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What does the supervision of medical insurance fund need?

The supervision of medical insurance fund needs the cooperation of the following aspects:

1. The support of government departments: government departments should provide policy support, rationally plan the use and management of medical insurance fund, incorporate the supervision of medical insurance fund into the government's work plan, and formulate relevant laws and regulations to strengthen the supervision of medical insurance fund;

2. Cooperation of medical insurance institutions: Medical insurance institutions should actively cooperate with the supervision of medical insurance funds to ensure compliance in the use of medical insurance funds and improve the quality and efficiency of medical services. At the same time, necessary measures should be taken in time to prevent the waste and abuse of medical insurance funds for illegal operations and problematic medical insurance institutions;

3. Cooperation of medical institutions: Medical institutions are the main users of medical insurance funds, so they should abide by the relevant regulations and standards in the use of medical insurance funds, and ensure the maximum benefit of the use of medical insurance funds. At the same time, medical institutions with problems should be rectified and punished in time;

4. Supervision of all sectors of society: All sectors of society should actively participate in the supervision of medical insurance funds, strengthen supervision and management of the use of medical insurance funds, report problems in time when they are found, expose and expose illegal behaviors and problematic medical institutions, form social supervision and public opinion pressure, and promote the compliant use and management of medical insurance funds.

The relevant regulations on the supervision and management of the use of medical insurance funds are as follows:

1. The use of medical insurance funds should focus on people's health, and the level of protection should be commensurate with the level of economic and social development, following the principles of legality, safety, openness and convenience;

2. The supervision and management of the use of medical insurance funds should combine government supervision, social supervision, industry self-discipline and personal trustworthiness;

3. The people's governments at or above the county level should strengthen the leadership over the supervision and management of the use of medical insurance funds, establish and improve the supervision and management mechanism and law enforcement system of the use of medical insurance funds, strengthen the capacity building of the supervision and management of the use of medical insurance funds, and provide guarantee for the supervision and management of the use of medical insurance funds;

4. The administrative department of medical security in the State Council is in charge of the supervision and management of the use of medical security funds throughout the country. Other relevant departments in the State Council are responsible for the supervision and management of the use of medical insurance funds within their respective responsibilities;

5. The state encourages and supports the news media to carry out public welfare propaganda of medical insurance laws, regulations and medical insurance knowledge, and to supervise the use of medical insurance funds by public opinion. The publicity and reports on medical security should be true and fair. The people's governments at or above the county level and their administrative departments of medical security shall solicit opinions in writing and hold symposiums to listen to the opinions of deputies to the National People's Congress, members of the Chinese People's Political Consultative Conference and representatives of insured persons on the use of medical security funds, unblock social supervision channels, and encourage and support all sectors of society to participate in the supervision of the use of medical security funds.

to sum up, the supervision of medical insurance funds needs the cooperation and efforts of government departments, medical insurance institutions, medical institutions and all sectors of society, so as to achieve the purpose of effective use and supervision of medical insurance funds.

legal basis:

article 1 of the regulations on the supervision and administration of the use of medical insurance funds

in order to strengthen the supervision and administration of the use of medical insurance funds, ensure the safety of funds, promote the effective use of funds, and safeguard the legitimate rights and interests of citizens' medical insurance, these regulations are formulated in accordance with the Social Insurance Law of the People's Republic of China and other relevant laws.

article 2

these regulations are applicable to the use, supervision and management of the basic medical insurance (including maternity insurance) funds, medical assistance funds and other medical insurance funds in China.