万店一心堂陷医保合规困局:扩张后遗症浮现,净利润连年滑坡

Core Viewpoint - Yixintang Pharmaceutical Group is facing significant compliance and management challenges due to repeated violations of medical insurance regulations, which have led to administrative penalties and a sharp decline in financial performance [1][2][4]. Compliance Risks - The recent administrative penalty against Yixintang's Deqin store involved the return of 1,246.65 yuan in improper medical insurance funds and a fine of double that amount. Similar violations have been reported across multiple locations in 2025, indicating a pattern of non-compliance [2][3]. - In May 2024, the National Medical Insurance Administration had previously warned Yixintang about issues such as drug substitution and excessive prescriptions, leading to a self-inspection that returned over 10.7 million yuan in improper funds. However, ongoing violations suggest that corrective measures have not been effective [2][3]. Management Challenges - As of June 30, 2025, Yixintang operated 11,372 stores across several provinces, but the rapid expansion has not been matched by improvements in management capabilities. The National Medical Insurance Administration highlighted that practices like excessive prescriptions reflect a focus on sales performance at the expense of compliance [3][4]. Financial Performance - Yixintang's financial health is deteriorating, with net profit plummeting from 5.49 billion yuan in 2023 to 1.14 billion yuan in 2024, a year-on-year decline of 79.23%. In the first half of 2025, revenue fell by 4.20%, and net profit decreased by 11.44%, alongside a reduction of 126 stores since the beginning of the year [4][5]. Regulatory Environment - Starting April 1, 2025, new regulations mandating electronic prescriptions have complicated operational processes, negatively impacting efficiency and customer experience. This has contributed to a decline in prescription drug sales [6][7]. - Additional pressures include a narrowing scope of medical insurance payments, declining profit margins, and discrepancies in online and offline regulatory oversight, further straining the company's operations [7]. Challenges Ahead - Yixintang faces dual challenges of ongoing compliance issues and the need to adapt to industry policy changes while grappling with stagnant growth. The company's ability to strengthen internal controls and standardize operations will be crucial for maintaining its medical insurance qualification, brand reputation, and regulatory standing in the capital market [8].