Micro doctor long path under super variable

In the past few years, Liao Jieyuan has undoubtedly been one of the most radiant people in the field of medical innovation. The stubborn middle-aged man with a low head and Taurus led the micro-medicine to start from an unimportant registered website and quickly grow into a new one. The leader of the medical business model.

After 2014, both micro-medical business data and valuation data are accelerating: its valuation has grown rapidly in the past few years, with $1.5 billion in 2015 and $3 billion in 2016, early May 2018. After completing $500 million in financing, the valuation rose to $5.5 billion.

As the founder of the micro-medicine, Liao Jieyuan seems to have been on the road, his time is divided by hours. After the release of the new round of financing news, he attended a closed-door seminar in Xi'an. He flew directly to Beijing and chatted with more than 10 media including the arterial network for more than 2 hours, and then immediately rushed back to Hangzhou to prepare for the next day's meeting. .

Since 2014, the arterial network has been focusing on reporting the medical industry-driven changes in the medical industry. It has almost witnessed every step of the micro-medicine efforts. We have reviewed more than 350 manuscripts on micro-medicines and tried to sort out the development path of micro-medicines. Growth factors.

In 2010, when Liao Jieyuan took the team to decide to transform into medical care, the inherent medical industry structure has begun to loosen, but no one knows where the change will go.

Christensen once described this state. "The most frustrating thing is perhaps the lack of a blueprint for planning that can be shared and trusted by the reformers. They have a lot of historical data and are used to relying on solid data. A consensus on action is reached. But because of the lack of data about the future, there is no convincing guide to tell the reformers which road is a dead end, which road is the bright road to reform. Almost no one can understand these different paths. Contact."

Liao Jieyuan, who was still a voice recognition expert at the time, was not clear about the future profit model. The direct cause of the transformation of medical treatment was that the small scorpion caused a lump on the foot due to tuberculosis, but was misdiagnosed as synovial sputum. Sensual, he hoped that through the means of Internet technology, it would be difficult to change the medical difficulties of the people and find the doctors who are really right.

In Liao Jieyuan's view, Internet medical care will be an efficient way to solve the problem of efficient matching of information resources and information gaps, and to redistribute key production factors to a certain extent, partially breaking and lowering the previous thresholds and barriers. They hope to reduce the cost of medical services and improve the quality and coverage of medical services through technological innovation.

“The vast majority of the Internet industry is trafficking, and demand determines supply; but the medical industry is just the opposite, supply determines demand.” Liao Jieyuan believes that in the medical industry, pure traffic has little value, and the essence needs to create supply capacity. Supply capacity is the only core value of this industry.

Under the given constraints, there is inherent logic inconsistency between the cost, accessibility and quality of medical services. The medical treatment of the three cannot be solved by the triangle only by introducing new technological increments and models. the amount. Many startup companies have chosen different paths. Micromedicine chose to use the registration path to achieve the integration of offline medical service capabilities. The follow-up efforts from 2010 to 2015 have also proved that this path is feasible and correct. This is equivalent to grasping the nose of innovative medical services. "The only thing we have done in these years is the integration of offline medical care. The reason why the scale of health insurance is not coming up is that there is still no domestic Insurance companies have real medical supply integration capabilities."

In the interview, Liao Jieyuan believes that when the innovative enterprise has this supply capability, it will find that the scale of the people's needs and the ability to pay far exceed expectations. The real difficulty of Internet medical care is to really help the people solve the three major needs:

First, optimistic about the disease, the real optimistic about the disease must be close collaboration between online and offline, the coordination of different general and specialist;

Second, not only must we be optimistic about the disease, we must be able to truly take the health of the people as the center, help him to establish a healthy living habit, and establish a correct lifestyle. Serious illness can be discovered early, and chronic diseases can be managed well.

Third, pay the leverage. Once you get a serious illness, you can get a high amount of compensation and a high amount of protection.

"People will only pay for the ability to solve problems; the capacity building of the three is very difficult. We are very fortunate that today's micro-medicine has the core ability to solve the above three problems." Liao Jieyuan said.

Almost all innovations come from the margins of the system at the time. At the same time, the origin of the enterprise will determine the path of enterprise growth. Over time, the gap between enterprises with similar starting points is growing.

Because the source of the tertiary hospital was tense, there were a lot of profit-oriented registered websites and horned cattle in the market.

When Liao Jieyuan led the team into the solidified and closed medical system, he chose the most marginal business in the medical profession - registration, and set a rule: appointment registration as a public service, always free. On the one hand, this rule is consistent with the regulations of the Ministry of Health at the time. In addition, a number of registered websites that were profitable at the time were selected to be acquired or withdrawn by the micro-medicine, and the registered business of the micro-medicine gradually evolved into the current micro- The core part of the medical cloud.

Starting from the first batch of 5% of Huashan Hospital, the registered network opened the internal and external networks by designing the front-end server mode. The hospital intranet data completed data interaction with the external network within a few milliseconds, but it was not directly connected to the external network. Avoid the safety risks and pressures caused by direct connections. Starting from Huashan Hospital, each large-scale top three hospital has to be equipped with one or two front-end servers. By the end of 2011, micro-medicine and 267 hospitals have cooperated. Since then, more than 2,400 in 27 provinces and cities have gradually The hospital deployed more than 1,700 pre-servers.

In 2012, registered network has 30 million real-name registered users. By August 2015, more than 100 million registered users and 190,000 key hospital experts had completed 272 million visits and created more than 87 million electronic health records. In 2016, the number of registered users reached 150 million and 200,000 doctors, and the cumulative service was 850 million.

Micro-medicine has become the largest online medical service platform in China. Nowadays, the services of micro-medicine have covered every aspect of patients' medical treatment, including waiting for treatment, report enquiry, registration fee and payment settlement of medical expenses. A seemingly simple application, such as inter-patient settlement, can reduce the number of patients queuing in the hospital window from 4 to 6 times in the past, reducing the patient's original waiting time from the last 2 to 3 hours to half. hour. In the hospital that completed the payment reform, 80% of the window services were moved to the mobile phone, and almost half of the windows were closed.

This is the core business of micro-medicine today - Micro Medical Cloud, the core goal is to help the industry improve efficiency, there are three core customers: hospitals, government, medicine and insurance, now these three types of services have begun to have more obvious income increase.

“What we help hospitals to do is to optimize the medical treatment process, to coordinate the capabilities of large hospitals with the capabilities of primary medical institutions, and to help the primary medical institutions improve their capabilities. Hospitals need infrastructure and operational systems in the process of establishing Internet hospitals. Purchasing our basic services in large quantities.

"To help the government do two things, one is the sharing of the medical health big data platform, and also help the local government to establish a real family doctor contract service platform to form a continuous service, the government pays for services by head, far beyond our expectations.

In terms of industry, we have established the largest prescription sharing platform in China. This prescription sharing platform may become a separate spindle execution platform for Chinese medicine. We are still deeply connected with medical insurance and commercial insurance, providing data support for insurance companies in data and underwriting. . ”

With a huge registered entrance, micro-medicine began to show network synergy, from simple registration, medical process optimization to the entire chain. After the initial four years of precipitation, in 2014 began to try to create an integrated service chain, from the team medical Go to the Internet hospital and then upgrade to the ACO/HMO model, and build a business line of Internet hospitals, general clinics, drug clinics, health malls, micro-medicine clouds, and commercial insurance to form a complete cloud, medical, medicine, and insurance. Business system.

Liao Jieyuan summed up the current mode of micro-medicine into two types of eight words, "cloud + HMO" and "online + offline, general + specialist", through the platform to organize medical resources, the ability to string together general and specialist The online and offline service system was built up, and the original shallow service was gradually deepened to form a complete HMO service system.

The second stage of the development of micro-medicine is to explore the realization of “micro-medical” through the Internet, consisting of a three-tier service system of “base, network and terminal” to provide users with “online + offline, general + specialist” medical services. .

“Base” refers to more than 2,700 key hospitals and more than 7,400 expert teams connected by micro-medicine in 30 provinces and cities across the country, covering more than 100 regional medical service bases including Internet hospitals and medical associations. With 15,000 chronic disease management teams and triage teams, the APP only takes a minute or two to match a precise patient to the doctor. The doctor-patient match has increased from the initial 72% to over 96%.

Established on December 7th, 15th, Wuzhen Internet Hospital is the core of the micro-medicine business model construction process. It is a new breakthrough in the field of Internet medical treatment. On April 28 this year, the General Office of the State Council issued the "Promoting "Internet + Opinions on the development of medical health, after 858 days and nights of exploration, the business model of Wuzhen Internet Hospital has experienced the exploration process from “Xiaogang Village” to Zhongnanhai “Fitation Hammer”.

The Wuzhen Internet Hospital only conducts triage and clinics at the first visit, and then matches these patients to more than 2,700 medical institutions under the line to pass patient data through electronic medical records. As of October 2016, Wuzhen Internet Hospital's single-day online consultation volume has reached 31,000, nearly double the daily consultation volume of a large top three hospital.

Starting from the Wuzhen Internet Hospital, the Micromedical Internet Hospital has been established in 17 provinces and cities, and has begun to promote the Internet medical association of primary medical institutions. Since 2016, we have established 10 special disease remote consultation centers including the pancreatic cancer remote consultation center and the liver transplantation consultation center.

After nearly three years of practice, micro-medicine has formed three systems, traffic, and operations capabilities in the Internet + medical association, including remote diagnosis, remote consultation, remote referral, remote training, cloud medical records, cloud inspection and inspection. Eight system platforms such as payment settlement and cloud pharmacy.

On the basis of the Wuzhen Internet Hospital, the micro-medicine has built a “micro-medicine” section including drug clinics and prescription sharing, and has connected the hospital information system, the retail drugstore drug distribution system and the medical insurance settlement system on a large scale to realize medical and medical insurance. Medical and medical sharing applications.

In March 2016, the micro-medicine launched the “Internet Hospital + Pharmacy Cooperation Program”. The cooperative pharmacy can provide accurate reservation, remote diagnosis and electronic prescription services to the members by logging into the Wuzhen Internet Hospital Pharmacy System, and upgrade to a virtual clinic for free. The new format of the Internet-based “pharmacy clinic” has evolved from simple drug sales to an appointment registration center, a remote consultation center, an inspection and testing center, and an electronic prescription center. Wuzhen Internet Hospital Pharmacy Clinic is already the largest pharmacy + clinic platform in China, helping nearly 20,000 pharmacies nationwide to upgrade to become medical service and health management centers at the doorstep of ordinary people. The average daily service volume exceeds 46,000.

In February of this year, micro-medicine built a national prescription sharing platform. At present, the platform has been landed in Hainan, Heilongjiang, Shandong, Henan, Sichuan and other provinces and cities. The number of prescriptions per day has exceeded 70,000.

The process of prescription sharing is: the doctor prescribes the prescription and uploads it to the prescription sharing platform, which is strictly reviewed by the reviewing team. After the patient settles the drug fee online, the drug is delivered to the patient by the nearest designated pharmacy, and the patient can choose to go to the nearest pharmacy. take.

Micro-medicine hopes to comprehensively promote access to hospital systems and prescription circulation in the country, explore the connection of medical insurance systems in 3-5 provinces, cultivate 100 million yuan of single products, and help 10,000 fixed-point pharmacies upgrade to “Community HMO (Health Maintenance Organization) "Integrate the power of the entire industry chain to empower medical, pharmaceutical and insurance."

“Micro Medical Insurance” uses the big data accumulated by micro-medicine to provide users with accurate and intelligent recommendation, online purchase, health care and claims one-stop service in different scenarios. It is based on health management, medical services and insurance underwriting and claims services, supplemented by insurance e-commerce, covering health insurance portals, health E-offices, insurance underwriting claims services, micro-medical insurance, sales and cloud accounts and health accounts. Six core products.

We are in an era of great change, and this era is cultivating a participatory cultural model that is driven by data and that consumers are deeply involved. The creative power of this new ecology changes everything we know well in a broader breadth and depth.

If we believe in the past growth logic of micro-medicine, then you may wish to think carefully about Liao Jieyuan's judgment: 50% of chronic diseases, common diseases and health maintenance will be completed at home, and 35% will be completed in primary medical institutions. The rest 15% is completed in a large hospital, truly transforming from passive medical care to active health management.

Harvard Business School professor Christensen has a judgment: With the advancement of medical technology and the development of medical models, more and more specialists are being replaced by general practitioners today, and general practitioners are increasingly being treated as doctor assistants and professional nurses. Alternative. As technology advances, the demand for professional doctors will gradually decline.

Liao Jieyuan's eight-character realism described in the general and specialist service system, coupled with the online and offline collaboration of the platform, an efficient medical supply network is the most important core component of the HMO system. In Liao Jieyuan's view, medical insurance + HMO will be the ultimate direction of China's medical reform, Internet hospital is only a form of service, the core of this system is a general practitioner as a health gatekeeper, and the level of basic medical care in the country is generally low, in order to fundamentally To improve the status quo, micro-medicine invests heavily to make up the shortcomings of the whole department, enhances the knowledge level of doctors from the perspective of education, and improves the overall weak state of basic medical care in China by forming a team of general practitioners.

First, a large number of physicians, pediatricians, and gynaecologists have undergone standardized training throughout the discipline to make him a general practitioner;

Second, the establishment of a general-purpose center in the country, the current general-purpose centers in Beijing, Nanjing, and Hangzhou have been opened, and 100 general-purpose centers will be built in the future. The Internet hospital of the micro-medicine does not do the first consultation. The establishment of the general-purpose center just makes up for this shortcoming. It can continue to provide complete medical services, which is an important link in the closed loop of micro-medicine Internet medical.

The first general-purpose center of micro-medicine was launched in Hangzhou in 2016, with a total investment of 20 million yuan, and the physical hospital area of ​​2,400 square meters, providing online medical treatment, remote consultation, offline medical services, etc., under the general, obstetrics and gynecology, pediatrics Departments of dentistry, Chinese medicine, dermatology, psychology, laboratory and medical imaging provide medical services and health maintenance for the whole person, the whole family, and the whole family.

Third, the goal of building a health management college in Hainan is to make Hainan Health Management College the cradle of training for general practitioners across the country. The micro-medical invited the former director of the Shaoyifu Hospital, He Chao, to be the head of the general medical center. At the same time, he also cooperated with Professor Zhu Yuzhu, the director of the Department of General Medicine of Fudan University Medical College, to jointly build the “Micro-medical Academy” project.

Liao Jieyuan said, "Google's CEO Schmidt said in the Wuzhen Human Machine Go Competition on May 27 last year that the biggest scene of AI is in medical health, and the biggest opportunity for medical health is in China. I made up half a sentence, in China, the greatest value is at the grassroots level."

The combination of Weiji Intelligent Doctor and Huaying Artificial Intelligence diagnosis and treatment application developed by Micromedicine and Zhejiang University Ruiyi Artificial Intelligence Research Center can help large hospitals reduce the workload of doctors and effectively improve the level of primary medical care and medical efficiency.

After more than one year of in-depth study of AI depth learning of millions of high-quality data, Rui Medical Intelligent Doctor has more than ten specialist fields in lung nodules, sugar net disease, cervical cancer screening, bone age detection, and general-assisted diagnosis. A key breakthrough has been achieved. Among them, the accuracy and sensitivity of cervical cancer screening exceeded that of clinicians; most of the data sets of AI diabetic retinopathy 2 were 99% specific and 95% sensitive. The technical indicators exceeded the AI ​​giant Google Google and reached the international level. Leading level.

Huaying intelligent doctor is a set of traditional Chinese medicine artificial intelligence diagnosis and treatment application based on TCM syndrome differentiation and treatment, which combines the experience of famous doctors and famous doctors. At present, Huaying Intelligent Doctor has accessed 400 Chinese medicine clinics in 11 cities in Zhejiang Province, with a cumulative auxiliary volume of more than 2 million, which has become the most widely used “cloud Chinese medicine brain”.

"In the future, when Chinese people choose their own medical health protection services, they have two choices, one is basic medical insurance and the other is HMO." Liao Jieyuan believes that the HMO market will exceed one trillion in the next 20 years.

In the layout of micro-medicine, HMO and ACO are the last link to realize the realization of Internet medical value. Micro-medicine HMO provides targeted health care service plans for different groups of people to help them control the risk of disease and reduce medical expenses. The annual fee is 365 yuan, and the daily service fee is only 1 yuan. The monthly basic cost of micro-medical ACO is 500 yuan. On the basis of HMO, the full-scale full-time health insurance will be added, and the medical expenses other than social security protection fees will be fully reimbursed. The maximum protection for more than 60 kinds of serious diseases can reach 1 million. The ACO service price is $500 a month, compared to the most efficient Caesar Medical Group in the United States.

HMO belongs to the package payment, which combines the cost of one-year medical and health care insurance and insurance leverage, all of which are the payment of HMO, and it is the payment of health insurance in the real sense. HMO's services are composed of three parts. One is the medical supply system, all the medical services of the contracted family are completed in this service system; the second is health maintenance and health protection; the third is the payment of leverage. The 85% cost of HMO is the cost of medical costs and health care, and 15% is the big illness insurance leverage.

“The families we serve entrust all of their health and medical services to our system, and our system completes the whole process. What we have to do is to really make these two services truly transparent. We hope to gradually provide services from local to "The people of the country." Liao Jieyuan told reporters, "We originally planned to serve 800,000 families. At present, we will serve at least 1 million families. One million families will become HMO contract users, and the income in the HMO part will exceed at least 2.5 billion."

"In the past eight years, we have worked hard to build a medical supply network and medical supply capacity with our understanding. We have established a general and specialist service system in a scientific and technological way to form an online, Offline service network. This is a place where micro-medicine is different from other companies.” Liao Jieyuan said that as a medical health technology platform, micro-medicine is doing two things on the roots of micro-medicine cloud service industry through technology. On the one hand, the HMO system is formed to serve the people, even if it is even more difficult, the micro-medicine has been continuing.

In Liao Jieyuan's view, the most difficult part of the HMO system construction is the establishment of the offline + online, general and specialist medical supply system. When the medical supply system is gradually formed and has the supporting capacity, the HMO service system will also break ground. However, "after the supply capacity is available, the demand side will be on fire. Our revenue growth last year and this year exceeded expectations." He hopes that with the investment of AIA, micro-medicine can become the largest HMO service provider in China. One of the businesses.

It is a practical question to judge whether there is objective truth. "People should prove the truth of their own thinking in practice, that is, the reality and strength of their own thinking, that is, the shore of their own thinking. The debate about whether the thinking of leaving practice is realistic is a purely scholastic philosophy. ”

Just as the current partner of the same capital, Xu Qian, led the micro-medical financing of 394 million in 2015, many critics poured cold water on the model of micro-medicine. Xu Qian is full of confidence in Liao Jieyuan and micro-medicine. There are countless barriers to business models and various constraints in the field of innovation, but Liao’s resource integration and architecture capabilities are excellent."

Online registration is a small innovation, but in the long run it is a huge variable that changes the industry. Innovation is actually the reorganization of production relations, and it is inevitable to break through many rules that have been formed in the past. This is the most difficult place.

In the past eight years of exploration, micro-medicine and other projects in the field of medical innovation have begun to “scale the business, create value scale, scale the revenue and scale the profits, and finally form the scale of the industry. The whole market began to believe that technology can revolutionize the medical industry. Liao Jieyuan said that the current policy tracking of science and technology is very fast. The wall of the copper wall that was seen in the past has been opened, which will promote the accelerated formation of a health-centered medical health protection system.

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