The fraudulent insurance hospital in the storm is "Putian Department" again?
DATE:  Sep 27 2024

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01 Wuxi Hongqiao Hospital was suspended due to insurance fraud, involving 130 million yuan of medical insurance funds, and the legal representative Wang Weimin has been taken criminal coercive measures by the public security organs.

02 Behind Wang Weimin is the same actual controller, Medea Group, which has invested in a number of hospitals, some of which have been administratively punished for the use of medical insurance funds.

03 Chen Guoxing, the founder of Medea Group, has withdrawn from the group, but the new head Wang Weimin has had dealings with three of the three major families of the "Putian family".

04Due to this incident, the inpatients of Wuxi Hongqiao Hospital have been transferred to other hospitals one after another, and the hospital does not support medical insurance payment for the time being.

05The China Association of Non-public Medical Institutions requires all member units to severely condemn and jointly condemn the insurance fraud of Wuxi Hongqiao Hospital.

The above content is generated by Tencent's hybrid model and is for reference only

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Destroy data, change the system, delete records, Wuxi Hongqiao Hospital is now closed.

Written by Yao Yue

Editor丨Wu Lijuan

Source: Bronco Finance

The "medical money" and "life-saving money" in some people's medical insurance accounts were actually hollowed out by hospitals with fake CT films.

"Out of nothing" imaging examination to defraud the medical insurance fund, Wuxi Hongqiao Hospital insurance fraud incident has aroused public outrage. On September 24, his brother hospital, Kunshan Hongqiao Hospital, also had a special investigation team stationed, and the focus was to investigate whether there was image fraud and insurance fraud. Behind the two hospitals is the same actual controller, Wang Weimin, and the same largest shareholder, Medea Group.

The founder of Medea Group is Chen Guoxing of the "Putian family" Chen family, but Chen Guoxing has fully withdrawn from Medea Group since the end of 2020. Today, Medea Group has gotten rid of the "Putian system" from the perspective of shareholders, but in fact, the "new head" Wang Weimin has been involved with three of the four major families of the "Putian family".

According to the announcement of the Wuxi Municipal Medical Insurance Bureau, as the legal representative of Wuxi Hongqiao Hospital, Wang Weimin has been taken criminal compulsory measures by the public security organs in accordance with the law. So far, he has been at the helm of the Medea Group for less than 4 years.

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Destroy data, change the system, and delete records

Wuxi Hongqiao Hospital is now closed

"Wuxi Hongqiao Hospital's insurance fraud has been basically verified." On September 24, the Wuxi Municipal Medical Insurance Bureau issued an announcement.

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Source: Wuxi Medical Insurance Bureau WeChat public account

Wuxi Hongqiao Hospital and the 15 people involved in the case have been taken corresponding measures. On September 22, Wuxi Hongqiao Hospital's medical insurance designation qualification has been cancelled by the Wuxi Municipal Medical Insurance Bureau, and the hospital has also been criminally filed by the public security organs; On September 23, 15 people involved in the case, including the hospital's legal representative and president, were taken criminal compulsory measures by the public security organs in accordance with the law.

The Wuxi Municipal Medical Insurance Bureau said that it will continue to conduct a comprehensive investigation into the suspected fraud of medical insurance in Wuxi Hongqiao Hospital in conjunction with the public security, health and other departments.

Wuxi Hongqiao Hospital is a second-class general hospital and a designated unit of medical insurance. According to the "First Finance" on September 24, Wuxi Hongqiao Hospital has been closed, and inpatients have been transferred to other hospitals, and the hospital does not support medical insurance payment for the time being.

Not only defrauded medical insurance, Wuxi Hongqiao Hospital also resisted the inspection of the National Health Insurance Bureau by deleting and blocking information.

According to "CCTV News", recently, Zhu Chenggang, a radiographer at Wuxi Hongqiao Hospital, reported to the media with his real name that from 2023, some patients have not done imaging investigations in their departments, but their medical records have "diagnoses based on images".

Zhu Chenggang suspected that Wuxi Hongqiao Hospital was suspected of falsifying medical records and defrauding medical insurance. Subsequently, the National Health Insurance Bureau immediately carried out an unannounced inspection of the hospital, that is, without greeting and going straight to the scene to carry out the inspection, and the unannounced inspection team was also divided into multiple teams stationed in the hospital.

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Source: Canned Gallery

But even so, after being stationed, the inspection team found that the imaging records had been deleted or blocked. The inspection team used a "stupid method" to retrieve some of the imaging examination records, and found that the examination time in the imaging examination records did not correspond to the serial number generated by the equipment. However, the manual registration record book, which was enough to prove whether the patient had actually undergone imaging examinations, was told by the hospital that it was missing.

However, according to "CCTV News", after many efforts, the flight inspection team still obtained some of the destroyed records and materials, and the verification work is still ongoing.

According to the "surging news" report, in 2023, Wuxi Hongqiao Hospital will use the medical insurance fund to settle 130 million yuan.

In this regard, the China Association of Non-public Medical Institutions issued a statement saying that Wuxi Hongqiao Hospital's bad behavior of insurance fraud has seriously ruined the reputation of the non-public medical industry, and the association requires all member units to severely condemn and jointly condemn this behavior, and report similar incidents and clues to the association and other relevant departments in a timely manner.

Bai Wenxi, vice chairman of the China Enterprise Capital Alliance, said that even if the amount of insurance fraud involved is not necessarily large, this behavior has seriously damaged the safety of the medical insurance fund, infringed on the public interest, undermined the integrity system of the medical industry, and caused serious adverse effects on the society.

Four sister hospitals have also been fined

Among the "Medea" hospitals, Wuxi Hongqiao Hospital is not alone, and its four brother hospitals have also been fined.

According to Tianyancha, the actual controller of Wuxi Hongqiao Hospital is Wang Weimin, who directly and indirectly holds a total of 42% of the shares; Medea Group, the largest shareholder, directly holds 40% of the shares; Wang Weimin is also the actual controller of Medea Group, directly holding 80% of the shares.

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Source: Tianyancha

The insurance fraud incident of Wuxi Hongqiao Hospital has attracted the attention of regulators to its brother hospital, Kunshan Hongqiao Hospital. The actual controller of Kunshan Hongqiao Hospital is also Wang Weimin, who directly and indirectly holds a total of 41.2% of the shares; The largest shareholder is also Medea Group, with a direct stake of 39%.

According to the "People's Daily Online" Jiangsu, on September 22, the investigation team led by the Jiangsu Provincial Medical Insurance Bureau has been stationed in Kunshan Hongqiao Hospital, focusing on investigating whether the hospital has similar problems of image fraud and insurance fraud in Wuxi Hongqiao Hospital. The staff of the investigation team are already collecting and checking the hospital's archives and image records, and checking the catalog, CT number, registration number and other information.

In the eyes of the outside world, it is not surprising that Kunshan Hongqiao Hospital was investigated. Recently, Kunshan Hongqiao Hospital was exposed to "require patients to spend up to 7,000 yuan". In August, a screenshot of the group chat of the "HQ Doctor Group" posted by a netizen showed that a person named Chen Moumou sent a message, "If the monomer is less than 7,000 this month, don't do it." ”

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Source: "CCTV" report

Because of this incident, Kunshan Hongqiao Hospital was quickly placed on file for investigation. The investigation results showed that the hospital was suspected of violating laws and regulations such as failing to comply with relevant diagnosis and treatment standards, failing to fill in medical records as required, and using antimicrobial drugs in an irregular manner. The administrative penalty in September showed that the hospital was fined 113,500 yuan.

In addition to Wuxi Hongqiao Hospital and Kunshan Hongqiao Hospital, Medea Group has also invested in 6 other hospitals - Shenzhen Ganglong Hospital, holding 47.01% of the shares; Hangzhou Tianmushan Hospital Co., Ltd., holding 45.5%; Wenzhou Jianguo Hospital Co., Ltd., holding 40.95%; Shanghai Jianqiao Hospital Co., Ltd., holding 40.95%; Shanghai Minhang Hongqiao Hospital Co., Ltd., holding 40.95%; Shenzhen Jianguo Urology Hospital, holding 0.01%.

Among the 6 hospitals, in addition to Shenzhen Jianguo Urology Hospital, the actual controller of the other 5 hospitals is also Wang Weimin. Among them, two hospitals have been involved in the use of medical insurance funds and have been subject to administrative penalties.

In December 2023, Shanghai Jianqiao Hospital was fined 6,315 yuan for violating the diagnosis and treatment norms, excessive inspections, repeated charges, etc., which caused losses to the medical security fund; In June 2023, he was fined 1,500 yuan for violating the relevant provisions of the "Regulations on the Supervision and Administration of the Use of Medical Security Funds"; In November 2022, he was fined 3,200 yuan for repeated charges, excessive standard charges, and exceeding the medical insurance payment limit.

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Source: Tianyancha

Wenzhou Jianguo Hospital was fined 956,000 yuan in February 2022 because between May 1, 2021 and June 30, 2021, medical staff carried out repeated charges, decomposed project charges, excessive standard charges, and included medical expenses that are not covered by the medical security fund into the settlement of the medical security fund due to misunderstanding and negligence, resulting in a loss of 470,000 yuan in the amount of medical insurance.

In addition, in January, Shenzhen Ganglong Hospital was also fined for failing to implement the verification system for obstetric nurses, resulting in pregnant women fraudulently obtaining birth certificates for their babies.

The new head has something to do with the three major families of the "Putian family

".

The founder of Medea Group is Chen Guoxing of the Chen family of the "Putian family". In 2002, Chen Guoxing registered the first hospital in Shanghai, Shanghai Minhang Hongqiao Hospital, and officially entered the hospital, and then established Shanghai Jianqiao Hospital and Wuxi Hongqiao Hospital. In 2003, Chen Guoxing founded Medea Medical Group. Based on Medea, the "Medea Department" hospital was established.

In 2009, Chen Guoxing entered the more profitable medical aesthetic industry and founded Yixing Medical Aesthetics, which has now become Chen Guoxing's core industry. In 2018, Yixing Medical Aesthetics submitted a listing application to the Hong Kong Stock Exchange. According to the "Prospectus", in 2017, the revenue of Yixing Medical Aesthetics reached 1.037 billion yuan, and the net profit was 114 million yuan. However, the listing of Yixing Medical Aesthetics failed.

It is worth mentioning that in 2004, the second year of the establishment of Media Group, Media Group and a number of companies jointly funded the establishment of Medicilon (688202. SH)。 In 2019, Medicilon was listed on the A-share market. At present, Chen Guoxing is the sixth largest shareholder of Medicilon, holding 3.62% of the shares.

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Source: Canned Gallery

Chen Guoxing's focus has long shifted to the medical aesthetic industry and the impact on the capital market, and in recent years, the survival challenges of private hospitals have become more and more great. According to the National Enterprise Bankruptcy and Reorganization Case Information Network, in the first quarter of 2024 alone, dozens of private hospitals will declare bankruptcy and liquidation, including many large-scale and high-end hospitals.

Yuan Shuai, the founding founder of the Xinzhipai New Quality Productivity Lounge, said that the bankruptcy and closure of private hospitals in recent years reflects the problem of oversupply and poor supply to a certain extent. The key to stimulating this clearance is the intensification of competition in the medical market, the strengthening of policy supervision, and the change in patients' medical choices. In the market competition, it is difficult for private hospitals with non-standard management, poor service quality and lack of core competitiveness to survive.

Chen Guoxing's brother Chen Guoxiong withdrew from the Medea Group in 2017, and when he exited, he transferred 32% of the shares to Chen Guoxing, and Chen Guoxing held 80% of the shares. In December 2020, Chen Guoxing transferred 80% of his shares to Wang Weimin, and Medea Group changed hands.

So far, Medea Group has gotten rid of the "Putian system" from its own shareholder level. However, among the four major families of the "Putian family" "Chen, Zhan, Lin, and Huang", the "new head" Wang Weimin has a relationship with the three families.

Before taking charge of the "Chen family" Medea Group, Wang Weimin had been intersecting with it for many years. According to Tianyancha, Wang Weimin held shares in Wuxi Hongqiao Hospital for the first time in 2009; In 2015, it held shares in Shenzhen Ganglong Hospital for the first time. In addition, Wang Weimin served as the executive director of Wuxi Hongqiao Hospital for the first time in 2005; In 2005, he served as a supervisor of Hangzhou Tianmushan Hospital for the first time; In 2015, he first served as a director of Shenzhen Ganglong Hospital and retired in 2018.

From 2017 to 2023, Wang Weimin served as a senior executive of Weilin Medical. In 2016, Zhan Zongyang, a member of the "Zhan family", was appointed as Weilin Medical Aesthetic Legal Person, and Weilin Medical Aesthetics immediately made rapid efforts in the medical beauty track, and in November of that year, Baidu searched for "medical beauty staging", and the first place was already Beijing Weilin Medical Aesthetic Hospital.

Wuxi Hemei Obstetrics and Gynecology Hospital, where Wang Weimin served as an executive, is affiliated with Hemei Medical, which was founded by Lin Yuming, the "Lin family". Hemei Medical was once the largest private gynecology and pediatric hospital group in China, but it has exploded in 2023.

After the rapid expansion, due to the rupture of the capital chain, the hospitals under Hemei Medical were closed down and cancelled one after another. In 2023, Beijing Baiziwan Hemei Women's and Children's Hospital was suddenly closed, and the inpatients were forced to transfer to the hospital, which aroused the attention of the outside world to Hemei Medical. At present, Lin Yuming has been listed as a dishonest person subject to execution.

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Source: Tianyancha

The relationship between Media Group and the "Putian system" may not stop there.

"Yicai" once reported that a person familiar with the matter said that the management relationship within the Pu family, which is rooted in the clan and local relations, is often very complicated, and under the signboard of the same "** hospital", it may belong to father and son, uncle, cousin, or even more distant "more winding" relatives.

Among the shareholders of Medea Group's hospitals, there are also many people surnamed Lin and Zhan. For example, Lin Mingxiong and Lin Mingjie, the second largest shareholders of Wuxi Hongqiao Hospital; Zhan Jianguang behind the third largest shareholder.

In fact, after the "Wei Zexi Incident" in 2016, the "Putian Department" had a stronger sense of crisis and began to accelerate its transformation and listing.

Like the Chen family mentioned above, in 2019, Medicilon, which is mainly engaged in preclinical comprehensive biomedical R&D services CRO, was promoted to land on the Science and Technology Innovation Board. In the past five years, Medicilon has also successively invested in a number of medical technology and biomedical companies.

During this period, some of the member groups may be called successful in transformation. However, for the "Putian Department", which once accounted for 80% of the total number of private hospitals, in its long-term "barbaric" development process, those initial development ideas and behaviors spread in the industry through the way of "person-to-person", and it is not easy for the "Putian Department" to completely reverse its image.

"As long as there is one that has not departed from the original (promotion) model, we will never be able to take off the label on us." After the "Wei Zexi incident", a person in charge of a private hospital in Putian, who did not want to be named, once told "Yicai".

However, at present, although the industry is clearing out inferior supply, the national policy supports and encourages law-abiding and high-quality private hospitals. As early as the "National Medical and Health Service System Planning Outline (2021-2025)", the state mentioned "encouraging social capital to run medical services". In the eyes of industry insiders, accelerating the upgrading of quality and efficiency with the help of scientific and technological innovation and forming more "differentiated and specialized" services is the key for private hospitals to cope with the challenges of development in the new stage.

Do you have a "Putian Department" hospital near you? What chaos do you understand? Feel free to leave a comment.

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