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Cutting the ribbon to open the Mako and Rosa robots at Bach Mai Hospital in early 2017 – Photo from hospital website
The information and documents collected also showed that at Bach Mai Hospital, not only did the price of Rosa’s robot go up. Another device, the Mako robot used in knee and hip replacement surgery, also provided by the BMS Medical Technology Joint Stock Company (BMS Company) to the hospital, was “exploited” with a large quantity. .
Brief increase of 20 billion compared to the import price.
According to Tuoi Tre’s research, at the same time that Rosa’s robot was brought to Bach Mai Hospital (March 2017), BMS Company also provided the Mako robot to this hospital. This is a device used in knee and hip surgery, originally from the United States.
At the time, associate professor Dr. Nguyen Quoc Anh, director of the hospital (currently retired), said that Mako and Rosa are the two most modern surgical robotics systems in the field of joints and skulls made in the USA. ., has been authorized by the Ministry of Health to treat adults in Bach Mai.
Joint Venture Agreement No. 01 dated February 27, 2017 signed by Mr. Nguyen Quoc Anh, on behalf of the hospital, with the BMS Company. Under the contract, the total investment value of the Mako robot equipment is VND 44 billion, 100% invested by BMS Company. The duration of the association is 7 years (until February 27, 2024), after deducting income tax and general expenses, the company is entitled to 50% profit sharing and 50% to the hospital.
However, with sophisticated tricks like raising the price of the Rosa robots, Mako’s robotic equipment was “blown up” before being put into Bach Mai Hospital. In fact, when this device is imported into Vietnam, the customs declaration is priced at 23,940,000,000 VND. Thus, the amount raised by bringing the Mako robots to the hospital is 20 billion. Since then, the amount that the patient must pay when using this service has also increased many times.
How many patients have been robbed?
After “skyrocketing the price” for the medical equipment robot that Rosa and the Mako robot put to use, the BMS Company and Bach Mai Hospital collected far more patients than they should have paid. Particularly for patients who use the services of the Rosa robot, the amount they have to pay each time is 23 million, 5 times reality.
According to information published by Bach Mai Hospital, as of June 2018, more than 500 patients had been successfully operated on with robots.
According to the Rosa robotics association project, from 2017 to 2018, the total revenue after deducting costs is more than 860 million, of which the hospital enjoys more than 430 million, the business enjoys more than 430 million. Since the two devices were put into use, hundreds of patients have had to pay a much higher amount than they actually paid.
Massively “socializing”
According to incomplete statistics, up to 90-95% of medical devices at Bach Mai Hospital currently have socialization funds, including MRIs, biochemical testing equipment, and surgical support …
As the largest special grade general hospital in the country with around 6,000 patients per day and 4,000 inpatients per day or more, the revenue from diagnostic and screening services is not small and there are many investors. looking at this piece of cake.
Speaking with Tuoi Tre, a social insurance leader in a neighboring province of Hanoi shared that in the current trend, when hospitals implement financial autonomy, the socialization of hospital services is a necessity, but not to the point of being too massive. .
“According to current regulations, hospitals have to obtain benefits from medical examinations and treatments, socialization services and other sources of income to reinvest. If that income is not enough to equip many machines at the same time, you can buy gradually, but not so much that the hospital does not have capital to invest, 90-95% of the medical team is from socialized sources as in Bach Mai and many other hospitals “- shared this leader shall.
There are many hospitals that are being inspected, controlled for the acquisition or investment in the form of socialized medical equipment with “heavenly” prices. Particularly with the robot to support Rosa’s neurosurgery, another hospital in Hanoi is also ordering this type of device and the price is similar to that of Bach Mai is … 39 billion.
And in many hospitals there are also indications that there is a situation of raising prices to double, even more than double the purchase price, in order to increase the depreciation rate of the equipment in cost, which generates an overpayment for part of patients. expensive. It is very important to have a comprehensive survey to bring real value to them.
“The hospital is also the victim”?
BMS Medical Technology Joint Stock Company is headquartered in Thai Thinh Street, Hanoi – Photo: NAM TRAN
On September 3, Tuoi Tre PV contacted Mr. Nguyen Quoc Anh to get more information about the evaluation process before BMS brought the two Rosa and Mako robot devices to Bach Mai Hospital. The former hospital director confirmed that these two devices, when introduced into the hospital, cost 39 billion and 44 billion dong.
Mr. Quoc Anh said that, according to Circular 15 of the Ministry of Health, the price of the equipment put into the association’s business must be based on the prices that other units won the tender within 6 months. However, when Rosa’s robot was brought to the hospital, in the brain and brain field, 6 months ago there was no winning unit for the tender, so it must be based on the appraisal documents.
“The hospital hired a price appraisal unit and followed the regulations,” Quoc Anh said. The BMS company offers the price and on paper the Pink robot is 39 billion. After that, BMS quoted the hospital as 39 billion, at this time the hospital hired an appraisal unit according to Circular 15 of the Ministry of Health, ”said Mr. Quoc Anh.
About the Rosa robot information, when imported through the customs gate plus the cost of training and technology transfer, it only cost more than 10 billion, Mr. Quoc Anh said, “I don’t know.” About the Mako robot team, Mr. Quoc Anh also explained that this is a socialized device, BMS Company invests 100% and puts it in the hospital, then according to the pricing documents, it makes the price. Starting at the cost of 44 billion, the company and the hospital established the value of the treatment.
* The cost of input equipment has doubled and tripled, and the cost of treatment is also increasing. So is there a group benefit agreement between the hospital and the BMS company?
– Mr. Nguyen Quoc Anh: I have absolutely no group interests or interests of any individual. Even the depreciation of the machines collected by BMS Company, but the hospital does not divide that amount. The collective or the individual did not enjoy a penny in this. The hospital fully followed the process and regulations of the law.
In this case, the hospital was also a victim, the hospital simply followed the regulations. The hospital also did not know the price of the equipment that they imported and they raised us above, we were also very sad, we just did it according to the law.
The Ministry of Health establishes a team to evaluate the purchase price of equipment
