On September 16, the Guangdong Provincial Medical Insurance Bureau announced the “Third Batch of Typical Cases Exposure of the Guangdong Provincial Medical Insurance Bureau in 2022”. Among them, the name of Dongguan Kanghua Hospital has attracted public attention.
At the beginning of this year, a picture of a reunion dinner in the operating room of Kanghua Hospital aroused social attention. In the photo, “The tiger is born to welcome the new year, and the operating room is full of money”. The slogan was prominently hung at the dinner party.
Image source: Internet
Soon, Kanghua Hospital apologized to the outside world, saying that the dinner was organized spontaneously by some staff in the operating room. In order to create a relaxed dining atmosphere, a nurse made this banner by herself . The hospital will investigate and deal with the relevant person in charge.
“Which nurse did this without the permission of the leader?”
“Is this necessary to create a relaxed dining atmosphere?”
…
The outside reaction expresses the public’s attitude towards the response.
So, is there any money in the operating room? The Guangdong Provincial Medical Insurance Bureau has the answer.
The survey results show that Kanghua Hospital has irregularities such as over-standard charges, repeated charges, and alternate items. After self-inspection by the hospital, the returned medical insurance fund was 11.84 million yuan in violation of regulations.
Put money in the pocket of health care
According to the special investigation results of the Dongguan Municipal Medical Insurance Bureau, from May 1, 2021 to February 10, 2022, Kanghua Hospital had violations such as over-standard charges, repeated charges, and alternate items. The behavior involved a medical insurance fund of 2.51 million yuan.
After the incident, Kanghua Hospital tried to make up for its shortcomings, actively conducted self-examination and self-correction, and found more problems.
Together with the amount of medical insurance that was allegedly settled before the refund, and the amount of fraudulent insurance detected by the medical insurance department, Kanghua Hospital illegally occupied a total of 11.84 million yuan of medical insurance funds. In contrast, the 2.51 million previously investigated by the Dongguan Medical Insurance Bureau is just the tip of the iceberg.
Since 2022, the Guangdong Provincial Medical Insurance Bureau has exposed three batches of typical cases. Among them, the time when Kanghua Hospital was investigated, and the picture of “the operating room is full of money” leaked out The times are roughly the same.
The relationship between doctors and patients in China has always been relatively tense, and factors such as the general environment are superimposed, and the dream of making a fortune that “the operating room is full of money” has ignited the fuse of public discussion.
Some netizens asked, is it a scalpel or a sickle to harvest money? Others think it’s just the truth.
Now, judging from the official notification from the Guangdong Provincial Medical Insurance Bureau, both parties’ claims are true: Kanghua Hospital is indeed mainly operating, and the operating room is indeed full of money.
It is a little ironic that the official website of Kanghua Hospital shows that its purpose is: to think of the common people, and to carry out doctors with great morality, claiming that it takes human life as the priority. The highest value pursues the goal, adheres to the humanitarian spirit, treats the disease like a family member, and makes every effort to be selfless and unswerving.
The Health Knowledge Bureau called the Guangdong Provincial Medical Insurance Bureau and Kanghua Hospital, but no one answered.
Performance and trust lost
Dongguan has 8 Grade III-A hospitals, of which Kanghua Hospital is the only private hospital.
This private top three has been at the center of public opinion many times. The ones that have caused great repercussions in China include the incident in 2013 that resulted in the stillbirth of a pregnant woman due to the negligence of the hospital in Kanghua Hospital.
In recent years, Kanghua Hospital’s compliance issues have also frequently arisen. According to Observer.com, in 2020, Kanghua Hospital was imposed an administrative penalty by the Dongguan Municipal Health Commission for violating Article 5 of the Conditions for Handling Medical Malpractice.
According to the official website of Kanghua Hospital, the hospital has been built since 2002 and began to receive patients in 2006. There are 2006 planned beds, the daily reception volume of outpatient clinics exceeds 10,000, and the number of intensive care beds exceeds 100.
In November 2016, Kanghua Medical officially landed on the Hong Kong Stock Exchange. Its revenue mainly comes from Dongguan Kanghua Hospital, Dongguan Renkang Hospital and Kangxin Hospital. Among them, Dongguan Kanghua Hospital is the mainstay of its revenue. According to Kanghua Medical, the revenue from 2019 to 2021 will be 1.956 billion yuan, 1.745 billion yuan and 1.954 billion yuan respectively.
At a time when private medical institutions were bleak, Kanghua managed well and maintained a fairly good profit. 2019And the net profit in 2021 is 48.688 million yuan and 66.925 million yuan respectively, and the loss in 2020 due to the epidemic is 50 million yuan.
Listed hospitals want to make money, and the operating room is just a shortcut to “find money”.
The epidemic may have accelerated Kanghua Hospital’s “financial search”. According to the above-mentioned Guangdong Provincial Medical Insurance Bureau, the investigation and punishment of Kanghua Hospital for illegal occupation of medical insurance funds will happen in 2021 after the epidemic.
In the first half of 2022, Kanghua Medical still lost money, with a loss of 21.6 million yuan, and its overall operating net profit margin was 10.3%, down 4.6% year-on-year.
Profits are running out, Is it because fewer people go to Kanghua to see a doctor? Not.
According to the 2022 semi-annual report, the total number of outpatient visits of Kanghua Medical reached 692,100, a year-on-year decrease of only 0.9%. However, at the same time, its overall expenditure per inpatient visit was 14,900 yuan, a year-on-year decrease of 4.1%; the average hospital stay of patients was 6.7 days, compared with 7.2 days in the same period last year; the total number of surgical operations was 1.78 10,000 cases, a year-on-year decrease of 8.2%…
Obviously, under multiple supervision, the profitability of Kanghua’s medical services has declined significantly.
As the metrics fell, only one rose: average cost per visit.
The semi-annual report shows that the average cost per outpatient visit increased from 403 yuan to 456 yuan. Money in the operating room is falling, and the clinic is trying to increase revenue.
Affected by the epidemic, all private hospitals are facing survival difficulties.
In December 2021, Guangzhou Nanyang Cancer Hospital Co., Ltd., a well-known cancer hospital in Guangdong, was officially declared bankrupt by Guangzhou Intermediate People’s Court; In January, the men’s clothing giant Youngor announced that it would donate its Puji Hospital to the Ningbo Municipal Government for free. Thinking of the free donation of billions of assets invested, Youngor’s pain in running a hospital can only be swallowed in his own belly.
The hospital that “is full of money in the operating room” was eventually found to be a big insurance fraudster, which makes the private hospital industry even more difficult. For medical institutions, in addition to performance issues, there is the most thorny crisis of trust.
Writing | Niacinamide
Editing｜Jiang Yun Jia Ting
Operation | Xiaoxi
Photo Source | Visual China
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