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Buy medicine over 500 and send egg powder.
Zhang Xian (pseudonym), 68, suffers from hypertension. According to a friend, you can get 8 eggs each time you attend a lecture on Chinese medicine in Beijing Yulin Chinese Medicine Hospital. If you prescribe medicine, the prize will be even richer. A gift box containing 60 eggs and a bag of flour, with a net weight of 5 kg, will be given to those who prescribe medicine above 500 yuan.
Accompanied by a friend, Zhang Xian came to the hospital to attend a lecture on February 20th, 65438 13: 30, in which the doctor explained some health preserving skills of traditional Chinese medicine. After the meeting, he and his friends received 8 egg coupons respectively.
Next, I went to the clinic, and after being diagnosed by Dr. Ma, I prescribed 1246.438+07 yuan of Chinese medicine. After medical insurance reimbursement, he only paid 190.07 yuan.
According to the hospital's activities, Zhang Xian should get a box of eggs and a bag of flour, as the prescribed medicine exceeds that of 500 yuan. However, under the mediation of a friend, he got two boxes of eggs. "My friend said that I exceeded 1000 yuan, so the hospital gave me an extra coupon."
"Harvest" medicine with a value of 1200 yuan, as well as two boxes of 08 eggs and a bag of flour, but Zhang Xian was not very happy.
He introduced that his medical insurance reimbursement rate reached 85%, and the annual outpatient reimbursement limit was 20,000 yuan. At the end of the year, the deductible line for medical insurance reimbursement was "cleared". Go to Yulin traditional Chinese medicine hospital, and the reimbursement limit is more than 5000. "This activity of the hospital is like a promotion at the end of the year, which objectively causes elderly patients to buy medicines with the remaining medical insurance funds. Individuals and hospitals have benefited, but this is a waste of medical insurance funds. "
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Elderly patients line up to buy medicine.
On the morning of 27th, Beijing News reporter came to Beijing Yulin Hospital of Traditional Chinese Medicine. The hall staff informed that the health lecture was on the 4th floor, and the lecture starting at 9: 30 am was in progress.
In front of an office at the end of the 4th floor, the staff in white coats told me that the first lecture had started, and there would be another lecture at 1: 30 and 3: 00 in the afternoon. "As long as you listen to the lecture, you can get a gift, and you can also get a gift when you see the clinic." The staff said.
In front of the medical window on the first floor, there has been a long queue, and most of them are elderly patients. After taking medicine, three or five elderly patients, led by a middle-aged man, walked out of the hall and came to an electric tricycle at the hospital gate. Then, the middle-aged man opened the back of the tricycle and took out the gift. Several elderly patients lined up to get it and left the hospital.
In the outpatient hall, an elderly female patient said that she was introduced to the lecture by a friend at first, and after listening, she could get eggs, prescribe medicine and get more gifts. She is over 70 years old this year, and the reimbursement rate is 90%. She prescribed more than 700 yuan of Chinese medicine, and only needed to pay more than 70 yuan. "If you often come to get medicine, you can suggest that the doctor prescribe medicine' on average', and every time you go to 500 yuan, you will get a gift every time you come."
What if we don't reach 500 yuan? Another elderly female patient revealed that she would receive fewer gifts. She took 300 yuan's medicine a few days ago and only got 16 eggs.
In addition, some elderly patients revealed that most elderly people will have various problems and come to the hospital to see a doctor. However, if you just go to the clinic, the annual cap limit of 20,000 yuan for medical insurance reimbursement is still inexhaustible. "The rest of this year is not accumulated, and there are only a few days left this year. It is also a waste not to use it. "
Is it illegal for hospitals to "buy medicine and give gifts"?
The Beijing News reporter found that the Interim Provisions on the Administration of the Circulation of Prescription Drugs and Non-prescription Drugs clearly requires that prescription drugs and non-prescription drugs should not be sold by means of prizes, gifts, etc., and online sales and open-shelf self-selection are not allowed for the time being.
"The basic spirit of medical insurance is risk sharing, that is, making overall arrangements after jointly paying medical insurance. For example, 10 thousand people pay medical insurance and 1000 people get sick. The money paid by these 10,000 people shared this part of the risk. " Zuo, a researcher at the Shanghai Academy of Social Sciences, said that the incident of Chinese medicine hospitals promoting surprise drug purchases in disguise also clearly violated the basic spirit of medical insurance.
As for the "activities with certain public welfare nature" mentioned by the hospital, Zuo said that the medical insurance fund has a fixed purpose and can only be used for medical treatment. Public welfare activities can't involve medical insurance funds, and the so-called public welfare in hospitals can't be reflected at all.
Zuo believes that the fundamental reason for this situation is that the compensation mechanism of the hospital has gone wrong. The more drugs sold by hospitals, the more income they will get, which is where the medical reform needs to be improved.