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the same major shareholder and the same legal person, after the insurance fraud of wuxi hongqiao hospital was exposed, the investigation team entered kunshan hongqiao hospital

2024-09-25

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the insurance fraud incident at wuxi hongqiao hospital continues to attract attention, and last month kunshan hongqiao hospital was exposed for its "minimum consumption" problem. the two hospitals have the same major shareholder and the same legal representative.

on september 23, the national medical insurance administration sent a flight inspection team to wuxi hongqiao hospital. on september 24, people's daily online learned from the suzhou and kunshan medical insurance administrations that an investigation team led by the jiangsu provincial medical insurance administration has entered kunshan hongqiao hospital to investigate whether the hospital has any problems similar to wuxi hongqiao hospital in fraudulent imaging.

at around 5 p.m. on the 24th, people's daily saw in the administrative building of kunshan hongqiao hospital that the staff of the investigation team were busy retrieving and checking hospital archival records, imaging records, and verifying catalogs, ct numbers, registration numbers and other information.

xu jun, deputy director of suzhou medical insurance bureau, said in an interview with people's daily online that the investigation team entered kunshan hongqiao hospital at noon on september 22. the team is composed of personnel from jiangsu provincial medical insurance bureau, zhenjiang and taizhou municipal medical insurance bureaus, suzhou and kunshan health commissions and medical insurance bureaus. it is reported that the investigation team conducted a key inspection of radiological imaging data through big data and other means, "it takes more than ten hours to analyze two months of data alone." xu jun said that this time, a comprehensive inspection of kunshan hongqiao hospital will also be carried out.

in early august, it was revealed that a staff member of kunshan hongqiao hospital claimed in a doctor wechat group that "if the price of a single unit is less than 7,000 this month, you will be fired." on august 28, the kunshan municipal health commission issued a notice stating that the hospital was suspected of not complying with relevant diagnosis and treatment standards, not filling out medical records in accordance with regulations, and using antibiotics in an irregular manner, but did not directly respond to whether there was a "7,000 yuan minimum consumption" issue. on september 5, the kunshan municipal health commission warned the hospital for "not strictly complying with relevant diagnosis and treatment standards and routines" and fined it 113,500 yuan.

people's daily will continue to pay attention to the progress of the investigation after the special team arrives.