Medical network - on December 23, recently, a department of commerce of hunan province sent a letter to hunan health documents screenshots, again under the background of the reform, the circulation of drug firms predicament. Part this year, the screenshot shows, hunan hospital for drug zero rate (that is, according to the purchase price sales) after the funding gap, by delaying the medicine distribution enterprise of collection time to compensate. Department of commerce of hunan province authorities has been to the "daily economic news" reporter confirmed the authenticity of the above file.
In addition, the reporter understands, in May and September of this year, the department of commerce of hunan province has two respects to the health of hunan province office, please coordinate to solve public hospital reform do drugs circulation enterprise distribution drugs payment in arrears, but it is always not get proper solution.
On December 22, medicine circulation industry association secretary general of hunan province Huang Xiuxiang said when accepting a reporter to interview, public hospitals think cancel after drug addition, improve the medical service cannot make up for their losses, pointing to the medicine circulation enterprises. In changsha area in early 2016 to now, only 20 public hospital YaoKuan defaulted on drug distribution enterprises more than 10 billion yuan.
So, these arrears hospital is really no money? That may not be the case, Huang Xiuxiang said, "hospital of hunan province to a druggist two choices, or bear the cost of 10% to continue cooperation, to pay all the payment for goods or no longer cooperation in the future." Circulation of drug companies don't want to lose both 3 armour hospital such big customers, also can't afford too much debt pressure, resulting in a dilemma.
Balance 20 public hospitals tens of billions
As the head of one of hunan's medicine circulation enterprises, zhi-chun li (a pseudonym) never thought one day be so down and out.
There are more than 30 days will be the New Year, in order to let employees get a year-end bonus, zhi-chun li recently collected YaoKuan almost every day to go to hospital, but in vain. On December 22, in a telephone interview with the daily economic news "reporter, before zhi-chun li will just over a communication industry. Company through the bidding procedure, he said, according to the medical institutions drug purchase orders to changsha several public hospital pharmacy, but starting in 2016, the hospital has repeatedly default YaoKuan, balance so far has accumulated nearly ten million yuan.
Same with zhi-chun li the owner of multiple drug distribution enterprises. Zhi-chun li said that the recent multiple peers "bulk", hoping to communicate with multiple departments to solve the problem.
Huang Xiuxiang told reporters that starting this year, only xiangya hospital, hunan provincial people's hospital, children's hospital of hunan province and other 20 more than 40 public hospital is defaulted on changsha YaoKuan drug distribution enterprises more than 10 billion yuan. "We are aware of the problem, after July this year to start (hunan) % to reflect the situation, also has not been fundamentally solved up to now. The drug circulation enterprise between hospitals and production enterprises, in a dilemma."
Reporter noted that in May this year, department of commerce of hunan province had tried to coordinate to solve this problem. At that time, the department of commerce of hunan province to the reform of hunan province office sent a letter said, medicine circulation enterprises up recovery is in trouble. On January 1, 2016, in changsha city to carry out the comprehensive reform of public hospitals, 20 pilot hospital has drugs zero rate and synchronous adjustment of medical service prices. Subsequently, the medicine circulation enterprises according to the medical institutions and drug purchase order delivery responsibilities seriously, but part of the hospital implementation of the drug after zero rate funding gap, by delaying the distribution enterprises of time to make up for the remittance, medicine circulation enterprises caused by capital turnover difficult.
Hunan province business hall, led by the health office coordination, as soon as possible to carry out the relevant supporting measures of public hospital reform, quickly solve the problem of pilot public hospital medical payment default, qualified drug lead times.
However, this problem has not yet resolved. Department of commerce of hunan province and then again in September to hunan health do the letter, the rationality and feasibility of fees at xiangya hospital said. Therefore, suggest that health reform do lead coordination, instruct the above several public hospital full specified amount pays medicine circulation enterprises payment as soon as possible.
Huang Xiuxiang tells a reporter, before the cancellation of drug addition, represented by xiangya hospital 3 armour hospital drug sales income in 1 billion yuan of above one year, according to 15% of the bonus calculation, the hospital drugs net income more than 100 million yuan. But after the drug zero rate policy, this part of the profit was gone. Improving medical service charge "hospital feel alone cannot make up for the loss of drug price reduce, prescribed 10% of fiscal subsidy policy not in place, the hospital will require payment of circulation enterprises to the money."
Huang Xiuxiang further pointed out that between the hospital and drug distribution enterprises often prescribed a receivable payment days and some six months, some of them are ten months, but now more than hunan hospital did not pay on time. "Three hospital affiliated to xiangya hospital payment days is six months, which is in July to pay the payment for goods in January, but the reality is the hospital from July to now don't give money." Huang Xiuxiang said.
Reporter noticed, department of commerce of hunan province in the "about please coordinate xiangya hospital on time full specified amount pays letter of credit for pharmaceutical circulation enterprises" also mentioned, in hunan province medicine circulation industry associations and medicine circulation enterprises reflect more, department of central south university xiangya hospital in changsha city in city public hospital reform after the hospital drugs "in the operation cost and management cost of pharmaceutical affairs nowhere on the grounds that unilateral request medicine circulation enterprises from January 1, 2016 to undertake 10% drugs operating costs and management fees of pharmaceutical affairs, otherwise will not be paid pharmaceutical goods.
On December 22, the daily economic news "reporter is the above interview xiangya hospital, the hospital propaganda division staff said authorities have to go to the hospital, particular case need consulting health development planning commission and the national development and reform commission of hunan province. Then, reporters call the health development planning commission of hunan province propaganda division, the staff, according to the situation, is to understand the situation of this event and solve problems.
Current drug firms into a dilemma
It is worth noting that the phenomenon of drug default payment for goods have been in the industry are not uncommon. Public hospital was revealed in 2014, zhuhai of guangdong province default payment for goods is as high as 290 million yuan, 13 local enterprises and lead to serious problem drug capital turnover, lack of stock. Also in 2014, 10 medical institutions of hainan province drug firms in arrears payment of 558 million yuan, a cash amount is 2 million ~ 100 million yuan more, default time between 2 months to 13 months, the longest even up to 5 years.
Guangdong a declined to be named the personage inside course of study to the "daily economic news" reporter said, at present the hospital "medicine for the medical pattern of" haven't been solved fundamentally, cancel the drug addition to hospital income influence is bigger, a lot of places of hospital drug payment in arrears. "This is not a day two days of things, not one or two words can be said to understand, just just by this node, druggist emotions out."
In Huang Xiuxiang view, medicine circulation enterprises profits would not have been high. According to the association of, get rid of artificial, warehousing logistics cost such as cost, medicine circulation enterprise's net profit is about 1%. Although the average profit is not high, circulation enterprises still want as far as possible from the hospital for credit purchases.
"Hospital of hunan province to a druggist two choices, or bear the cost of 10% to continue cooperation, to pay all the payment for goods or no longer cooperation in the future." Huang Xiuxiang said the circulation of drug companies don't want to lose both 3 armour hospital such big customers, also cannot too much debt under pressure.
He sent the journalist calculated brushstroke zhang, if an enterprise to the hospital drug distribution of 120 million yuan, a year on average 10 million yuan per month, in accordance with the stipulations of the nine months payment days will pay January YaoKuan hospital until October. That is to say, the company must have the capital turnover of 90 million yuan of above. "It was in the hospital can pay 100% payment for goods under the premise of, but the reality is not so optimistic. Sometimes the hospitals will drag the time, or 10%, this let small micro enterprise boss rather passive, can only find other financing channels."
Reporter noted that in 2015, according to the ministry of commerce issued the medicine circulation industry to run statistical analysis report, in 2014 the average 179 pharmaceutical wholesale enterprises for medical institutions accounts receivable turnover days to 122 days, the total amount of accounts receivable is as high as 58.707 billion yuan, accounting for about 37.6% of the total sales of public medical institutions.
"Circulation enterprises is sandwich biscuit, did not dare to offend the hospital already, also dare not offend production enterprises." Huang Xiuxiang says to the reporter. |
