I don't think you really get how Chinese businesses operate. Tech businesses, as long as they are Chinese, operate under an assumption of semi-impunity as long as they don't cross political boundaries. So healthcare fraud is in bounds, and if they get caught, they'll just get a slap on the wrist. Its not like the government condones the fraud, more like they don't care as long as it doesn't result in social instability.

Real estate firms and other industries like taxi groups are more likely to be directly controlled by princelings, so those are something else altogether. The government has a direct channel into these industries, because they are basically like a state-controlled mafia.