From small clinic to medical empire

Chapter 289

The time came to the end of June.

I don't know if it was an illusion, but Zhang Zifan felt that the whole year of this year passed much faster than last year.

Sitting in the office on the 13th floor, you can overlook the entire courtyard.

To the east is a warm and affectionate campus life.

While the handsome boys rushed to the classroom with steamed buns in their mouths, they still couldn't put down the brain anatomy model in their hands. The embarrassed appearance was really handsome.

To the west, there is intense and busy medical rescue work.

There was a landslide in the construction section of the subway yesterday, and several of the wounded were sent to Haoran Hospital. Today, it seems that another batch has been transferred to the hospital.

Being able to gain the trust of the China Railway [-]th Bureau in such a construction accident also shows that Haoran Hospital is now a first-class hospital in the local area that is not inferior to the general top three.

After taking a sip of tea, Zhang Zifan couldn't help looking forward to the hospital level assessment in a week's time.

"Master Dean, this is the bed turnover rate and the average outpatient and inpatient expenses for this year after actuarial calculations. Please have a look."

Just at this time, Lao Fang brought the data that Zhang Zifan had been waiting for.

As a provincial and municipal medical insurance designated hospital covered by medical insurance, Haoran Hospital's participation system, in addition to medical quality and technical strength, bed turnover rate and per capita cost are the key assessment objectives of the assessment team.

These two indicators are red lines. If any hospital violates the regulations, then the evaluation will basically be yellow.

To be honest, from the perspective of a doctor, Zhang Zifan doesn't like these two assessment indicators.

Implementing the bed turnover rate means that, as a hospital, it is necessary to shorten the hospitalization time of patients and speed up the flow of patients.

This has the potential to lead to a decrease in the quality of postoperative care.

The per capita cost per visit limits the doctor's drug prices and treatment strategies, which is equivalent to putting shackles on dancers and letting them continue dancing.

However, with the improvement of the social level, Zhang Zifan gradually understood the good intentions of these system designs, especially when he was invited by Professor Wang Bin last month to participate in the annual work meeting of the National Health Commission as a representative of private medical institutions in the imperial capital.

City S, or the entire Yangtze River Delta region, is one of the most economically developed regions in my country, and the medical market is relatively sound.

It is relatively rare for an elderly rehabilitation hospital to apply the medical insurance card for the elderly to falsely issue insurance for inpatients.

But looking across the country, the phenomenon of abuse of medical insurance and hollowing out of medical insurance in some places is actually shocking.

How to manage this life-saving money for the common people is a very important matter.

There is no other way to assess the turnover rate of hospital admissions and the average cost of a hospital.

In the process of practice, it has played a great role.

only……

When it came to Haoran Hospital, Zhang Zifan felt a little helpless.

The average cost of each hospital is different.

Taking the average cost of outpatient visits as an example, the average cost of a provincial cancer hospital may be as high as six to seven hundred or even thousands, but most community hospitals may only have one hundred or so.

Of course, in addition to considering the level of the hospital, the quota does not change every year.

Generally speaking, the average amount of medical insurance this year is based on the average cost of last year multiplied by a certain coefficient.

In other words, the more you used it last year, the more you will increase your quota this year.

But at the same time, hospitals will also face huge Medicare fines that they will have to pay this year.

This is quite unfavorable for Haoran Hospital.

because...

Not to mention anything else, just talking about the average cost of hospitalization, the base figure of Haoran Hospital last year is completely incomparable with this year's.

After all, the people who designed this system never thought that a hospital could develop so fast.

In particular, Haoran Hospital is not simply a matter of development speed.

This year Haoran Hospital focuses on the development of neurosurgery, especially the treatment of severe brain injuries.

Obviously, this treatment requires a long hospital stay and is expensive.

So Zhang Zifan looked at the report that Lao Fang brought.

Both the bed rotation rate and the average cost of hospitalization this year have increased dramatically.

This means that Haoran Hospital may still face huge medical insurance fines, not to mention that the probability of success in this year's rating is not high.

This is where Zhang Zifan, the dean, is young and inexperienced.

In general hospitals, whether it is the dean or the director in charge of medical insurance management, the corresponding indicators should be maintained as early as the middle of the year.

For example, decompose the indicators to each department and force the implementation.

Another example is to admit some mildly ill patients to day wards.

The so-called day ward is the ward that can be admitted and discharged on the same day, and the operation can be completed at the same time.

Various minimally invasive surgeries, such as femtosecond surgery, extraction of bony buried teeth, laparoscopic minimally invasive surgeries, etc., can all follow this routine.

On the one hand, there are hospitalization records, and the surgical procedure is relatively standardized.

But more importantly, it can significantly reduce the average hospitalization cost and bed turnover time of the entire hospital.

For the inexperienced Zhang Zifan, by the time Lao Dao reminded him of this, it was already mid-November, and it was too late to adjust the data.

Sighing, putting the report aside, Zhang Zifan didn't feel too worried.

Today's Zhang Zifan is a bit like Shanks, no matter where he goes, everyone will give him a little face.

Zhang Zifan has decided to go to the Medical Insurance Bureau to try to appeal.

After all, Haoran Hospital's medical files are very formal and complete, which is enough to explain the reality of the hospital, and it is very likely that most of the fines will be reduced.

But even if the reduction cannot be reduced, Zhang Zifan is not very worried.

because……

The people of the United States have given too much!
In other words, no matter whether it is the Putian shoe factory or the IT giant, they all like to do the foreign trade business of the Americans?

The per capita GDP is US$6500+, ranking 11th in the world.

Except for Midi, none of the top 15 countries has a population of more than 500 million.

This is not an achievement that a normal country can achieve without relying on other countries to suck blood.

Midi’s per capita GDP not only outperforms Japan, Germany, Britain and France, but is even higher than that of Qatar, Denmark, and Singapore.

At the same time, it still has a huge population of 4 million. Even if there are various problems in the secondary distribution of domestic wealth, but the base is there, the consumption capacity is really not covered.

There are 50 insect eggs in a box of Hai (kill) Wai (pig) Youth Edition of Haoran Fat Reducing Spirit, and the price is US$380 per box.

According to the calculation of Haoran Biological Insect Department, a bio-improved human skin fly can eat 30-45g of fat in its larval stage.

Before reaching the pupal stage, the bugs are programmed to die.

In other words, a box of Overseas Youth Edition can eliminate about 4-5 pounds of fat.

Considering the average body shape of Americans, it takes four or five boxes to complete a course of treatment.

If you want to achieve the speed-loss effect of those Internet celebrities on a certain platform, you need to use several boxes of fat-reducing spirit at the same time.

In fact, the reason why Lucilia became popular is because she used her uncle's relationship to get five boxes of fat-reducing spirits to use at the same time, achieving the effect of rapid fat loss.

Although it is not scientific to do so, and the body discomfort after rapid fat loss has caused some troubles, it still proves the safety of this product.

At least it turns out that these clean and cute bugs do not harm normal human tissue except fat tissue.

Relying on the generosity of the fat people in the United States, Haoran Biotech made a huge profit of 12...billion dollars in just three months.

When Zhang Zifan saw this figure on the company's financial statement, he was stunned.

I worked hard to do surgery for a whole year, and I made less than 20 billion yuan, but I sold some weight-loss drugs casually, and you told me I made 12 billion dollars?
This is not a migrant worker cartoon where the combat effectiveness is broken, and the top boss can be bitten off by the Neptune!

It took Zhang Zifan a lot of willpower to accept this reality.

In fact, after careful calculation, the revenue of 12 billion US dollars is not an exaggeration at all, and it is even too little.

According to the retail price of US$380, after deducting taxes and distribution costs, the profit of Haoran Bio is still as high as more than US$200.

What is this concept?
This is a profit comparable to that of a dentist!
Zhang Zifan, who started out as a dentist, is well aware of how much profit such a profit margin, coupled with a nearly infinite market, will generate.

As long as there are more than 12 users, that is a profit of [-] billion US dollars.

This made Zhang Zifan have to wonder if his price of $380 was too low?
This pricing, in fact, has not undergone rigorous market research.

In fact, when it was sold to Professor Trudeau, Zhang Zifan just did it casually, thinking that it would be a long time because of the FDA card, but he did not expect the result to be so smooth.

The so-called official guide price is nothing more than what Zhang Zifan read in the news that his own Congressman in the United States said that nearly half of Americans cannot afford 400 US dollars in cash.

So Zhang Zifan set a 380 at random.

380 US dollars is nearly 3000 yuan, and the foot treatment is more than 1 yuan.

It seems a bit cheap?
Just when Zhang Zifan was thinking about whether to increase the price by more than ten times, Zhang Zifan's cell phone rang.

Looking at the transatlantic number on the phone, Zhang Zifan thought to himself that he really read something today.

Looking at the time on the watch again, Zhang Zifan answered the phone with a smile and said:
"Dear Dr. Trudeau... Maybe it's time to call you Mr. Chairman in the near future. What's the matter? Call me in the middle of the night?"

The so-called middle of the night is naturally the time in California.

Since he is often involved in the business there, Zhang Zifan is already familiar with the time difference between the two places.

However, Trudeau's voice from the phone was not as calm as before, but anxious...

……

After hanging up the phone, Zhang Zifan's face was as gloomy as water.

On the phone, Trudeau said that he was investigated by federal employees in the afternoon and had not regained his personal freedom until just now.

That's why he would call at midnight.

Of course, this is not the point.

The point is that the Overseas Investment Review Board of the United States and the Safety Commission of California conducted surprise investigations on the North American branch of Haoran Biologics at the same time.

To be honest, Zhang Zifan has no interest in running a multinational company, nor does he have a Martian perspective.

So the so-called Haoran Bio North American Division is basically managed by Trudeau.

Of course, as a great professor at UCLA, Trudeau will not take care of the business himself, but will let his nephew be responsible for it.

Trudeau Jr. is nominally the operator of the North American branch of Haoran Biologics, but in fact he is more like a secondary distributor.

After all, all the technology and production are in the hands of Zhang Zifan, and there is no need for Zhang Zifan to be overly involved in the management of North America.

Anyway, how much goods are sold, how much money will be made.

However, such a company, which is similar to a distributor, is now being investigated by the U.S. Overseas Investment Review Board on the grounds of commercial security.

The specific charge is that he is suspected of stealing the technology of the American Biotech Company and endangering the national security of the United States.

When Zhang Zifan heard the news, his expression was:
Black question mark.JPG+The old man reads the text message.JPG
"The Chinese are here to steal technology again!"

"What technology?"

"Technology we haven't invented yet!"

Zhang Zifan shook his head, he couldn't help feeling how absurd this world is.

Find out the situation and wait and see.

This is the policy Zhang Zifan has set for Trudeau: wait and see what happens before using his connections to find the promoters behind the scenes.

Things are very unclear now, so there is no need to act rashly.

Moreover, Zhang Zifan was not at ease with Trudeau, an old friend.

Although in the past two years, Zhang Zifan and him have cooperated very happily, and the careers of both parties have also perfectly complemented each other, and now they have a highly consistent common interest.

But Trudeau is a native of the United States after all, and he is also a professor at the University of the United States.

Once it comes to deep-seated contradictions, his position becomes very suspicious.

"I knew I shouldn't be so lazy."

"If I could send some confidantes to the United States earlier, I wouldn't be so passive now..."

……

Zhang Zifan regretted not sending someone to the United States, and Stephen Riel on the other side of the ocean was also very angry.

"What, such a sudden action, didn't even a single Chinese technician be detained?"

"Could it be that you leaked the rumors internally and asked the Chinese personnel to transfer in advance?"

An extremely high-end restaurant in Los Angeles is still brightly lit even at midnight.

After losing weight, Stephen Riel was much more agile and stood up again.

Sitting in front of him was a white male who was as fat as a pig, and he explained:

"Mr. Riel, don't get excited."

"According to our investigation, apart from a few Chinese-American employees who translated documents, this Haoran Bio North American branch has no Chinese staff at all, let alone technicians."

"As for those Chinese employees, some are part-time international students and some are citizens of our country. They are all just doing some basic translation work. They have no biological education background at all, and there is no reason for detention and investigation."

"Impossible, I don't believe in such a big business, they didn't send anyone to watch!"

Stephen Riel patted the table and shook his head repeatedly, "Unless they don't pay attention to the North American business at all, is it possible?"

"I do not know then."

The fat white man shook his head, yawned and got up to leave, "I have another election speech tomorrow, so I won't accompany you!"

"Please watch your attitude, Mr. Congressman."

Stephen Riel snorted coldly, "You should be more patient with your real boss."

The fat white man nodded upon hearing this, "Don't worry, Mr. Riel, I will never forget who I am and who I represent."

If you ask, what is the most powerful interest group in the United States?
Some people may say that it is a military-industrial complex.

Because this group can even lobby for war.

Some people may also say that it is the oil and energy group, or the Wall Street group, these are behemoths that can influence national policy.

However, compared with the drug-medical-medical insurance compound group, these are just younger brothers.

American medical insurance is notoriously expensive and rotten. Don’t the governments of all ages know about it?Don't successive governments want to reform?
But in the face of a huge interest group whose expenditure accounts for more than seven times the defense expenditure, all reforms are futile.

Not only that, countless pharmaceutical groups have wooed officials, and even directly trained their employees to become councilors and sent them to the government to hold important positions.

And this fat white man is a California state congressman and the former department head of Arrail Group.

"Wait a minute, Peng Sen."

Stephen Riel stopped Fatty again.

"What else is there, Mr. Riel?"

"Give."

Looking at the check in their hands, the two smiled knowingly.

"It's still the same amount."

"Of course, according to the law, if one dollar is added to the one-time contribution, it is not an election preparation contribution, but a bribe."

"Mr. Riel, I am an honest person, please don't talk about such terrible words in front of me."

"Haha, Roger will come to you again in three days. After all, as a law-abiding citizen, I also need to support Mr. Congressman's election preparations."

…………

Thank you book friend 20171022212537340 for rewarding 1000 starting coins!
…………

ps, let me explain that the recent update is a bit irregular. In fact, these two days, Shaomai is on annual leave and is responsible for taking care of her daughter, so it turns out to be even busier...

(End of this chapter)