Because there are indeed loopholes in the use and collection of medical insurance funds, and the regulatory mechanism is not yet complete.

One of the main reasons is that some natural persons and units will harm national interests for their own selfish interests, and will also commit illegal acts more unscrupulously.

Not only do they abuse their rights, but they also don't know how to restrain themselves.

We can establish and improve the social security system and give full play to the functions and effects of the medical insurance fund.

Medical insurance funds can not only be a life-saving straw for patients, but also reduce their financial pressure.

However, some medical institutions do not use medical insurance funds normally, but instead use them to seek illegal benefits.

For example, Wuhan Tongji Hospital cleverly created a pretext to defraud medical insurance funds.

First, there are regulatory loopholes and lack of mechanisms in the medical insurance field.

There are objective and subjective reasons why problems occur in this field, and regulatory loopholes are one of the main reasons.

The medical security fund chain is long and involves many entities, which will not only make supervision more difficult, but also reduce supervision efficiency.

Under the current circumstances, we have not yet formulated a more stringent regulatory mechanism, so the probability of insurance fraud will increase.

Secondly, medical insurance funds are profitable, and profit-seekers cannot resist the temptation.

Some people not only have no sense of law and responsibility, but also do not put collective interests first.

They pay more attention to personal interests and also hope to obtain more sources of livelihood, so they will target medical insurance.

Through fictitious cases or other illegal means, they can obtain a large amount of benefits in a short period of time, and this feeling of getting something for nothing will further stimulate their criminal psychology.

Finally, the subjective understanding of medical insurance designated hospitals is insufficient.

In fact, not only natural persons, but also medical institutions can also commit illegal acts to defraud medical insurance.

These institutions can be authorized by the state and can also be reimbursed based on people's applications, which will give them opportunities to take advantage of them.

Managers of these institutions are unable to establish correct values ??and do not assume their due social responsibilities, which leads to frequent insurance fraud problems.