Law

Last year, courts across the country concluded 1156 cases of medical insurance fraud in the first instance

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, as well as the situation of cracking down on such crimes. 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. This batch of typical cases involves private hospitals and their staff fraudulently obtaining medical insurance funds by inflating drug purchase prices, repeatedly storing drugs, inflating clinical medication, examination fees, falsely reporting beds, and hanging empty beds; The controller of a designated medical institution fraudulently obtains medical insurance funds by tampering with inspection reports and other medical documents; Selling medical insurance drugs; Cases where insured individuals fraudulently obtain medical insurance funds. Typical cases focus on severe punishment in accordance with the law, fully demonstrating the determination and measures of the people's courts to crack down on the crime of medical insurance fraud in accordance with the law, effectively safeguarding the security of medical insurance funds and protecting the legitimate rights and interests of the people in medical security. It is reported that in 2024, people's courts at all levels will 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. The Supreme People's Court led the drafting of the "Guiding Opinions of the Supreme People's Court, the Supreme People's Procuratorate, and the Ministry of Public Security on Several Issues Concerning the Handling of Criminal Cases of Medical Insurance Fraud", clarifying the conviction and punishment of medical insurance fraud crimes, legal application, policy grasp, case handling requirements, and relevant work system mechanisms; In conjunction with relevant departments such as the National Healthcare Security Administration, we will carry out a special rectification of illegal and irregular issues in the medical insurance fund in 2024, and simultaneously deploy courts across the country to carry out a special rectification of illegal and irregular issues in the medical insurance fund in 2024. On the basis of thorough research, the Supreme People's Court has systematically sorted out the reasons for the high incidence and prevalence of medical insurance fraud crimes, proposed countermeasures and suggestions to strengthen the supervision of medical insurance funds, and issued a judicial recommendation 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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