Chapter Four Hundred and Twenty Seven: Medical Insurance
Since Monica left Kyoto, all kinds of things have come to Bai Ye's head, making him unable to put them away.
The same was true for today's dinner party. A friend whose name Bai Ye couldn't name, or should be said to be a friend of a friend, or even further, found Bai Ye to seek cooperation.
The construction of Bai Ye's orthopedic hospital has not been long, and even Monica has not done much publicity. However, with the rapid development of Internet technology and self-media, the spread of information may be the most explosive.
What's more, last month, national leaders brought foreign ambassadors from all over the world to visit Bai Ye's research institute several times.
If Bai Ye's research institute had any publicity, the only official publicity might have been the ten seconds of publicity that came from the seven o'clock news channel of the Central Committee of the Communist Party of China for seven or eight consecutive days!
Bai Ye doesn't know if this promotion is propaganda? It probably doesn't count...
Most of the medical supplies used by Bai Ye's research institute come from the internal supply of the Check and Balance Group, while most of the medicines and medicines are directly cooperated with pharmaceutical companies.
The daily drug consumption of the orthopedic hospital affiliated to the institute is enough to support a large medical company, so this has attracted many people's attention.
This is especially true for implantable medical devices used in orthopedics, such as steel nails, steel plates, false joints, prostheses and other expensive devices.
Baiye Orthopedic Hospital is now very famous, especially among certain circles, such as the upper class circles.
Now, Baiye Orthopedic Hospital is very strict in reviewing patients. Either you have to meet the first standard, that is, you are a free patient. During the treatment period, you have to sign an agreement with the institute, and all conditions must be met before you can be admitted to the hospital.
As long as some safe medical experiments are performed during hospitalization, treatment costs can be waived.
This is the case for many foreign medical groups. They combine some medical experiments with medical clinics to avoid wasting medical resources and at the same time achieve some goals and means.
Of course, these medical experiments are safe, and absolute safety is impossible, but the agreement states that any research institute will bear the medical consequences.
The second criterion is the high charging standard. This charging standard is very high. It is higher than the Mayo Clinic of the world medical group. Moreover, you can choose the attending physician, even Bai Ye.
However, the cost is high. The last treatment for former NBA star Alston cost as much as 30,000 US dollars, which ordinary people simply cannot afford.
Therefore, this is also intentional by the research institute, because it is a fact that hospital beds are limited and medical resources are insufficient. Therefore, the high cost must bring high-quality treatment services.
Thanks to the participation of these rich people, medical resources can be evenly distributed.
Since Baiye Research Institute was visited by leaders, there have been reports from the media one after another. From that time on, Baiye Orthopedic Hospital has attracted more and more attention.
However, it may be that the recent popularity has not gone away, and there have not been many negative reports. After all, most people still dare not approach this kind of research institute with political attributes.
Today's dinner party is that a department-level cadre of the health system wants to invite Bai Ye to dinner and introduce a friend to Bai Ye.
Although Bai Ye has never met this friend, he still doesn't know what the dinner party is for today.
But it is said that he is the boss of a domestic pharmaceutical company, his family is well connected, and he has connections with the National Health and Family Planning Commission. This company now has domestic agents for many foreign medical device companies.
So Bai Ye didn't have to think about it to know what was going on, it was just selling something!
In fact, Baiye, the large-scale medical equipment and drugs in his own orthopedic hospital, were all German manufacturers that Moldo contacted at that time, and they were all brand companies that had cooperated with the Orthopedics Department of Heisenberg University Hospital for many years.
Because of Moldo, the price offered by the other party was very favorable. However, recently due to changes in the shares of the other company, the original chairman was replaced.
In order to maintain a good friendship with Heisenberg, the current person in charge intentionally or unintentionally distanced himself from Moldo.
I have to say that these people are very well-informed. News of the contract termination has just come from Bai Ye and over there, and they have already been found before the details have been implemented.
In fact, Bai Ye does not exclude these people, and these things will happen sooner or later. If you have a good partner, it will be a good thing.
It's just that Bai Ye still thinks it's more appropriate to let Monica talk... After all, Monica is the best at talking about these things.
The other party has made appointments with Bai Ye several times in a row. It would be unkind to refuse again this time.
Let's go, but I don't want to go alone. Wang Wenliang happened to bump into him. Bai Ye thought it would be a good thing for Wang Wenliang to go. At least he could eat more good food.
If it comes to specific negotiations, let Monica do it. Just put it off today.
After get off work, Wang Wenliang asked Bai Ye with a puzzled look on his face: "Xiao Ye, what are you having for lunch? How about treating you to the restaurant's spicy mix?"
Bai Ye waved his hand: "No, I already told you to treat Brother Liang to dinner. After we go there at noon today, you can eat whatever you want, just order it!"
Wang Wenliang stared: "Is this true?"
Bai Ye: "Seriously!"
Wang Wenliang suddenly trembled!
The elevator in the hospital at noon is like a woman's foundation. You don't know how much stuff is underneath the thin layer. After waiting for several minutes, Wang Wenliang couldn't help it anymore and said, "Let's go, let's take the stairs."
The hospital elevator is the most difficult to sit in during morning working hours and lunch time. You said that as a doctor, you are too embarrassed to squeeze in and out with patients, but don't be crowded, you still can't get on it at all.
At this point, Bai Ye was nostalgic for his own research institute. The internal staff elevator installed requires a card to be used, which is much more convenient.
The two walked together, and as soon as they reached the entrance of the hospital, they saw a man hurriedly walking out of the car and walking to Bai Ye's side.
"Xiaoye, are you off work? Haha, being a doctor is really hard!"
Bai Ye smiled slightly. This man was not an ordinary person. He worked in the health system. Anyone who saw him would call him: "Ting Xu."
This man was introduced by Tang Han. The two had dinner together several times, and it was at Tang Han's house, which showed that the relationship was unusual. Moreover, the man was not very old, only in his early forties.
Bai Ye: "Brother Xu, how can you not be as hardworking as you? You have so many things to do every day."
The man smiled and said: "Haha, we are all serving the people. Get in the car and we will talk about it later when we get to the place."
The man’s car is an Audi A4 with the prefix Beijing. This kind of car is neither expensive nor cheap, just right and very popular.
After getting in the car, Bai Ye introduced Wang Wenliang, and not long after, the two arrived at the hotel.
There was someone greeting him at the door of the hotel. He was a man in his thirties. He was very dignified. At the very least, he could not ignore the person he liked. He was neither humble nor overbearing. He had obviously received a high-quality education.
"Hello, Mr. Bai Ye, my name is Zhou Luo."
Bai Ye held the man's hand: "Hello, Mr. Zhou, my name is Bai Ye."
After being polite, I entered the private room. This hotel is very low-key. It doesn't look very impressive from the outside, but when you come in, you will know what the background is, especially the quality and quality of the waiters, and how it makes you feel.
It's called considerate yet inappropriate service.
Wang Wenliang didn't say anything after he came in, but his heart was in turmoil, and his little heart was beating thumpingly.
Because after hearing Bai Ye chatting with the man in the car just now, Wang Wenliang felt that he had realized what a circle was. This man was the director of the medical insurance center and was responsible for hospital medical insurance.
You may not know much about what medical insurance is, but I can tell you the truth, what doctors fear most is the people in the medical insurance center.
Every year, the medical insurance center goes to the hospital to conduct inspections and review cases. To put it bluntly, it is just picking at the bones and looking for trouble!
Yes, every year during the holidays, the medical insurance center will go to the hospital to conduct spot checks on cases.
Every case that is picked up will have something wrong with it!
Either the patient spends too little, or the patient spends too much, or the treatment fee is too high, or the medicine is prescribed too much...
Anyway, people have all kinds of reasons to tell you that you are wrong!
What if it's wrong?
Cold!
Yes, fine!
The minimum cost of a case is 3,000. If there is a drug problem, for example, if you prescribe an extra box of medicine and this box of medicine costs 100, you will have to pay a fine of 3,300. Yes, it is a fine of thirty-three times.
Last year, a doctor in the encephalology department felt that the patient had no money, so he prescribed oral medicine for an extra week. If these medicines are prescribed during hospitalization, they can be reimbursed by medical insurance. The total cost is about 300 yuan. This is a random check and a related case.
I was fined 15,000 together with the drugs.
There is no absolute right or wrong, but that is to say, doctors and medical insurance are just like the Discipline Inspection Commission and civil servants.
It doesn't matter if you don't check, there will be problems if you check.
There are no cases that cannot detect errors, there are only medical insurance personnel who cannot detect them.
Therefore, this is also the reason why Bai Ye cannot shirk the man. After all, Bai Ye's orthopedic hospital has to deal with the medical insurance center, and this cannot be an enemy.
But Wang Wenliang had more things on his mind. He was the director of the medical insurance center. Now that he had established a good relationship, no one would dare to check his case in the future.
That's right, the person above who was fined 15,000 is him!
If there are more patients in charge, there will naturally be more cases, and if there are more investigations, fines will naturally have to be paid. Later, those people discovered that as long as they checked Wang Wenliang's problem, they could find some minor problems. After that, every time they checked the encephalology department,
, he is always indispensable.
Over the past two years, Wang Wenliang has been fined nearly 30,000 yuan...
There are unspeakable hardships!
In the past year, he has been diligently writing medical records for fear of being investigated. In addition, after being investigated, Jiao Liming couldn't stand it anymore, so he also helped explain that he was not punished this year...
Of course, it might not be the end of the year yet!