Analyze the three "big moves" of micro medicine: focus on the core main business HMO to reduce staff and increase efficiency for the organization
2022-03-11
Every act and every move has attracted the attention of the Internet plus medical and health industry. So, what is the intention behind the move of micro medicine? Can its business territory support the "Sinicization" of HMO? Why micro medicine layout HMO? HMO is the most mainstream form of managed care. Its core is to jointly participate in the balance of medical services through the cooperation of medical payers and medical service providers, so as to optimize the cost and effect of medical services, which is highly praised by all parties. Established in 1974, the first mock exam of the joint health that is now nearly $300 billion a year is the representative of this model. In recent years, due to the acceleration of domestic medical insurance payment reform, the shift of medical insurance from "paying for services" to "paying for health", and the maturity of basic conditions on the industrial side, HMO has ushered in the opportunity of rising in China. It is generally believed that the success of United health is largely due to its creation of United healthcare platform centered on health insurance (payment system) and optum platform (supply system) centered on health services, which combines the four capabilities of "medicine + medicine + insurance + digitization" to build a closed-loop service model covering the whole life cycle. Aware of this policy and industrial trend, micro medicine has made a layout in this field in recent years and continuously improved its four abilities of "medicine, medicine, quantity and insurance". According to public information, in terms of "insurance", 18 Internet hospitals under micro medicine have opened up medical insurance payment, and have also developed integrated products of medical insurance, commercial health insurance, etc; In terms of "medicine", micro medicine has more than 30 Internet hospitals, and the platform also connects more than 7900 public hospitals and nearly 300000 doctors; In terms of "medicine", it has platforms such as Haixi pharmaceutical trading center serving Sanming medical reform; In terms of digital capability, micro medicine has formed a digital product system integrating software and hardware, including Internet hospital construction, medical insurance intelligent monitoring, digital chronic disease management system and intelligent terminal. How to implement HMO in micro medicine? Based on the capability system of "payment + supply", micro medicine has implemented a "urban HMO" in the country, which takes the compact medical consortium as the organizational form and the overall package payment of medical insurance as the main payment form; Focusing on chronic disease management, explore the "special disease HMO" of "package payment by disease / head"; And "community HMO", "enterprise HMO" and other forms of health management and care organizations that provide online and offline integrated digital medical and health maintenance services for community owners and enterprise employees. In the practice of "urban HMO" in Tianjin, Tianjin micro medical Internet hospital took the lead and cooperated with 267 grass-roots medical and health institutions in Tianjin to jointly establish a compact internet medical consortium - Tianjin grass-roots digital health community. Through exploring payment methods such as "overall package payment" and "package payment by disease / head" of medical insurance, For the first time, at the provincial level, the payer of medical insurance paid for the people's health results at the determined cost, and implemented the four platforms of "cloud management", "cloud service", "cloud pharmacy" and "cloud inspection", so as to digitally empower the grass-roots level and build a digital health management and protection system. People close to micro medicine said that in the past two years, the business model of micro medicine with HMO as the core has matured, and has shown ultra-high growth with the help of epidemic catalysis and medical insurance reform. Its Internet hospital revenue in many regions has reached or even exceeded the scale of large tertiary hospitals, and has realized the total amount management of medical insurance and payment by disease / head. How does micro medicine focus on HMO? With the HMO mode of micro medicine running through many places, its strategy with HMO as the core continues to focus and strengthen, and inventory public information. In the past six months, micro medicine has three sets of "big actions": First, comprehensively integrate its business units and capability modules, and establish four profit centers to build a "medical, pharmaceutical, insurance and digital" business base, so as to promote the whole business to the front desk and form ecological synergy with each other. This is obviously to further strengthen its four core competencies. Second, release the "regional digital health community partner recruitment plan" to recruit regional digital health community partners nationwide. This means that micro medicine will open up the core standardization ability of the health community in the aspects of expansion, construction and basic operation, or change the previous "direct operation" mode into "joint operation" mode. Insiders pointed out that the transformation from "direct operation" to "joint operation" also reflects the consideration of micro medicine in taking advantage of localized advantageous resources to accelerate the expansion of the health community model and the transformation to the "asset light" operation model. Third, the "organizational upgrading" mentioned at the beginning of the article. It is said that in order to coordinate this business goal, micro medicine may streamline some unsuitable marginal businesses and personnel positions. At the same time, in order to accelerate the expansion and implementation of HMO, the company will reform the salary structure of senior executives and sales and operation positions directly responsible for operating performance indicators according to common practices, so as to promote the business team to obtain better income incentives based on performance. Therefore, with the comprehensive focus of micro medicine on the main business of HMO and the implementation of the "partner plan", it is inevitable for micro medicine to reduce staff and even cut off the non-profit marginal business sector. Coincidentally, in the medical field, many head platforms have accelerated strategic transformation in the past two years. For example, it is also proposed that Ping An of China, with HMO as the core strategy, participate in the bankruptcy reorganization of Founder group, bring Peking University Medical into the territory and supplement the ability of its medical sector; JD health clearly defined the new strategic positioning of "a health management platform with supply chain as the core, medical service as the starting point, and digital drive for the whole life cycle and scene of users", and released "JD home medicine" to promote business expansion. Looking back, it is determined to make a layout around HMO, and the "light loaded" micro medicine is bound to accelerate its business expansion and replication speed. Some analysts said that referring to the revenue scale of Internet hospitals operating in Tai'an, Jinan, Tianjin and other places, an Internet hospital matrix with a revenue scale equivalent to dozens of tertiary hospitals may be formed on the micro medical platform in the future. (Xinhua News Agency)
Edit：He Chuanning Responsible editor：Su Suiyue
Source：Xinhua
Special statement: if the pictures and texts reproduced or quoted on this site infringe your legitimate rights and interests, please contact this site, and this site will correct and delete them in time. For copyright issues and website cooperation, please contact through outlook new era email：lwxsd@liaowanghn.com
Economy
Recommended Reading Change it 
Home
