After the State Council issued a document, the right to pay for consumables was transferred to the Medical Insurance Bureau and began to land!
Pay monthly! Consumables payment and medical insurance bureau settlement spread across the province!
On March 10, the Fujian Provincial Medical Insurance Bureau issued the "Notice on the Key Points of Provincial Medical Security Work in 2020". This document delineates the key tasks of the Fujian Provincial Medical Insurance Bureau in 2020. It is important to increase the reform of medical consumables procurement. The most important.
Among them, the key reform directions of the Fujian Medical Insurance Bureau in the field of medical consumables are clearly stated:Carry out a pilot program for purchasing medical consumables and expand the scope of settlement for medical equipment (medical consumables).
On March 20, 2019, Fujian Province clearly stated in the 2019 work plan: to explore the unified settlement of medical devices (medical consumables). The plan was just released, and the first pilot city in Fujian, Quanzhou , was launched in April!
Seven months later, in November 2019, the Quanzhou Medical Insurance Bureau officially announced that the designated public medical institutions of Quanzhou’s second-level or above medical insurance have realized that the payment for medical consumables has been included in the scope of unified medical insurance settlement , thus cracking the "triangular debt" of medical insurance, hospitals, and supply companies. problem!
After the implementation of the Quanzhou pilot, the direct settlement mode of medical consumables payment by the Medical Insurance Bureau will be officially launched in Fujian Province in 2020!
The right to settle payments for medical consumables was transferred from the hospital to the Medical Insurance Bureau. The implementation of this reform in Fujian Province can be described in one word: fast!
How does the Medical Insurance Bureau directly settle the payment for medical consumables? In addition to a pilot project like Quanzhou, where all medical insurance designated hospitals in the city have unified payment and medical insurance for consumables, it is very likely that Fujian Province will be the first to land!
On January 13 this year, the Fujian Provincial Medical Insurance Bureau, the Food and Drug Administration, and the Health and Health Commission jointly issued the "Notice on Carrying out the Pilot Work for the Centralized Mass Procurement of Medical Consumables in Public Medical Institutions" to determine the first batch of provincial consumables for mass procurement : Heart stent, artificial joint, indwelling needle, ultrasonic knife, analgesic pump. With 70% of the procurement volume of tertiary hospitals in Fujian province, "quantity for price" is realized.
Among them, in terms of the payment settlement for consumable products in quantity procurement, the following clearly stated:The medical insurance agency will uniformly settle the payment on behalf of the negotiated power consumption products. All pilot medical institutions shall purchase bargained power-consumption products through the provincial pharmaceutical equipment procurement platform, and the local medical insurance agency shall pay the company the previous month’s product payment according to the contract before the 15th of each month .
In other words, not only must the triangle debt between the hospital and the supplier be cut off, the medical insurance will settle the payment in a unified way, but the payment for consumables will be settled once a month, and it is strictly forbidden to default on the payment!
After the State Council issued a document, the era of consumable settlement rights handed over to the Medical Insurance Bureau has come!
With the issuance of the "Opinions on Deepening the Reform of the Medical Security System" by the State Council and the Central Committee, 2020 will undoubtedly be an epoch-making year for the medical insurance reform in the purchase and sale of medical consumables!
The "Opinions" put forward for the first time at the national level: Actively promote direct settlement between medical insurance funds and pharmaceutical companies, and improve the coordination mechanism between medical insurance payment standards and centralized procurement prices.
The Medical Insurance Bureau and the pharmaceutical and consumables companies directly settle the payment, and will start to roll out the whole country together with the quantity purchasing! After the transfer of the pricing power for medical consumables procurement, the Medical Insurance Bureau began to carry out the closed-loop management of the last link in the purchase and sale field-the right to settle payment.
After that, Fujian Province was the first to release this year's medical insurance reform plan, including the unified settlement of the province's expanded consumable payment and medical insurance. It is foreseeable that many provinces will land this year!
Beginning last year, many provinces and cities across the country have begun to see signs of progress. This year, the momentum of this reform will only be even greater!
Synchronous belt purchase! After the big bargain, the sword points to circulationMedical insurance unified settlement of payment, cut off the triangle debts of hospitals, medical insurance, and consumable companies from the settlement link. On the one hand, in the field of consumables purchase and sales, promoted to solve the current very serious rebates and false invoices from the source;
On the other hand, it has solved the long-standing problem of payment arrears to a large extent , and also reduced the cash flow pressure of the enterprise. Starting from some high-value consumables, it will become possible to significantly reduce the circulation links.
However, many people in the industry also said that full implementation of the "one-vote system" is unlikely in the short term. Many large-scale equipment in hospitals above the second level have been directly supplied by manufacturers, which can be said to be a direct "one-vote system." However, medical consumables are different from large-scale medical equipment, and there are many categories, and warehousing and logistics need to be exclusively responsible for commercial companies in the circulation link.
However, the Medical Insurance Bureau started with volume procurement, firmly grasped the purchasing power and pricing power, and kicked out the hospital from the settlement link . It can be said that there is basically no room for increasing prices in the intermediate links. This has not only improved the efficiency of collection, but also carried out a major clean-up of the circulation field!
This article is reproduced from the Medical Device Dealers Alliance
Please indicate the source