Law

The Supreme People's Court issues severe punishment for typical cases of medical insurance fraud and reselling medical insurance drugs, which are severely punished according to law

2025-08-05   

On August 5th, the Supreme People's Court released four typical cases of people's courts severely punishing medical insurance fraud crimes in accordance with the law, focusing on severe punishment in accordance with the law, fully demonstrating the determination and measures of people's courts to crack down on and govern medical insurance fraud crimes in accordance with the law, and effectively safeguarding the security of medical insurance funds and the legitimate rights and interests of the people's medical security. The case of defendant Dai Moushou concealing and concealing criminal proceeds, which was released this time, is a typical case of the people's court severely punishing the crime of reselling medical insurance drugs in accordance with the law. In this case, from June 2020 to December 2021, the defendant Dai Moushou contacted Xiajia through WeChat to purchase and sell "medical insurance recycled drugs" without relevant qualifications such as a drug business license or business license, and rented a warehouse as a venue to hire others to package and mail the drugs. After verification, Dai Moushou sold the purchased "medical insurance recycled drugs" to Ji Mouzhou and Peng Mou, receiving a total of more than 3.4 million yuan. After the incident, the public security organs seized 10416 boxes of drugs. Starting from July 2022, the defendant Dai Moushou, without any relevant qualifications such as a drug business license or business license, contacted Xiajia through WeChat to purchase and sell "medical insurance recycled drugs", rented a venue, and hired others to package and mail the drugs. After verification, Dai Moushou purchased "medical insurance recycled drugs" from Wang Mouxing and others, paying more than 180000 yuan; Sell the purchased 'medical insurance recycled drugs' to Zhai Mougang and receive a payment of 570000 yuan. After the incident, the public security organs seized 10133 boxes of drugs. This case has been tried by the People's Court of Fuliang County, Jiangxi Province and has now taken legal effect. The People's Court, after trial, found that the defendant Dai Moushou knowingly purchased and sold drugs through medical insurance fraud, and the circumstances were serious. His behavior constituted a cover up and concealment of criminal offenses. According to the law, the defendant Dai Moushou was sentenced to six years in prison and fined 120000 yuan for concealing and concealing the crime. (Other judgments omitted) It is reported that in recent years, the situation of illegal acquisition and sale of drugs purchased through medical insurance fraud has been very severe. Some criminals have formed criminal gangs and illegally profited by reselling medical insurance fraud drugs through non-contact means. This not only causes losses to medical insurance funds, but also results in a large amount of drugs being wasted due to improper storage, and some spoiled drugs flowing back into the sales process, endangering the health of the people and becoming an important link in the governance of medical insurance fraud crimes. Article 13 of the Interpretation of the Supreme People's Court and the Supreme People's Procuratorate on Several Issues Concerning the Application of Law in Handling Criminal Cases Involving Endangering Drug Safety stipulates that those who knowingly purchase or sell drugs purchased through medical insurance fraud, with an amount of more than 50000 yuan, shall be convicted and punished in accordance with Article 312 of the Criminal Law for concealing or disguising the crime. The Guiding Opinions on Several Issues Concerning the Handling of Criminal Cases of Medical Insurance Fraud reiterated the above provisions. In this case, the defendant Dai Moushou knowingly purchased drugs through medical insurance fraud and repeatedly purchased and sold them through non-contact channels. The People's Court determined that his behavior constituted concealment and concealment of criminal offenses, and found the circumstances to be serious, sentencing him to six years in prison, fully reflecting the full chain punishment of the People's Court for medical insurance fraud crimes. It is reported that in 2024, 1156 cases of medical insurance fraud involving 2299 people were concluded in the first instance by courts nationwide, with a year-on-year increase of 131.2% in the number of first instance cases, and more than 402 million yuan in losses from medical insurance funds were recovered. People's courts at all levels shall severely punish the crime of medical insurance fraud in accordance with the law, with a focus on cracking down on behind the scenes organizers and professional fraudsters. Based on sufficient research, the Supreme People's Court has systematically sorted out the reasons for the high and frequent occurrence of medical insurance fraud crimes, put forward countermeasures and suggestions to strengthen the supervision of medical insurance funds, and issued judicial recommendations on strengthening the supervision of medical insurance funds to maintain their security. (New Society)

Edit:Wang Shu Ying Responsible editor:Li Jie

Source:legaldaily.com.cn

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