30天支付！医院回款机制进入快车道

Core Viewpoint - The article discusses the recent draft regulation by the Sichuan Provincial Medical Security Bureau aimed at improving the online settlement process for drug and medical consumables procurement, which is expected to shorten payment cycles and enhance the efficiency of medical insurance fund usage [2][3]. Group 1: Policy Background and Overall Goals - The draft regulation builds on the 2020 interim measures and addresses issues such as long payment cycles and financial pressure on hospitals and companies due to the implementation of centralized procurement [3][4]. - The main goal of the draft regulation is to refine existing policies and respond to the national trend of reforming medical insurance fund settlement [3][4]. Group 2: Settlement Mechanism for Centralized Procurement Products - The draft regulation establishes a systematic settlement mechanism for centralized procurement products, which includes a prepayment and phased payment model [4][8]. - Medical institutions must sign a prepayment agreement with the medical insurance agency, which will provide an initial payment of at least 50% of the contract amount within 15 working days of signing [7]. - This model ensures cash flow for companies during the initial supply phase and provides financial relief for hospitals, thereby reducing uncertainty in payment cycles [8][11]. Group 3: Non-Centralized Procurement Consumables Settlement - The draft regulation specifies a 30-day payment timeline for non-centralized procurement consumables, a significant improvement over previous payment cycles that could extend for months [13][15]. - This change aims to facilitate quicker cash recovery for non-centralized products under the new regulatory framework [15]. Group 4: Institutional Innovations - The draft regulation enhances the role of the regulatory account, which acts as a secure channel for all payments, ensuring that funds are managed safely and efficiently [17][20]. - A monthly reconciliation mechanism is mandated, requiring the provincial procurement service center to send transaction summaries to all parties involved within the first five working days of each month [18][33]. Group 5: National Policy Trends and Sichuan Characteristics - The Sichuan draft regulation aligns with national efforts to expedite payment processes for medical consumables, reflecting a broader trend in healthcare reform [40]. - The regulation combines national reform directions with local practical experiences, showcasing its forward-looking and feasible nature [40]. Group 6: Industry Impact and Multi-Party Benefits - The policy adjustments are expected to yield multiple positive effects for the industry, particularly by providing special support for innovative drugs, allowing direct settlements between medical insurance funds and companies [41]. - This approach emphasizes the importance of innovation in drug development and aims to facilitate the entry of more innovative products into clinical applications [41]. Group 7: Conclusion - The ongoing optimization of the payment mechanism in Sichuan reflects the overall direction of national medical insurance payment reforms, aiming to create an efficient financial flow among hospitals, medical insurance, and companies [42]. - The improvements in payment timelines for both centralized and non-centralized products indicate a gradual resolution of the "slow payment" dilemma, promoting a more efficient, transparent, and standardized settlement process [42].