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住院超15天医保不报销,医保要控费,医院要生存,谁的错?
Sou Hu Cai Jing· 2025-09-01 00:22
医疗保障的"紧箍咒":15天住院限制下的多方博弈与困局破解 近年,"住院超过15天医保不再报销"的争议如滚滚波涛,席卷了医疗保障的方方面面。患者们因频繁转院、治疗被迫中断而叫苦不迭,医院则在医保控费的 巨大压力下步履维艰,运营困难重重。这场医保、医院、患者三方交织的矛盾,深刻地折射出我国医疗保障体系在高速发展进程中,所面临的那些难以回 避、且日益凸显的深层次问题。 医保基金的"取之不尽"终究是假象。随着我国人口老龄化趋势的加剧以及社会医疗需求的不断攀升,医保基金的支出压力正以年复一年的态势持续增长。国 家医保局公布的数据触目惊心:2024年,全国基本医保基金的总收入约3.2万亿元,但支出增速却依然高于收入增速。在部分地区,医保基金甚至出现了"穿 底"的风险,因此,严格的费用控制便成了不可逆转的必然选择。 需要强调的是,"住院15天限制"并非全国统一的铁律,然而,多地医保部门却通过总额预付、单病种付费、DRG/DIP(按病种或疾病诊断相关分组付费)等 一系列支付方式,对医疗费用进行精细化管理和控制。以一家三甲医院为例,如果其年度医保额度提前告罄,超出部分的费用很可能需要医院自行承担,这 无疑迫使医院不得不对那些 ...
【私募调研记录】易鑫安资管调研润达医疗
Zheng Quan Zhi Xing· 2025-09-01 00:08
根据市场公开信息及8月29日披露的机构调研信息,知名私募易鑫安资管近期对1家上市公司进行了调 研,相关名单如下: 1)润达医疗 (易鑫安资管参与公司电话会议) 以上内容为证券之星据公开信息整理,由AI算法生成(网信算备310104345710301240019号),不构成投资建议。 调研纪要:公司与杭州市拱墅区合作项目已于一季度正式签约,已上线"宸医"和"晓运"智能体,覆盖病 历生成、慢病管理等方向,并拓展至十八个社区医院。应收账款中一年期以内占比约72%,账龄压力有 待财政缓解。检验集采导致收入阶段性承压,公司通过降本增效应对。海外方面,糖化血红蛋白产品出 口东南亚,上半年出口额近四千万,同比增长75%;AI产品与华为合作拓展拉美市场。集约化业务收入 同比下降24.59%,净增16家客户至总数448家。未来AI业务将扩大医院落地、开发专病智能体,并探索 C端商业化。 机构简介: 易鑫安成立于2011年4月,2014年4月获批了《私募投资基金管理人登记证书》。易鑫安拥有完整的投资 研究团队,核心投资经理具有长期证券投资经验,经历多轮牛熊市洗礼,对资本市场及上市公司有着长 期、深刻的理解。核心投研成员均来自于国 ...
持续18个月,韩国医生“辞职潮”终平息
券商中国· 2025-08-31 23:29
韩国媒体8月31日报道,韩国实习和住院医生因反对医学院扩招计划而引发的 "辞职潮"风波持续18个月后终于平息 , 大部分涉事医生将于9月1日返岗 ,韩国医疗系统人手紧缺的状况有望得以缓解。 今年4月,韩国政府软化立场,宣布从2026学年起招生名额恢复至2025学年之前水平,但绝大多数离岗医生仍未返岗。 李在明就任总统后,要求相关部门与医疗界通过对话探讨解决问题的可行方案。上月,韩国政府和医疗界代表重建协商 机制,商讨医生返岗方案等事宜。 按韩国媒体说法,随着大批实习和住院医生返岗,各大医院诊疗负担将有所减轻,此前因人手短缺而暂停的医疗服务也 将重启。韩国政府将在情况稳定后考虑下调医疗系统危机级别。 韩国多家媒体援引业内消息人士的话报道,各大医院已完成今年下半年实习和住院医生的招聘工作,返岗和新聘医生的 具体数量将由保健福祉部在数日内公布。按媒体说法, 此前离岗的大部分医生均已同意返回 。 来源:央视新闻 2024年2月, 时任总统尹锡悦领导的韩国政府发布医学院扩招计划 ,决定自2025学年开始的5年内,将高校医学院招生 规模每年增加约2000人,以解决医生短缺问题。 看券商中国 韩国医疗界强烈反对这一扩招计划 ...
华润医疗(01515.HK):诊疗业务量保持稳定 降本增效取得成效
Ge Long Hui· 2025-08-31 19:58
Core Viewpoint - The company's net profit for 1H25 fell short of expectations, primarily due to adjustments in medical insurance settlements, with a reported revenue of 4.525 billion RMB, down 9.1% year-on-year, and a net profit of 340 million RMB, down 21.8% year-on-year [1][2]. Financial Performance - Revenue for the hospital business in 1H25 was 4.259 billion RMB, a decrease of 7.4% year-on-year, with outpatient revenue at 1.813 billion RMB (down 4.4%) and inpatient revenue at 2.446 billion RMB (down 9.6%) [2]. - The company managed 103 medical institutions across 10 provinces and cities in China, with a total of 18,286 operational hospital beds and a bed occupancy rate of 80.57%, an increase from 79.93% in 1H24 [1]. - The gross profit for the hospital business was 670 million RMB, down 27.4%, with a gross profit margin of 15.7% [2]. Business Segments - The hospital business accounted for 94.1% of total revenue, reflecting a year-on-year increase of 1.7 percentage points [1]. - The IOT business saw a reduction in scale, with other business revenue at 266 million RMB, down 29.3% year-on-year [1]. Cost Management - Administrative and other operating expense ratio increased to 10.4%, up 0.9 percentage points year-on-year, while financial expense ratio decreased to 0.6%, down 0.2 percentage points, due to adjustments in debt structure [2]. Profit Forecast and Valuation - The net profit forecasts for 2025 and 2026 have been revised down by 16.8% and 15.6% to 471 million RMB and 499 million RMB, respectively [3]. - The target price is maintained at 5.0 HKD, corresponding to 12.6 times and 11.7 times the price-to-earnings ratio for 2025 and 2026, with a current stock price reflecting 9.2 times and 8.6 times the price-to-earnings ratio, indicating a potential upside of 37.0% to the target price [3].
莎普爱思:2025年上半年扭亏为盈 产品渠道优势加速形成
Zheng Quan Shi Bao· 2025-08-31 14:52
8月29日晚,莎普爱思(603168.SH)披露2025年半年度报告。数据显示,上半年公司实现营业收入 23609.08万元;实现归母净利润2186.29万元,同比扭亏为盈。 在医院营销端,莎普爱思深入研究三胎政策及「银发经济」趋势,重点调研潜力新学科,夯实专家队伍 建设,提升医疗服务质量,强化互联网医院服务深度,实现线上线下一体的现代化医院,推动医药协同 发展迈上新台阶。 市场需求加速释放,双主线布局发展空间明确 在稳健经营的同时,莎普爱思紧抓行业发展趋势,加速推进产品结构优化与战略布局落地。围绕「药 +疗」双主线,拓展更广阔的成长空间。 近年来,人口老龄化加速和青少年视力问题持续凸显,叠加民营医疗扶持政策逐步落地,中国眼科药物 市场正进入加速发展期。数据显示,到2030年我国眼科药物市场规模有望达到1084亿美元。 报告期内,公司持续加强研发创新力度与渠道建设,核心业务发展动能持续增强。叠加眼科医药、妇幼 医疗市场需求不断扩容、支持性政策红利连续出台,经营质效稳步提升。 坚持产品研发构筑护城河,多举措夯实渠道基础建设 据了解,莎普爱思主营业务涉及滴眼液、大输液和头孢克肟等产品的研发、生产和销售,同时也在眼 ...
三家上市公司携手 探索医疗资产数字化新路径
Sou Hu Cai Jing· 2025-08-31 11:05
Core Insights - Meinian Health has signed a framework agreement with Jingbeifang and Guofu Quantum to explore business opportunities in the digital asset RWA sector, aiming to innovate and upgrade the health industry [1][2] - The collaboration will utilize Meinian Health's asset rights from medical equipment, data assets, and emerging technologies to conduct digital rights confirmation and RWA tokenization [1][2] - The initial pilot will focus on the revenue rights of large medical equipment, with plans to expand to data authorization and AI asset rights, enhancing Meinian Health's transition from a "health check service provider" to a "medical data technology platform" [1][2] Company Overview - Meinian Health operates 576 health check centers nationwide, equipped with MRI and CT machines, establishing a solid asset base with clear ownership and stable revenue [2] - The company has served over 200 million people, with more than 25 million health check services projected for 2024, accumulating multimodal health data [2] - The partnership aims to leverage the technological and market resources of Guofu Quantum and Jingbeifang to enhance Meinian Health's data rights and asset liquidity, optimizing cash flow structures [2] Industry Context - The global RWA market is expanding rapidly, with leading service providers actively entering the RWA sector [2] - Jingbeifang and Guofu Quantum have launched an "RWA comprehensive solution" to facilitate the digitalization and compliance of various asset types, including those in the healthcare sector [3] - The collaboration with Meinian Health is part of a broader strategy to integrate financial innovation with digital asset management across multiple industries [3]
调研速递|新里程接受中信建投等50余家机构调研 上半年营收15.88亿元
Xin Lang Zheng Quan· 2025-08-31 10:46
8月29日,新里程健康科技集团股份有限公司举办业绩说明会,中信建投证券、国投证券、湘财证券等 50余家机构参与。新里程代理董事长许铭桂,董事周子晴等相关人员出席会议,就公司2025年上半年经 营情况及发展规划等内容与投资者展开交流。 医院学科布局与等级提升 上半年营收15.88亿元,成本管控成效显著 2025年上半年,面对医保支付方式改革持续深化和中成药集采等行业政策的影响,新里程积极应对政策 冲击,持续优化业务结构,强化成本管控,实现稳健经营。 上半年公司实现营业收入15.88亿元,同比下降20.63%,其中医疗服务板块实现营业收入13.8亿元,医 药板块实现营业收入2.1亿元。上半年毛利率28.2%,其中医疗服务板块毛利率26%,受医保付费政策持 续调整影响,下属医院住院人次及次均费用同比有所下降,但通过成本管控和有效收入的提升,毛利率 同比上升1个百分点;医药板块毛利率40.47%,核心产品独一味集采后销售单价有所下降,毛利率同比 下降4.7个百分点。税前营业利润3373万元,归母净利润743万元。经营性现金流量净额1.4亿元,同比下 降15%,降幅低于收入和利润的降幅,公司在成本管控、医保管理等方面做 ...
新里程(002219) - 2025年8月29日投资者关系活动记录表
2025-08-31 10:24
证券代码:002219 证券简称:新里程 新里程健康科技集团股份有限公司 投资者关系活动记录表 编号:2025-05 投资者关系 活动类别 □ 特定对象调研 □ 分析师会议 □ 媒体采访 业绩说明会 □ 新闻发布会 □ 路演活动 □ 现场参观 □ 其他 参与单位名称 (排名不分先后) 中信建投证券、国投证券、湘财证券、首创证券、甬兴证券、国海 证券、中邮证券、华安证券、天风证券、东吴证券、华创证券、兴 业证券、国泰海通证券、国盛证券、申万宏源证券、信达证券、东 北证券、平安证券、中信证券、中金公司、华鑫证券、华福证券、 华泰证券、光大证券、招商证券、西南证券、德邦证券、国金证券、 东方证券、国信证券、方正证券、开源证券、山西证券、长江证券、 国联民生证券、华西证券、中泰证券、银河证券、浙商证券、广发 证券、东方财富证券、野村东方国际证券、五矿金通基金、四川振 兴基金、常春藤联盟、德恒国际、易方达基金、天弘基金、建信基 金、博时基金、国投瑞银基金、金信基金、光证资管、甘肃药投、 青榕资产、龙航资产、青骊投资、广东正圆私募基金、华夏未来资 管、北京泓澄投资、深圳尚诚资管等 时间 2025 年 8 月 29 日 1 ...
盈康生命:生态建设与AI医疗双轮驱动,营收净利双增长
Zheng Quan Zhi Xing· 2025-08-31 07:40
在行业整体承压的背景下,盈康生命交出了一份稳健增长的半年成绩单。报告期内,公司实现营业收入8.43亿元,同比增长2.4%;归属于上市公司股东的 净利润达6182.7万元,同比增长12.8%。值得关注的是,其毛利率同比提升0.5个百分点,费用率同比下降2个百分点,显示出公司在提质增效方面的成果 和强大的经营韧性。 这份成绩单的背后,是盈康生命在"预诊治康"全产业链生态布局的持续深化,尤其是在肿瘤特色服务与AI赋能医疗的双轮驱动下,公司正在实现从规模扩 张向质量效益的战略转型:通过聚焦医疗服务与医疗器械两大核心业务,盈康生命正在构建一个更具韧性和增长潜力的业务体系。 01.医疗服务:肿瘤特色诊疗与AI赋能并进 在整体业绩稳步提升的同时,公司以肿瘤特色服务体系建设与人工智能深度融合为抓手,持续推动医疗服务从规模扩张向质量效益转型,逐步夯实其 在"预诊治康"全链条中的竞争优势。 目前公司已经完成了从1.0阶段的新技术与新设备奠基,到2.0阶段的全病程管理,再到3.0阶段的肿瘤生态进化的完整发展路径。除了自我的进化迭代带来 的内生增长外,盈康生命还积极通过并购等措施实现外延式增长。例如,2025年上半年公司公告完成对长 ...
华创医药周观点:医药行业2025年中报业绩综述2025/08/31
Overall Pharmaceutical Industry - In H1 2025, the pharmaceutical sector's comparable company revenue decreased by 1.9% year-on-year, while net profit attributable to shareholders fell by 2.0%, and net profit excluding non-recurring items dropped by 7.5% [16] - In Q2 2025, the sector's revenue increased by 0.2% year-on-year, net profit attributable to shareholders rose by 4.4%, and net profit excluding non-recurring items grew by 0.8% [16] - The "Innovation Chain" segment recorded the fastest revenue growth in the pharmaceutical industry, with H1 and Q2 2025 revenue increasing by 9.3% and 10.1% respectively [16] - The "Medical Devices" segment experienced the most significant revenue decline, primarily due to inventory clearance and multiple medical insurance cost control measures [16] Pharmaceutical Industry Financial Performance - The pharmaceutical industry revenue in H1 2025 was 1258.73 billion, with a net profit of 100.77 billion and a net profit excluding non-recurring items of 86.53 billion [12] - The revenue growth rates for various segments in H1 2025 included: - Pharmaceutical Industry: -3.0% - Traditional Chinese Medicine: -5.6% - Medical Devices: -6.5% - Innovation Chain: 9.3% - Medical Services: -1.4% - Retail and Distribution: 0.1% [12] Innovative Drug Companies - In H1 2025, the revenue for the innovative drug sector was 1034.3 billion, reflecting a 13.8% increase year-on-year, with net profit attributable to shareholders at 51.0 billion and net profit excluding non-recurring items at 60.5 billion [14][17] - Several innovative drug companies turned profitable for the first time in 2024, including Baiji Shenzhou, Lepu Biopharma, and Aidi Pharmaceutical [13] - The number of INDs, NDAs, and approvals for domestic innovative drugs has been increasing, with significant international licensing transactions occurring [13] Drug Formulation Sector - In H1 2025, the formulation sector's revenue was 1409.6 billion, down 5.1% year-on-year, with net profit attributable to shareholders at 143.1 billion, a decrease of 6.8% [24] - The decline in performance was attributed to price reductions from centralized procurement and insufficient demand, particularly affecting the large-volume infusion segment [24] Raw Material Drug Sector - The raw material drug sector reported revenue of 738.5 billion in H1 2025, a decrease of 3.6% year-on-year, while net profit attributable to shareholders increased by 4.7% to 97.6 billion [29]