Legal analysis: In order to strengthen the supervision and management 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, the state has formulated measures for the supervision and management of medical insurance in accordance with the Social Insurance Law of People's Republic of China (PRC) and other relevant laws and regulations.

Legal basis: Regulations on the Supervision and Administration of the Use of Medical Insurance Funds

Twelfth medical insurance agencies should be in accordance with the service agreement, timely settlement and disbursement of medical insurance funds. Designated medical institutions shall provide medical services in accordance with regulations, improve service quality, rationally use medical security funds, and safeguard citizens' health rights and interests.

Article 13 If a designated medical institution violates the service agreement, the medical security agency may urge it to fulfill the service agreement, suspend or refuse to allocate the fees, recover the illegal fees, and suspend the medical services used by the relevant responsible personnel or departments involved in the medical security fund in accordance with the service agreement until the service agreement is terminated; Designated medical institutions and their relevant responsible personnel have the right to make statements and defend themselves. If the medical security agency violates the service agreement, the designated medical institution has the right to request correction or submit it to the administrative department of medical security for coordination and rectification, and may also apply for administrative reconsideration or bring an administrative lawsuit according to law.

Article 34 The administrative department of medical security shall regularly announce the results of supervision and inspection on the use of medical security funds to the public, increase the exposure of cases of illegal use of medical security funds, and accept social supervision.

Thirty-fifth any organization or individual has the right to report and complain about violations of laws and regulations of medical insurance funds. The administrative department of medical security shall smooth the channels for reporting and complaining, handle relevant reports and complaints in a timely manner according to law, and keep the information of informants confidential. Informants shall be rewarded in accordance with the relevant provisions of the state for reports that are verified.