The insiders believe that due to the imperfect supervision system, imperfect incentive and restraint mechanism, inefficient use of medical insurance funds, frequent fraudulent insurance problems, the fund supervision situation is even more severe. The promulgation of the Regulations on the Supervision and Administration of Fund Use can guarantee the safety of funds, promote the effective use of funds and safeguard the legitimate rights and interests of citizens' medical insurance.
Extended data
Special funds shall be earmarked for special purposes, and shall not be diverted or misappropriated.
There are 50 specific contents in the Regulations, including general provisions, use of funds, supervision and management, legal responsibilities and supplementary provisions.
The "Regulations" clarify that the use of medical insurance funds should conform to the scope of payment stipulated by the state. The medical security agency shall, in accordance with the service agreement, timely settle and allocate the medical security fund; 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.
"The medical security fund is earmarked for special purposes, and no organization or individual may occupy or misappropriate it." The "Regulations" emphasize.
In the process of using the medical insurance fund, medical insurance and other administrative departments, medical insurance agencies, designated medical institutions and their staff shall not accept bribes or obtain other illegal income.
Insured persons shall not take advantage of the opportunity to enjoy medical security benefits to resell drugs, accept cash, return in kind or obtain other illegal benefits.
Designated medical institutions shall not provide convenience for the insured to resell drugs, and shall not accept cash or physical return or obtain other illegal benefits by enjoying medical security benefits.
Medical security agencies, designated medical institutions and other units and their staff and insured persons shall not defraud the medical security fund by forging, altering, concealing, tampering with or destroying medical documents, medical certificates, accounting vouchers, electronic information and other related materials or fictional medical services.