The medical insurance fund is the "medical money" and "life-saving money" of the people. Recently, the Supreme People's Court issued four typical cases of severe punishment for medical insurance fraud crimes in accordance with the law, and severely punished medical insurance fraud behaviors such as hanging empty beds, falsifying medical records, and tampering with inspection reports, sending a signal to crack down on medical insurance fraud crimes throughout the entire chain. The methods of medical insurance fraud are often updated and have stronger concealment. Some criminals have taken a different approach by using social media to contact their subordinates to purchase and sell "medical insurance recycled drugs". These criminals are organized in an orderly manner with clear division of labor, illegally profiting from the sale of medical insurance drugs through non-contact means. This not only causes losses to the medical insurance fund, but also wastes a large amount of drugs due to improper storage. More seriously, some spoiled drugs have once again flowed into the sales process, forming a black industry chain of "reflux drugs" and endangering the health of the people. We must crack down severely on various types of medical insurance fraud crimes, especially hidden non-contact crimes, and punish them according to law. According to statistics, 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. The Supreme People's Court, the Supreme People's Procuratorate, the Ministry of Public Security and other departments have also issued guidance to accurately identify the crime of medical insurance fraud and further improve the coordination and cooperation mechanism. With the deepening of medical insurance reform and the continuous deepening of policies benefiting the people, it is necessary to work together to safeguard the safety bottom line of the medical insurance fund. The high incidence and prevalence of medical insurance fraud crimes expose the need for improvement in medical insurance supervision. For new problems and phenomena, on the one hand, the regulatory boundaries should be continuously expanded, gradually extending from "fake patients," "fake conditions," "fake receipts," etc. to a wider range of fields, and implementing comprehensive supervision of key areas and drugs in hospitals; On the other hand, the regulatory methods should also be updated synchronously, comprehensively using manual spot checks, intelligent monitoring, big data supervision, etc., to enhance the accuracy and effectiveness of supervision, achieve "reducing stock and controlling increment", prevent "leakage", promote the standardized use of medical insurance funds, and protect the "life-saving money" of hundreds of families. (New Society)
Edit:XINGYU Responsible editor:LIUYANG
Source:ce.cn
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