Chapter 427: The Matter of Medical Insurance

Since Monica left Kyoto, all kinds of things have come to Bai Ye's head, making him unable to push it off.

Including today's dinner, a friend whose name Bai Ye can't name, or should I say a friend's friend, or further afield, finding Bai Ye is seeking cooperation.

The construction of Bai Ye's orthopedic hospital has not been long now, and even Monica has not done much publicity, but in today's rapid development of Internet technology and self-media, the dissemination of information may be the most explosive.

What's more, last month, the country's leaders took foreign ambassadors from all over the world to visit Bai Ye's institute many times.

If Bai Ye's research institute has ever publicized it, the only official propaganda may be the propaganda from the seven o'clock news channel in a set of central columns, which lasts more than ten seconds every night for seven or eight consecutive days!

Bai Ye didn't know if this propaganda was propaganda, shouldn't it count......

Most of the medical supplies used by Bai Ye's research institute are supplied from within the Balance Group, and most of the drugs and drugs are directly cooperated with pharmaceutical companies.

The daily consumption of drugs in the orthopedic hospital under the institute is enough to support a large medical company, so this has made many people start to pay attention.

This is especially true for those implantable medical devices used in orthopedics, such as steel nails, steel plates, prosthetic joints, prostheses and other expensive devices.

Bai Ye Orthopaedic Hospital is now very famous, especially in certain circles, such as the upper circles.

Now, Baiye Orthopaedic Hospital is very strict with the review of patients, either you have to meet the first standard, that is, free of treatment fees, patients must sign an agreement with the institute during treatment, and all conditions must be met before they can be admitted to the hospital, and as long as some safe medical experiments are carried out during the hospitalization, the treatment costs can be waived.

This is the case for many foreign medical groups, which combine some medical experiments with medical clinics to avoid the waste of medical resources and achieve some goals and means.

Of course, these medical experiments are safe, and absolute safety is impossible, but the agreement states that any institute will bear the medical consequences.

The second standard is the high fee standard, which is very high, higher than the cost of the World Medical Group Mayo Clinic, and you can choose the attending physician, even Bai Ye, you can also choose.

However, the cost is high, and the last treatment for former NBA star Alston was as high as $30,000, which ordinary people simply cannot afford.

Therefore, this is also an intentional act of the institute, because it is a fact that there are limited beds and insufficient medical resources, so the high cost must bring high-quality treatment services.

Thanks to the participation of these local tyrants, medical resources can be averaged.

Since Bai Ye's research institute was visited by leaders, some media have often come to report on it, and since then, Bai Ye's orthopedic hospital has attracted more and more attention.

However, it may be that the recent popularity has not gone, and there have not been too many negative reports, after all, this kind of research institute with political attribute bonuses is still not approached by ordinary people.

Today's dinner is a department-level cadre of the health system who wants to invite Bai Ye to dinner, and by the way, introduce a friend to Bai Ye.

Although Bai Ye hasn't seen this friend yet, he doesn't know what today's dinner is for.

But it is said that he is the boss of a domestic pharmaceutical company, and his family is quite related, and he can be connected with the Health and Family Planning Commission, and this company now has domestic agents of many foreign medical device companies.

So Bai Ye doesn't have to think about it to know anything, it's just selling things!

In fact, the large-scale medical equipment and drugs in his own orthopedic hospital, Bai Ye, were all German manufacturers contacted by Moldova at that time, and they were all brand companies that had a cooperative relationship with the Department of Orthopedics of Heisenberg University Hospital for many years.

Because of Moldo, the price given by the other party is very favorable, and recently because of the change in the shares of the other company, the original chairman has been replaced.

In order to continue to maintain a good friendship with Heisenberg, the current person in charge has intentionally or unintentionally distanced himself from Moldo.

I have to say that these people are really well-informed, Bai Ye and the news of the termination of the contract just came from there, and they have already been found before the specific implementation has been implemented.

In fact, these people Bai Ye does not exclude, and these things are a matter of time, if there is a good partner, it is also 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 already made an appointment with Bai Ye several times in a row, and if he refuses again this time, he will be a little unkind.

Go, it's just that I don't really want to go, just when Wang Wenliang bumped into him, Bai Ye felt that it should be a good thing for Wang Wenliang to go, at least he could eat more.

If you want to negotiate specifically, let's let Monica come and talk about it, just drag it out today.

After getting off work, Wang Wenliang asked Bai Ye with a puzzled face: "Xiao Ye, what are you eating at noon?"

Bai Ye waved his hand: "No need, I said that I invited Brother Liang to dinner, after I went at noon today, I can eat whatever you want, just order!"

Wang Wenliang glared: "Is this true?"

Bai Ye: "Seriously!"

Wang Wenliang was suddenly shocked!

At noon, the elevator in the hospital is like a woman's foundation, you don't know how many things there are under the thin layer, and after waiting for several minutes, Wang Wenliang really couldn't help it, and said, "Let's go, let's take the stairs." ”

The elevator in the hospital is the most difficult to sit in the morning and lunch, and you say that as a doctor, you are embarrassed to squeeze around with patients, but if you don't squeeze, you can't sit on it at all.

Bai Ye is a little nostalgic for his research institute, and the installed internal staff elevator needs to be used by swiping a card, which is much more convenient.

The two walked together, and as soon as they reached the gate of the hospital, they saw a man hurriedly walking out of the car and walking to Bai Ye's side.

"Xiao Ye, are you off work? Hehe, it's really hard to be a doctor!"

Bai Ye smiled slightly, this man is not an ordinary person, he works in the health system, and whoever sees him has to shout: Xu Hall.

This person was introduced by Tang Han, the two had eaten together a few times, and it was at Tang Han's house, which shows that the relationship is not ordinary, and the man is not very old, and he is in his early forties.

Bai Ye: "Brother Xu, how can you work hard, you have a lot of opportunities." ”

The man smiled: "Haha, it's all for the people, get in the car, and talk about it when you get to the place in a while." ”

The man's car is an Audi A4 with the prefix of Beijing, such a car is not expensive or cheap, just right, and it is very popular.

After getting in the car, Bai Ye introduced Wang Wenliang, and after a while, the two arrived at the hotel.

There was a reception at the door of the hotel, it was a man in his thirties, very stylish, at least he looked at people who could not be ignored at a glance, neither humble nor arrogant, and obviously had 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." ”

Politely, into the private room, this hotel is very low-key, the outside does not look very eye-catching, but when you come in, you will know what is the heritage, especially the quality and quality of the waiter, so that you feel what is called intimate and inappropriate service.

Wang Wenliang didn't speak after he came in, but his heart was turbulent, and his little heart was pounding.

Because after hearing Bai Ye and the man's chat in the car just now, Wang Wenliang felt that he felt what a circle was, this man was the director of the medical insurance center, and he was in charge of the hospital's medical insurance.

You may not know much about what medical insurance is, but I can tell you the truth, what doctors are most afraid of is the people in the medical insurance center.

Every year, the medical insurance center has to go to the hospital for examination and review of cases, to put it bluntly, it is to pick thorns in the bones and find trouble!

Yes, every year during the New Year's holidays, the medical insurance center will go to the hospital to conduct random checks on cases.

But any case that is drawn, there will be a problem!

Either the patient spends too little money, or the patient spends too much, or the treatment fee is too high, or the medicine is prescribed too much......

Anyway, people have all sorts of reasons to tell you that you're wrong!

What if it's wrong?

Cold!

Yes, fines!

A case is at least 3,000, and if there is a problem with the medication, for example, if you prescribe an extra box of drugs, and this box of drugs is 100, you have to pay a fine of 3,300, yes, a fine of thirty-three times.

Last year, a doctor in the Department of Encephalopathy felt that the patient had no money, so he prescribed an extra week of oral drugs, which could be reimbursed by medical insurance if they were prescribed during the hospitalization, with a total of about 300 yuan, which was spot-checked, and the case and the drug were fined 15,000 together.

There are no absolutes between right and wrong, but that is to say, doctors and medical insurance are like the Commission for Discipline Inspection and civil servants.

You can check it if you don't check, there are problems when you check.

There are no cases that cannot be detected by error, only medical insurance personnel who will not be checked.

Therefore, this is also the reason why Bai Ye can't shirk the man, after all, Bai Ye's orthopedic hospital is indispensable to deal with the medical insurance center, which can't be evil.

But Wang Wenliang has more thoughts, this is the director of the medical insurance center, this is a good relationship, who will dare to investigate his case in the future.

That's right, the person above who was fined 15,000 is him!

Later, those people found that as long as they checked Wang Wenliang's problem, they could find out some minor problems, and every time they checked the encephalopathy department, he was always indispensable.

In the past two years, Wang Wenliang has been fined nearly 30,000 ......

There is unspeakable suffering!

In the past year, he has also been writing medical records well, for fear of being investigated, and after finding out, Jiao Liming really couldn't stand it, and he also helped explain that he was not fined much this year......

Of course, it may not be the end of the year!