People who really need it can only make insurance compensation through relevant insurance companies. This happened in Taihe County, Anhui Province, because a local hospital was investigated by the police on suspicion of insurance fraud. After investigation, there are some situations in this place, such as food and shelter, free physical examination, car transfer, lowering admission standards and inducing patients to stay in hospital. Among them, there are even false cases, impersonation or overtreatment, irrational drug use and so on. At present, the amount involved is as high as more than 2 million. This incident also caused four hospitals to cancel the medical insurance settlement agreement, and the responsible doctors were also severely dealt with. The relevant illegal amounts have also been recovered by the police, and these cases have been handed over to the police for handling.

Because the medical insurance fund is actually the life-saving money of ordinary people and the money for medical treatment, according to the information released by the National Medical Insurance Bureau, in 2020, actions to crack down on medical insurance fraud and surprise inspections have been launched. A * * * In 2020, 390,000 illegal medical institutions will be dealt with. The amount recovered is as high as 22 billion yuan.

In fact, their methods are more to cheat insurance through falsehood. First of all, the diagnosis is false, and the patient is looking for someone to play. His ward is empty, but all kinds of consumption are constantly happening. These are all used to cheat insurance. This is a complete industrial chain. First, an intermediary searched for the elderly to be hospitalized, but the doctor customized a fake case for him. Some elderly people are hospitalized as many as nine times a year for free. In the whole process, people are taken into the hospital through intermediaries, and the hospital induces patients to stay in the hospital, and then they pretend to be patients to withdraw money. Through three steps, insurance fraud has been realized, which has aroused great concern of the broad masses of the people.

There are many reasons for the repeated prohibition of hospital insurance fraud. First of all, it has something to do with the imperfect supervision system. Because the supervision system is not perfect enough, it will be compensated by relevant criminals, and the corresponding binding institutions are not perfect. Because the binding mechanism is not perfect, the other party feels that there is an opportunity. Moreover, the medical insurance fund covers a wide range of supervision, including medicine, law and auditing. Therefore, the weakness of the law has exploited loopholes for criminals, leading to frequent insurance fraud. Now the state has seriously dealt with this matter and strictly supervised it to avoid recurrence. There is a special work to look back at. We are also carrying out malicious insurance fraud by focusing on cracking down on fake patients and fake diseases.