Franchise God - Chapter 1267
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Franchise God Episode 1267
Chapter 290: The Hospital Play of the Lord Seongju (6)
The card that the political world worked hard to prepare to protect large hospitals has become useless.
Now, no one is concerned about the leak in health insurance finances. No one is paying attention.
-Recently, there has been talk that the National Health Insurance Corporation has been in a serious state of financial deterioration due to long-term financial leakage.
-The situation is so serious that the political circles are openly and officially stating that the health insurance system itself could collapse.
-That is why the Ministry of Health and Welfare has decided to take the drastic measure of conducting a comprehensive investigation into all payment records over the past 10 years.
-Who is the thief? Who failed to manage properly?
– Considering all the recent statements from the Ministry of Health and Welfare and the National Assembly, it is judged that the health insurance system is corrupt to the point where it can no longer be maintained and is experiencing serious financial deterioration.
-Then why should we pay our blood-like insurance premiums to a jar whose bottom is broken?
-The Ha Su-young Medical Foundation spends much more money on hospital operating expenses than the National Health Insurance Corporation pays.
-The National Health Insurance Corporation pays out over 9 trillion won to medical institutions every month. For reference, the Ha Soo-young Medical Foundation spent nearly 40 trillion won on the ‘ship price’ alone for the cost of three hospital ships and their escorts.
– This price does not even include the cost of converting the ship into a medical ship, the equipment inside, labor costs, and operating costs.
-It is no exaggeration to say that over 100 trillion won was poured into establishing and operating Cheongdam Swimming Hospital and Guro Swimming Hospital, including the doctor helicopter and the hospital’s inpatient treatment device.
– The National Health Insurance Corporation is no longer trustworthy. The problem is serious. A whopping 256 current members of the National Assembly have stated that the National Health Insurance Corporation’s finances are in serious trouble.
-Therefore, our foundation will operate separately from the National Health Insurance Corporation in the future. It hasn’t been of much help anyway.
“Wow, that’s really blatant dissing. If I were a worker at the Health Insurance Review & Assessment Service, I would have cried the moment I saw it.”
“It’s not like I’m personally dissing anyone, so why is the employee crying? It was the National Assembly and the Ministry of Health and Welfare who said that the problems were so serious that the corporation could not continue to exist.”
“The swimming hospital has organized and uploaded a list of members of the National Assembly, including their specific statements. It’s very neatly organized so that you can easily understand it at a glance.”
“Is this swimming hospital really going its own way?”
Whenever the topic of the medical field came up, people talked about Suyeong Hospital’s declaration of independence.
No one mentioned that doctors and hospitals were contributing to the financial drain through chronic overtreatment.
From their perspective, the swimming hospital’s declaration of independence was a much more interesting and provocative topic.
“But is this even legally possible?”
“It wasn’t supposed to work.”
“Originally? So now it’s possible, what do you mean?”
“That’s a bit ambiguous. There’s a new law that the conglomerates created to push for for-profit hospitals. If you interpret it correctly, it’s not like I’m saying that there are no swimming hospitals at all.”
“So, are you saying that the members of the National Assembly are now caught up in a law that they created to support the conglomerates?”
“Yeah. It’s super fun.”
Seohae Group has been making continuous efforts, both positively and negatively, to introduce for-profit hospitals for a long time.
Although I didn’t achieve my dream, the fruits of my labor were not completely wasted.
The ragtag clause that had been made was still making its presence known.
“Originally, all medical institutions in our country were ‘naturally’ designated medical institutions for health insurance, so they had to claim and receive hospital expenses excluding the patient’s out-of-pocket expenses from the corporation. But for-profit hospitals are starting by breaking this mandatory designation system.”
“So the swimming hospital broke it?”
“There is a trap card in the patchwork of legal provisions made by the Seohae Group. If a single medical institution contributes more than 50 trillion won over 10 years, it can voluntarily escape the designation system. It’s something like that. This was originally written off a long time ago.”
“Ah… I see.”
“If you pour in 50 trillion won over 10 years, it’s a size that the National Health Insurance Corporation can’t cover, so run it independently. That’s the trap created by Seohae Group. At the time, Seohae Group was overly confident that they would make money for a thousand years.”
“That would be a perfect fit for the swim group.”
“That’s it.”
***
The Minister of Health and Welfare quickly called together only those of the third level or higher, including the vice minister, and held a high-ranking meeting.
“But that has nothing to do with our corporation, right? The swimming hospital is going to cover the expensive treatment costs on behalf of our corporation and the patients. Do we have anything to lose?”
“Sir, that’s where the problem lies. No, it’s been discovered.”
“You found a problem?”
Since they say it was discovered, it must mean that it existed from the beginning but no one knew about it and now it has been recognized.
“At first glance, it seems like the swimming hospital alone is providing expensive and good treatment, bearing the cost, while the patients and the country sit back and watch and eat rice cakes…….”
“I’m frustrated, so tell me quickly. Tell me as concisely as possible what the problem is.”
“The swimming hospital can claim reimbursement from our corporation for the expenses it paid for patients treated at its hospital.”
“No, does that make sense? How much money is wasted at swimming hospitals? If you listen to every single one of them, how is it any different from the designated system?”
“There is an upper limit. The right of subrogation can only be exercised for an amount that does not exceed the total amount of insurance premiums paid by the patient to the corporation over the past five years. If the amount claimed is higher than the total amount of insurance premiums over the five years, the corporation has the right to take the insurance premiums paid by the patient from that point on. Until they are all paid.”
For patients who have received treatment, the insurance premium that will be paid anyway will go to the swimming hospital, not the corporation. There will be no change.
To be exact, the corporation receives insurance premiums from patients, and the swimming hospital receives them.
until when?
Until the swimming hospital has paid all the money it has spent.
From the patient’s perspective, even if the swimming hospital spent 1 billion won to save the patient, the patient only needs to continue paying the insurance premiums to the corporation as usual.
So, the patient doesn’t change.
“No, wait a minute. In this case, wouldn’t both patients and hospitals be effectively excluded from the designated system, or rather the health insurance system, and just laugh and chat among themselves?”
“That’s right. In effect, it’s the same as allowing some people to opt out of health insurance. If the top 5% of insured people leave like this, the health insurance system itself will collapse.”
“Why on earth is there such an absurd clause…….”
The minister was about to make a big fuss, but then realized that this was a sign that the conglomerates, led by Seohae Hospital, were trying to make some money through the medical business, so he kept his mouth shut.
You didn’t know it then.
That someone will appear who will pour more than twice that amount of money into hospital projects in less than half that amount over 10 years.
“It is presumed that they originally planned to set the figure at 50 trillion won and gradually reduce the amount through repeated revisions to the law….”
“Does that matter now?”
***
The swimming hospital took action without hesitation.
I listed all the expenses I had incurred to treat patients so far and bombarded the corporation with bills.
The arbitration board that reviews the payment amount had no place in this process. It was completely ignored.
The amount claimed by the swimming hospital to the National Health Insurance Corporation was a staggering amount.
“No, but does it make sense that they spent this much money on just one hospital with less than a thousand beds? Look at this! How can the emergency transport cost be over 100 million won?”
“Haha, Director, you shouldn’t look at it that way. If the patient had been transported by a regular ambulance, it wouldn’t have cost 100 million won. What on earth did they transport the patient by to cost that much?”
The industrial complex staff was momentarily speechless at the words of the lawyer who had been entrusted with the work by the foundation.
There was a word in my head, but I felt like I shouldn’t say it in front of the lawyer.
The lawyer kindly explained the rest.
“This is the Queen Stallion. The Queen Stallion. The Queen Stallion, a helicopter worth 140 billion won, operated by US Navy pilots on standby 24 hours a day, transported the patient. Do you think 100 million won is expensive?”
Considering the outrageous price of the Doctor Helicopter, its maintenance costs, and the constant standby of the US Navy’s forces, it was by no means an expensive price.
“This is an amount that we have charged very conscientiously. We have completely excluded anything ambiguous. We have carefully selected only those items that are perfectly in accordance with the law, so that even a pig would not disagree with the interpretation, and left them in the shopping cart.”
The director wanted to jump up and ask questions.
Who are you kidding me with right now? This isn’t like putting items in an online shopping basket.
“The treatment procedures that are explicitly not covered by the Health Insurance Review & Assessment Service’s standards were not included at all. Still, that’s fortunate. If the cost of the recently introduced in-home treatment device had been reflected at its original price, the National Health Insurance Corporation would have gone bankrupt.”
“Isn’t that already over 1 billion won for one treatment?”
“Director, do you really think 1 billion won is the cost? How much do you think the ID device costs?”
“…….”
“We were able to send a few of those expensive, high-tech devices to hospitals for desperate patients, even though they can’t even be priced. It’s not a good idea to charge 1 billion won for a single treatment. That’s why we didn’t include that in our bill.”
‘That was a non-covered item in the first place… … .’
The director just muttered it to himself, unable to bring himself to say it out loud.
***
The swimming hospital was so swept up in the Ministry of Health and Welfare and the National Assembly that they couldn’t come to their senses.
Calculate the costs paid for patients treated at hospitals so far and submit an accurate refund claim to the corporation (within the range of the total insurance premiums they paid).
They are playing a media game to quickly demote other large general hospitals that have lost a large number of doctors.
We have made public all the statements made by politicians who say that the health care funding problem is so serious that it may have to be dismantled.
I’ve compiled all the evidence I can find, no matter where it was found, and put it online so that anyone can easily find it with just a few clicks.
‘Wasn’t it you, the 256 members of the National Assembly, who said that the National Health Insurance Corporation has critical problems and that it cannot be maintained?’
‘Are you trying to change your story now, saying that things are a bit disadvantageous?’
When such aggressive intentions became blatant, politicians desperately tried to hide.
I didn’t know that the one word I gave to the four major hospitals to help them would come back to me in such pain. If I had known, I wouldn’t have come forward in the first place.
Now, the question of whether the four major general hospitals will remove their general hospital titles has been put on the back burner.
Many citizens have come to the realization that the current health insurance system will soon be completely abolished. From the Ministry of Health and Welfare’s perspective, it was a maddening and disconcerting situation.
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