Hospital Partnership · Featured Case Studies
Case 1: Xiangya Hospital of Central South University
A National Benchmark for Surgical Risk Governance
Collaboration Entry Point
As a top-tier Class-A tertiary hospital in China, Xiangya Hospital integrated Yihuibao’s Surgical Accident Insurance into its comprehensive medical risk management framework. Led by the Medical Affairs Department, the initiative involved collaboration across Surgery, IT, and Nursing departments, achieving full-process integration for risk identification, pre-op communication, insurance enrollment, and claims initiation.
Implementation Highlights
- On-site Full-Service Team: A dedicated service window was established. Yihuibao’s resident staff were stationed in high-risk surgical wards to support patient education, enrollment guidance, post-op follow-up, and claim filing.
- Seamless System Integration: The hospital deployed the “Surgical Risk Witnessing System” integrated with its HIS, enabling complete recording and archiving of preoperative communication.
- Efficient Claims Response: Through mobile app and claims platform tools, patients could upload documents and track progress. Death-related cases were closed within 15 working days; standard claims were processed in as little as 3 days.
- Cross-Department Risk Governance: Quarterly “Risk Review Meetings” were held, enabling continuous optimization of surgical classification, liability segmentation, and communication strategies.
Impact
- Over 17,525 insured surgeries in 2024, with a coverage rate exceeding 30% for grade-3 or higher surgeries
- Insurance premium income exceeded CNY 23 million, with CNY 14.51 million in claim payouts
- Doctor-patient dispute rates decreased by 73%, and patient satisfaction with surgical protection significantly improved
- Hospital risk profiling and early detection capabilities greatly enhanced
Case 2: Taihe Hospital, Shiyan City
A Regional Leader in Dispute Prevention and Risk Communication
Background
As the regional medical center of Shiyan in Hubei Province, Taihe Hospital proactively introduced Yihuibao’s insurance program under the guidance of China’s new Physicians Law. The hospital embedded the project within its internal risk control system, strengthening patient communication and implementing preemptive risk intervention strategies.
Implementation Highlights
- Centralized Risk Service Center: Established a dedicated “Medical Risk Management Service Center” to handle enrollment, education, and claims—supported by dual pathways via front-desk and ward-level services
- Clear Pre-Op Workflow Integration: Insurance enrollment was embedded into the preoperative consent process, with doctors responsible for risk explanation and Yihuibao staff assisting patients with informed consent confirmation
- Reinforced Education & Execution: Morning briefings, regular meetings, and departmental training sessions were used to improve staff understanding of the product, communication protocols, and compliance
- Standardized Claims Management: Integration with the Yihuibao claims platform enabled end-to-end case handling from incident reporting to resolution
Impact
- Before the program, the hospital recorded 21 disputes per 10,000 surgeries; post-implementation, this dropped to 6, a 65% reduction
- Patients demonstrated higher understanding of surgical risks and greater satisfaction
- Internal process standardization improved significantly, reducing communication friction and complaints by more than half
Summary of Results and Replication Value
- End-to-End Workflow Integration: A complete cycle—from informed consent to insurance enrollment, risk documentation, and claims—ensures both patient protection and institutional accountability
- Multi-Dimensional Empowerment: Combining IT systems, resident staffing, data analytics, and joint governance, Yihuibao empowers hospitals with a visualized risk control operations platform
- Proven Quantitative Outcomes: Xiangya Hospital saw a 73% reduction in disputes; Taihe Hospital achieved a 65% drop—demonstrating operational success in structure, execution, and service quality
- Scalable Partnership Models: These two pilot models—one from a national academic hospital, the other from a regional leader—prove the versatility and replicability of the Yihuibao model for widespread national adoption