Next, Zhao Sheng and Teacher Tang played the game of giving injections to treat diseases. It was not until eleven o'clock that Teacher Tang fell asleep.
The next day.
Zhao Sheng got up early, prepared breakfast for Teacher Tang, and then drove to the hospital.
After the morning meeting, Li Weidong called Zhao Sheng and Lin Haizhou to his office.
Entering Li Weidong's office, Zhao Sheng and Lin Haizhou sat on the sofa. Seeing Li Weidong's serious expression, Zhao Sheng knew that something must have happened again.
Normally, Li Weidong would not specifically allow him to have a small meeting with Lin Haizhou. After all, everyone is very busy and there is basically no time to waste in meetings.
Sure enough, as soon as Li Weidong sat down, he looked at Zhao Sheng and Lin Haizhou and said, "Coli's current medical insurance payment fund seriously exceeds the standard. Yesterday, the hospital held a meeting and discussed this issue. All departments must find ways to increase revenue and reduce expenditure, otherwise , starting next month, the performance and bonuses of all medical staff will be temporarily suspended."
"Is the situation so serious?"
Hearing what Li Weidong said, Zhao Sheng looked surprised. In the hospital, the income of doctors and nurses is not much in terms of basic salary, and they mainly rely on performance bonuses.
Performance bonus income accounts for at least 50 to 60%. If performance bonuses are really stopped, even if it is only for a month or two, it will be a bit uncomfortable.
At that time, it will really be the northwest wind.
"Increase revenue and reduce expenditure? That's easy to say..."
Lin Haizhou shook his head slightly and said.
"Director, did the hospital tell you how Lao Li's problem was solved?"
After a pause, Lin Haizhou asked again.
The Lao Li he was talking about was a retired old man who had stayed in the ICU for four full years. Yes, you read that right, he had stayed in the ICU for four full years.
I stayed in the ICU for four years, which cost several thousand a day.
Up to now, the accumulated medical expenses have even reached several million. Lao Li and his children do not have to pay a penny for these medical expenses, and the medical insurance will reimburse them in full.
The most important thing is that if this old man's condition is really serious and he needs to be admitted to the ICU, the actual situation is that this old man has multiple system atrophy.
Multiple System Atrophy (MSA) is a rare, progressive neurodegenerative disease. It affects multiple nervous systems, including the autonomic nervous system, motor system, and nervous system, resulting in a complex range of clinical symptoms.
To put it simply, this old man can no longer move except for his eyeballs.
Although the whole body has been severely atrophied, in terms of clinical care, there is no need to stay in the ICU. In this case, it is enough to stay in the general medical ward. Even if the conditions at home are better, it is better to hire a good nurse. Able to take care of.
The reason why they have to live in the ICU is because once the elderly are admitted to the ICU, the ICU will be responsible for taking care of the elderly, and the family members do not have to worry about it at all, and the family members do not have to pay a penny.
With a monthly retirement salary of 20,000 yuan, people living in the ICU do not need to take care of their children. If they are the children of an elderly person, they will probably wake up laughing in the middle of the night.
"If I remember correctly, Lao Li's medical expenses must have been several million."
Zhao Sheng thought for a while and said.
For an ordinary patient, it would cost more than RMB 100,000 to stay in the ICU for more than ten days. This is already a burden that ordinary families cannot bear.
There are many patients and their families who cannot afford the high medical expenses in the ICU, so they have to choose to transfer the patients who are still in critical condition out of the ICU to general wards.
In many cases, being transferred out of the ICU is, to put it harshly, just waiting to die.
"My family members used to come to see me from time to time, but now they don't come anymore."
Lin Haizhou said very helplessly.
To put it bluntly, as the former deputy director of the ICU, even if he was sick, he would not be able to stay in the ICU for four years. Let alone four years, even four months would be unaffordable.
"I remember that every department in the hospital has one like this. I have lived there for several years. If these situations can be solved, the medical insurance fund will not be insufficient and our performance bonus will be deducted."
After a pause, Lin Haizhou complained again.
Hearing what Lin Haizhou said, Li Weidong also looked helpless.
In the hospital, old GB was like a god.
Independent system, independent finance, completely unrestricted, you can use it whatever you want, even some inspection items are specially marked for old GB use. Do whatever you want! Use it however you like! Is there any!
Is it true that the reimbursement rate is 100%!
Is there no cap on medical expenses?
Can special needs wards be reimbursed?
Let’s talk about medical insurance. Medical insurance policies put doctors under too much pressure from business and public opinion.
Medical insurance says to the people: I have included the most expensive medicines and consumables in medical insurance. From a few yuan to tens of thousands, you can choose a doctor at will. You only need to pay a small part of the money, and I will pay for the rest.
The medical insurance turned around and said to the hospital: The annual medical insurance quota allows you to spend only 4,000 yuan per patient. Each doctor can treat two medical insurance patients a month. If it exceeds the quota, I refuse to pay!
The hospital said to the doctor: Use it sparingly. If you use it too much, your bonus will be deducted!
The patient said to the doctor: Give me the best!
The doctor said:? !
In a few simple paragraphs, the bitterness of Chinese doctors is clearly revealed. To put it bluntly, doctors have really become scapegoats. Ordinary people think that they have paid for medical insurance and the government will pay for them. Doctors should not refuse to do this examination or prescribe this medicine. However, medical insurance has issued policies with hospitals. If the total amount of medical insurance, the average hospitalization cost per person, and the proportion of medicines exceed the standard All will be punished; as for hospitals, they can only pass it on to doctors.
Why is this? It turns out that medical insurance currently implements a total prepayment system for hospital medical insurance, which means that the medical insurance department gives the hospital a certain amount of medical insurance usage quota every year. Expenses exceeding this quota need to be borne by the hospital itself. The method usually used by hospitals is to allocate this amount to each department in proportion. If each department exceeds its own amount, the excess reimbursement expenses will be borne by the department itself. The department also formulates assessment indicators for each doctor, such as how much medical insurance coverage can be obtained in a month. If the amount exceeds, either a bonus will be deducted or a fine will be deducted.
The original intention of this approach is to give doctors enough motivation to control medical expenses and use medical resources rationally. It has indeed reduced the pressure on medical insurance funds and the burden of medical treatment on patients to a certain extent. However, this simple and crude method will tie up the hands of doctors, fearing that medical insurance will exceed the limit, or even refuse to admit patients with medical insurance. As for the medical insurance settlement, an advance payment system is implemented, that is, the expenses incurred by the patient's hospitalization that should be borne by the medical insurance are first advanced by the hospital, and then the settlement is reported to the medical insurance management department. In this way, once the relevant departments fail to make settlements in a timely manner, the hospital will face great financial pressure.
In other words, in addition to daily medical activities, doctors also have to spend time calculating medical insurance expenses every day. Treating some critically ill patients is basically equivalent to doctors losing money.
(End of chapter)
