Recently, the news about the overcharging of 210,000 medical fees by a tertiary hospital has aroused heated public discussions. At present, the official notification has been made.
According to the public announcement of the Anhui Provincial Medical Security Bureau, on December 2, 2023, the Anhui Provincial Medical Security Bureau has made a notice on the illegal use of medical insurance ** by the Second People's Hospital of Wuhu City, which is as follows:
As for the content of the briefing, I would like to sort out the timeline. On July 18, 2023, the patient's family reported the petition, and on August 8, the Anhui Provincial Medical Insurance Bureau and the Wuhu Municipal Medical Insurance Bureau formed a provincial and municipal joint inspection team to check the whistleblower's hospital charges and medical insurance reimbursement during the patient's hospitalization. On September 25, the Wuhu Municipal Medical Insurance Bureau gave written feedback to the whistleblower on the verification and handling of the situation in the form of a regulatory notice. On December 2, the Anhui Provincial Medical Insurance Bureau reported on the matter.
As for the whistleblower, in his self-report, he indicated that he was a scientific researcher and a doctoral student, and said that his aunt was an old accountant, and the whole family gradually found a clue in the face of huge medical expenses and medical insurance reimbursement, and has been collecting data, after analysis, it was concluded that there were major problems in the fees and medical insurance of the Second People's Hospital of Wuhu City, and after fruitless negotiations, he finally reported to the Anhui Provincial Medical Insurance Bureau.
It is reported that the patient was rushed to Wuhu Second People's Hospital for hospitalization on March 19, 2022 due to cerebral hemorrhage**, and was transferred to another hospital on July 12, 2022, and finally died on October 14, 2022 due to ineffective treatment. The patient was hospitalized in Wuhu Second Hospital for a total of 117 days, during which he was in the ICU** of the hospital, and most of the time he was in a deep coma, and his family could not accompany him.
During the patient's hospitalization, starting from June 14, 2022, the ICU chief and ** took turns to call the family, saying that the amount on the patient's account was insufficient and the money needed to be paid in time, otherwise it would be affected**.
On July 1, 2022, the patient's family witnessed other patients arguing with medical staff over hospital charges and eventually returned several thousand yuan. This has led patients to question whether there is also a problem with the patient's charges.
On July 5, 2022, the patient's family began to collect various charge data for analysis.
On July 12 and July 13, 2022, on the day of the patient's transfer and the next day, the patient's family photocopied and sealed all the case data.
After more than two months of analysis, the patient's family estimated the situation of Wuhu Second Hospital's fees and illegal use of medical insurance**, and since August 2022, they have negotiated with Wuhu Second Hospital three times.
In the end, the patient's family chose to report to the National Health Insurance Bureau in July 2023, which opened the prelude to the overcharging of 210,000 medical fees by a tertiary hospital.
From the patient's hospitalization in 2022, to the discovery of the problem by the patient's family in the middle of the process, to the official announcement on December 2, 2023, we can't help but feel the knowledge and professionalism of the patient's family, and finally expose the whole incident, and also feel the time cost invested by the patient's family in the whole incident.
After 2 years, I hope that this is just the beginning, as the beginning of increasing the inspection and supervision of medical insurance, and as the continuation of the national medical insurance policy to bring significant benefits to the general people, so that medical insurance can play a role in protecting the people.