will also be very popular The income from negotiation will be used to increase doctors' income This is the "stimulant" that hospitals strive to bargain during the period of canceling bonus, controlling fees and fighting against corruption in medical treatment! Recently, Nanjing Pharmaceutical centralized purchase guarantee center under Nanjing Medical Insurance Bureau carried out online settlement system operation training for 1196 drugs and consumables that were sold in Nanjing According to the relevant contents of the training course, Jiangsu medical equipment circle made a simple analysis for you, for reference only Chinese style Three advantages of the settlement platform: 1 The payment organization of drugs and consumables has changed from a hospital to a drug procurement support center, and the hospital bonus has been cancelled; 2 The collection cycle has been greatly reduced, with 30 days for drugs and 60 days for consumables; the cash flow of dealers will be guaranteed; 3 Innovative products can be purchased in emergency, and non-standard products can be reimbursed by medical insurance (each hospital has a total amount limit) Chinese style Three reminders of the settlement platform: 1 Each hospital dealer uploads the sales invoice and fills in the product unit price to remind the manufacturer to uniformly control the terminal sales price; for example: the bidding price of a product is 3000 in Nanjing, 2800 in hospital a and 3000 in hospital B, which is likely to be the same as that in Shanghai, Henan and other places in the next month (reminder: input invoice may be submitted in the future to prepare for two ticket system!) 2 In the era of big data, the monitoring platform collects data at any time to provide accurate technical support for volume purchase Dealers must choose products with relatively mature coverage and sales volume of hospitals in Nanjing area, rather than selling certain products without sales volume, which has only a little price advantage, and may not be qualified to participate in the volume purchase Chinese style There are three doubts about the settlement platform: 1 How to coordinate the promotion speed of medical insurance in Nanjing, including municipal hospitals, provincial and ministerial hospitals and military hospitals? (after the bidding of Taimao platform in 2017, it is required to determine the distribution relationship and confirm the order every month, more of which is carried out by municipal hospitals, and other hospitals seem to have low enthusiasm;) 2 The hospital cancels the bonus, and the payment settlement does not pass the hospital In the future, the hospital only has the income of diagnosis and treatment fee, operation fee, inspection fee, etc., will it generate income from over examination of patients? 3 Will the payment of drug purchase guarantee center to dealers contradict with the current payment methods of hospitals such as single disease and single disease group? For example: in the past, some patients in the medical insurance paid according to the type of disease, and more than some hospitals paid for it Now, the hospitals don't pay for the money If the money is over, who will bear it? Whether doctors use consumables no longer consider the problem of over insurance Comments on Jiangsu medical equipment circle: Nanjing sunshine regulatory settlement platform is the first one in Jiangsu and even in the whole country, with 24-hour coverage in all aspects It was officially launched in October It has its own characteristics and has a long way to go With the support of big data, volume purchase will become the normal, and the medical industry will develop more healthily!