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医保违规频发 大参林门店管理短板凸显 央视揭秘9000万虚假医疗器械合同
Sou Hu Cai Jing· 2025-11-14 13:42
Core Viewpoint - The article discusses the recent exposure of a chain pharmacy, Dacianlin, for selling ordinary consumer products disguised as medical devices, allowing them to be reimbursed by health insurance, raising concerns about compliance and regulatory scrutiny in the industry [2][6]. Group 1: Company Overview - Dacianlin operates a large chain of pharmacies, with over 17,000 stores as of September 2023, making it the largest pharmacy chain in terms of store count in China [6]. - The company reported non-pharmaceutical revenue of 2.948 billion yuan in 2024, with a gross margin of 42%, which is 9 percentage points higher than its average gross margin of 32.74% [6]. - Dacianlin's sales contract with the manufacturer of the disputed products amounts to nearly 900 million yuan [6]. Group 2: Regulatory Issues - The company has faced multiple instances of non-compliance with health insurance fund usage, with violations including improper billing practices and inclusion of non-reimbursable items in insurance claims [7][8]. - Dacianlin has implemented a "direct management franchise" model to strengthen control over franchise stores, requiring all products to be sourced from the company [8]. - Despite these measures, violations have continued, leading to penalties and fines for various stores [8]. Group 3: Market Context - The practice of misclassifying consumer goods as medical devices to benefit from insurance reimbursement has become common in the industry, with several other major pharmacy chains also implicated [6]. - The tightening of health insurance regulations is expected to increase scrutiny on such practices, potentially impacting the business model of companies like Dacianlin [6]. Group 4: Information Disclosure and Corporate Governance - Dacianlin's information disclosure rating improved to B grade from D grade, reflecting past issues with timely disclosures related to legal matters involving its actual controller [9]. - The company faced regulatory actions for failing to disclose critical information promptly, leading to penalties and a requirement for internal accountability measures [10].
刷医保买面膜,医保卡岂能变购物卡
Xin Jing Bao· 2025-11-11 00:17
Core Points - The article highlights the misuse of medical insurance cards for purchasing non-medical products, such as ordinary toothbrushes and face masks, which have been falsely classified as medical devices to exploit insurance benefits [1][2] - There is a growing concern regarding the deceptive practices by companies and pharmacies that mislabel everyday items as medical equipment, leading to significant financial losses for the medical insurance fund [1][2] Summary by Sections Medical Device Misclassification - Ordinary toothbrushes have been reclassified as "dental brushes," and face masks as "medical dressings" to enable insurance reimbursement [1] - This practice has been ongoing, with various products being sold under the guise of medical devices, despite their actual non-medical use [1] Regulatory Challenges - The article discusses the challenges in regulating these practices, as consumers are often misled by the medical device labeling [2] - It emphasizes the need for stricter enforcement of medical device certification and improved oversight by regulatory bodies [2] Recommendations for Improvement - To combat the misuse of medical insurance cards, the article suggests enhancing consumer education about insurance policies and encouraging active participation in monitoring [2] - It calls for a robust regulatory framework that includes immediate action against identified violations to deter further misuse [2]
刷医保买面膜,医保卡变购物卡还有多少隐秘戏法?
Xin Jing Bao· 2025-11-10 11:07
Core Viewpoint - The article highlights the misuse of medical insurance cards for purchasing non-medical products by reclassifying everyday items as medical devices to exploit insurance benefits [1][2][3]. Group 1: Misuse of Medical Insurance - Various everyday products like toothbrushes and face masks have been reclassified as medical devices to allow consumers to use their medical insurance cards for purchases [1][2]. - This practice has evolved from simpler methods of misuse, such as hiding non-medical items in pharmacies, to more sophisticated tactics involving false applications and packaging [2][3]. Group 2: Impact on Market and Consumers - The fraudulent classification of products as medical devices not only increases sales for companies but also leads to improper benefits from the medical insurance fund [3][5]. - Consumers may unknowingly participate in these violations, believing they are purchasing legitimate medical items, which can potentially harm their health [5]. Group 3: Regulatory Challenges - The current regulatory framework faces challenges in identifying whether products genuinely qualify as medical devices, increasing oversight costs and complicating enforcement [5]. - There is a need for stricter source control and thorough examination of medical device applications to prevent such fraudulent practices from occurring [5]. Group 4: Recommendations for Improvement - Regulatory bodies should enhance their enforcement strategies, including rigorous checks on product classifications and consumer education on the proper use of medical insurance cards [5]. - A collaborative approach involving strict law enforcement and active consumer participation is essential to curb the misuse of medical insurance [5].
财经调查丨防晒产品“伪装”成医疗器械,药店公然刷医保销售
Sou Hu Cai Jing· 2025-11-09 12:44
Core Viewpoint - The article highlights the practice of marketing sunscreen products as "medical isolation pads" to exploit insurance reimbursement opportunities, revealing a trend in the pharmaceutical retail industry that blurs the lines between medical and non-medical products [1]. Group 1: Product Mislabeling - A sunscreen ice sleeve is marketed as a "medical isolation pad" to enable insurance reimbursement [1]. - The product's labeling as "medical" allows it to be sold in pharmacies and processed through health insurance, despite being a non-medical item [1]. Group 2: Market Strategy - The manufacturer, Henan Chaoya New Materials Co., has leveraged the "medical-grade" label to capture a larger market share and increase profits [1]. - The company has partnered with a leading pharmacy chain, resulting in an order worth 90 million yuan (approximately 13 million USD) for sunscreen masks and sleeves distributed to nearly 20,000 pharmacies nationwide [1]. Group 3: Regulatory Environment - "Medical isolation pads" are classified as Class I medical devices, which have lower risks and simpler registration processes, allowing non-medical products to meet compliance requirements [1]. - These products are assigned a unique 27-digit medical insurance code, enabling them to qualify for insurance reimbursement in certain regions [1].
首都机场安保公司:酷暑送清凉 凝心鼓干劲
Group 1 - The core idea of the articles is the implementation of a "Cool Summer Delivery" initiative by the Capital Airport Security Company to ensure the health and safety of frontline employees during high temperatures [1][2] - The company has conducted various activities such as online training on heatstroke prevention and offline emergency drills to enhance employees' awareness and emergency response capabilities regarding high-temperature risks [1] - The company has provided outdoor workers with protective gear such as sun sleeves, face masks, sun hats, and sunglasses to prevent heat-related illnesses [1] Group 2 - The company plans to continue the "Cool Summer Delivery" initiative, focusing on employee care and rights protection while fostering a strong and resilient security team [2]