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职工和药厂勾结、虚假开药 上海两家民营中医馆骗保1200余万元
Core Insights - The Shanghai police have dismantled a healthcare fraud ring involving a designated medical institution, which has committed over 50,000 fraudulent claims amounting to more than 120 million yuan in two years [1][13]. Group 1: Fraud Scheme Details - The fraud was orchestrated by the Yiyang Traditional Chinese Medicine Hospital, where internal staff colluded with external pharmaceutical companies to submit false claims [3][9]. - Investigations revealed that many insured individuals did not actually visit the hospital, yet their records showed multiple prescriptions and treatments [3][9]. - A specific employee, Zhao, was noted for bringing numerous neighbors to the hospital, resulting in over 300 visits in just six months [5]. Group 2: Investigation Findings - The police found that during visits, patients were not properly examined; instead, they were simply asked to sign and pay without any consultation [7]. - Data comparisons indicated that while only 2 to 3 patients were present, records showed over 10 visits, indicating a systematic fraud operation [9]. - Some staff members were involved in swapping expensive herbal medicines for cheaper alternatives, further complicating the fraud [11]. Group 3: Legal Actions and Outcomes - Following the identification of the fraud ring's structure, a major operation in October led to the arrest of 34 suspects, with additional arrests of 56 insured individuals in April [13]. - The fraud ring was led by a figure named Yan, who coordinated with stakeholders from the involved medical institutions to execute the fraudulent activities [13].
北京:研究适用生命科学的AI基础理论和算法
转自:北京日报客户端 北京市科学技术委员会、中关村科技园区管理委员会等部门关于印发《北京市加快推动"人工智能+医 药健康"创新发展行动计划(2025-2027年)》的通知 京科发〔2025〕14号 各有关单位: 为加快培育新质生产力,将北京打造成具有国际影响力的"人工智能+医药健康"创新高地,北京市科学 技术委员会、中关村科技园区管理委员会,北京市卫生健康委员会,北京市经济和信息化局,北京市药 品监督管理局,北京市医疗保障局,北京市政务服务和数据管理局,国家金融监督管理总局北京监管局 联合制定了《北京市加快推动"人工智能+医药健康"创新发展行动计划(2025-2027年)》,现印发给你 们,请结合实际认真贯彻落实。 特此通知。 北京市科学技术委员会、中关村科技园区管理委员会 北京市卫生健康委员会 北京市经济和信息化局 北京市药品监督管理局 北京市医疗保障局 北京市政务服务和数据管理局 国家金融监督管理总局北京监管局 2025年7月3日 (此件主动公开) 北京市加快推动"人工智能+医药健康"创新发展行动计划(2025-2027年) 为深入贯彻落实国家关于"人工智能+"的战略部署,加快培育医药健康产业新质生产力, ...
“花式”医保套现:搭讪老人收药,中医馆员工半年就诊300次
Xin Jing Bao· 2025-07-03 13:59
医保基金是群众的"看病钱""救命钱",守护基金安全就是守护民生底线。 7月3日,上海警方向新京报贝壳财经记者披露多起医保诈骗违法犯罪案件。其中,医保配药并非法倒卖团伙衍生 出收购、贩卖、转运"一条龙"的黑色产业链。 一起案件中,徐汇警方分赴全市多个区域,对12名犯罪嫌疑人开展集中收网,涉案药品共100余箱、近3万盒,种 类涵盖速效救心丸、通心络胶囊等百余种常用药品,总价值超过120万元。这些药品大多储存在普通居民住宅内, 缺乏必要的避光、避湿、冷藏等条件,存在严重用药风险。 2025年以来,上海全市共捣毁医保诈骗团伙7个,抓获犯罪嫌疑人130余名,涉案金额达1400余万元。 收药低至10元,倒卖"一条龙" 3月,上海徐汇警方接线索称,陈某存在多次收购医保药品行为,疑似医保套现。经查,陈某在2月至3月间多次从 不同参保人手中收药,并将药品转售给滕某。 滕某收来的药品并未直接流出上海市,而是转手卖给上一级"中间商"周某、於某。两人将药品分拣、打包后,通 过雇佣司机从郊区一家物流园集中发货至外省市诊所和药房,构建起收购、贩卖、转运"一条龙"的非法产业链。 经审讯,周某、於某交代,首次交易时,他们会手写药品清单,不限 ...
蹊跷!半年看病300次?出租屋藏药30000盒,警方通报一批医保诈骗案
21世纪经济报道· 2025-07-03 12:44
半年"就诊"300次,甚至驱车30公里,风雨无阻去"看病"?到底怎么回事? 中医馆虚假诊疗,骗保超1 2 0 0万元 7月3日,上海市公安局召开新闻发布会,介绍上海警方严打医保诈骗违法犯罪典型案例。 其中,警方捣毁了一个以定点医疗机构为主体的医保诈骗团伙,上海市两家民营中医馆 2年内 开出5万条记录,骗保金额超1200万元。 警方发现,上海逸养中医医院的医保报销记录中存在大量重复开药与理疗项目,且参保人员 每12天或24天就会出现类似的就诊记录,但大多数参保人员未实际到医院就诊。警方推测该 医院存在 虚假诊疗、串换药品 骗取医保基金的重大嫌疑,随即成立专案组开展侦查。 侦查发现,9名开药记录异常的人员中,赵某是上海逸养中医医院的在职员工,他及其配偶只 有40多岁, 半年内就诊超过300次 。此外,赵某每周还会带着一些邻居开车前往30公里外的 上海逸养中医医院及上海三针堂中医馆就诊,半年来行程几乎从不间断。 专案组还发现,同一时段实际就诊仅2—3人,就诊记录却显示有10多次,显然存在 黄牛带 诊、虚假诊疗 骗取医保的违法犯罪行为。 近日,上海徐汇警方成功捣毁一个通过医保配药并非法倒卖牟利的诈骗团伙,抓获犯罪嫌疑 ...
持续扩张、三度递表,同仁堂医养欲通过IPO还债?
Core Viewpoint - Beijing Tongrentang Medical Investment Co., Ltd. (Tongrentang Medical) has submitted its IPO application for the third time in a year, aiming to become the fourth listed company under the Tongrentang Group, which includes Tongrentang, Tongrentang Technology, and Tongrentang Guoyao [1][8] Company Overview - Tongrentang Medical, established in 2015, is the largest private traditional Chinese medicine hospital group in China, holding a market share of 1.7% in terms of outpatient and inpatient visits in 2024 [1] - The company ranks second in the private traditional Chinese medicine medical service industry with a market share of 0.2% in total medical service revenue, accounting for 46.5% of the market size of the traditional Chinese medicine medical service industry in China [1] Financial Performance - Revenue from Tongrentang Medical has shown growth from approximately 911 million yuan in 2022 to 1.175 billion yuan in 2024, with net profits turning positive in 2022 after a series of acquisitions [3][4] - The company reported net profits of -9.23 million yuan in 2022, 42.63 million yuan in 2023, and 46.19 million yuan in 2024 [3] Acquisition Strategy - The company's growth has been primarily driven by acquisitions, with plans to acquire five profit-making medical institutions by the end of 2029, focusing on economically active regions such as Beijing and the Yangtze River Delta [5][8] - Tongrentang Medical has increased its total number of medical visits from 1.3 million in 2022 to 3 million in 2024, with a compound annual growth rate of 51.9% [4] Debt and Financial Risks - The company's debt ratio has risen significantly from less than 10% in 2021 to 45.2% in 2024, raising concerns about the sustainability of its growth [2][7] - As of April 30, 2024, the total outstanding bank loans amounted to 142 million yuan, with a significant portion of its equity pledged to secure financing [7] Market Position and Competition - The number of participants in China's private traditional Chinese medicine medical service industry has increased from 2,525 in 2019 to 3,614 in 2024, indicating intensified competition [9] - Despite the competitive landscape, Tongrentang Medical benefits from the strong brand recognition of the "Tongrentang" name and has a well-established business model that includes medical services, management services, and health product sales [9] IPO Objectives - The funds raised from the IPO are intended for expanding the company's medical service network, enhancing service capabilities, repaying bank loans, and general corporate purposes [8] - The repeated submissions of the IPO application may indicate challenges in meeting market expectations or regulatory requirements [8]
澳门经济内优外拓,学者分析“十月初五的月光”如何再发亮
Nan Fang Du Shi Bao· 2025-07-03 02:27
Group 1 - The core focus of the recent visit by the Macau government delegation to six Greater Bay Area cities is to enhance cooperation in strategic emerging industries, particularly in traditional Chinese medicine and technology [1][4][10] - Macau's GDP for the first quarter of 2025 is reported at 997.6 million MOP, reflecting a year-on-year decrease of 1.3%, indicating a reliance on tourism and gaming sectors [2][3] - The Macau government plans to strengthen ties with European countries and Southeast Asia to diversify its economy and expand tourism markets [3][4] Group 2 - The decline in Macau's GDP is attributed to high base effects from the previous year and changes in tourist spending patterns, with non-gaming tourist spending down by 3.6% [3][4] - The Macau government aims to promote economic diversification by developing high-value industries and enhancing cooperation with cities like Zhongshan, Jiangmen, and Zhuhai [15][16] - The second phase of the Hengqin Guangdong-Macau Deep Cooperation Zone is underway, focusing on cross-border e-commerce and logistics, with plans for a technology innovation industrial park [11][14] Group 3 - Macau's economic structure is criticized for being overly dependent on tourism and gaming, with calls for more diverse economic activities such as cultural creativity and financial services [15][20] - The government is exploring new industrial models that involve collaboration between Macau's research capabilities and production in neighboring cities [16][19] - The recent consumer promotion activities in Macau have seen significant participation, with electronic coupons totaling 2.9 billion MOP issued [22]
固生堂20250702
2025-07-02 15:49
固生堂 20250702 摘要 固生堂作为国内领先的中医连锁医疗服务机构,已形成完整的业务闭环, 涵盖线上线下服务,线下机构占比营收 91%,医疗健康解决方案占比 99%。 公司 2024 年经调整净利润为 4 亿元,同比增长 31.4%,剔除股权激励 影响后仍保持稳步增长。市场对中药饮片集采政策存在担忧,但固生堂 可通过业务结构调整和优质优价策略应对。 AI 名中医分身是固生堂的重要创新,解决了名医资源稀缺问题,有望推 动公司业务模式从重资产向轻资产转型,提升运营质量和利润率,并带 来估值空间的提升。 国内中医市场规模预计到 2031 年将达到 1.84 万亿元,复合增速高达 18.2%,受益于人口老龄化、亚健康人群增加、传统文化认同以及政策 支持等因素驱动。 民营中医服务市场高度分散,固生堂市占率仅 0.2%,行业整合机会巨 大。政策推动连锁化、高质量中医服务发展,中药集采是关键政策,连 锁机构具备资本优势。 Q&A 固生堂在中医诊疗领域的优势和发展前景如何? 固生堂是国内中医连锁服务的龙头企业,经营稳健,深度绑定了名中医,因此 成长底色稳固,业务空间广阔。公司通过早期融资实现了线下机构扩张和线上 平台布 ...
横琴粤澳合作区五年产业规划出炉:瞄准“四新”产业,目标2029年占比65%助澳门多元发展
Hua Xia Shi Bao· 2025-07-02 11:09
华夏时报记者胡梦然深圳报道 在横琴粤澳深度合作区落成近四年后,6月30日,《横琴粤澳深度合作区产业发展规划(2025—2029年)》(下称《规 划》)出炉。 《规划》提出目标,到2029年澳门回归祖国30周年时,合作区与澳门经济高度协同、规则深度衔接的制度体系全 面确立,市场准入制度高效衔接。各类要素跨境流动高效便捷,电子围网系统和跨境金融管理体系建立健全,货 物"一线放开、二线管住"的体系高效运转,人员出入境高度便利。 同时,特色产业发展形成规模,"四新"产业增加值占地区生产总值比重从2024年的59.4%提升至65%。澳资产业增 加值从2024年的30.04亿元增加至90亿元。 "纵观整份《规划》亮点主要体现在以下几个方面:其一,该规划致力于构建与澳门高度协同、规则深度衔接的制 度体系,这不仅有助于促进区域经济一体化,还能有效提升资源配置效率;其二,强调电子围网系统和跨境金融 管理体系的建立健全,旨在通过科技手段实现高效便捷的要素流动,为深化区域合作提供强有力的技术支持;其 三,明确'四新'产业的发展目标,即新兴产业增加值占地区生产总值比重约65%。"盘古智库高级研究员江翰在接 受《华夏时报》记者采访时表 ...
推动药膳技艺与健康产业深度融合 2025福建省中医药膳制作技能大赛在福州举办
Group 1 - The event, the 2025 Fujian Province Traditional Chinese Medicine (TCM) Dietary Therapy Skills Competition, was held in Fuzhou, showcasing 34 elite teams and integrating competitive and cultural experiences [1][2] - The competition aims to promote the understanding of TCM dietary therapy among the public and inject new momentum into the high-quality development of the TCM industry in Fujian Province [1][2] - The theme of the competition is "Food and Medicine from the Same Source, Nourishment in Cuisine," featuring various competitive segments including theoretical exams, video presentations, skill demonstrations, and knowledge quizzes [2][3] Group 2 - The event included a TCM product exhibition with over 20 medical institutions showcasing unique health products, allowing the public to experience the charm of TCM [3] - The competition concluded with awards for 18 team prizes, 14 individual excellence awards, 6 special contribution awards, and 3 organizational awards, promoting the integration of TCM skills with the health industry [3] - The competition aligns with the "14th Five-Year Plan" for TCM development, aiming to bring ancient herbal wisdom into everyday life and promote a new trend in health [3]
医养结合,创新引领:医共体亮相“海洋大集”,体验式传播中医文化
Qi Lu Wan Bao· 2025-07-01 21:16
Group 1 - The event "Summer Ocean Fair" in Shandong Province aims to improve the health literacy and health levels of the elderly through various activities, including traditional Chinese medicine experiences [1] - Medical experts from the Wendeng District People's Hospital provided personalized health guidance and traditional Chinese medicine treatments such as acupuncture, massage, and cupping to visitors [1] - The event featured a tea-drinking station with traditional Chinese medicinal teas and a quiz segment that engaged visitors, enhancing their understanding and appreciation of Chinese medicine culture [1] Group 2 - The Wendeng District People's Hospital will continue to innovate service formats and participate in cultural activities to care for the health of the elderly and promote traditional Chinese medicine culture [2] - The hospital aims to bring high-quality Chinese medicine services closer to the public, increasing awareness and trust in traditional Chinese medicine [2] - The initiative contributes to the preservation and development of Chinese medicine culture while safeguarding public health [2]