Because there are still loopholes in the use and raising of medical insurance funds, the supervision mechanism is still not perfect. One of the main reasons is that some natural persons and units will harm the national interests for their own selfish interests, and will also commit illegal acts more unscrupulously. They not only abuse their rights, but 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 functions of the medical insurance fund. Medical insurance fund can not only become the lifeline of patients, but also reduce their economic pressure. However, some medical institutions will not use the medical insurance fund normally, but seek illegal benefits. Tongji hospital, for example, invented various excuses to defraud the medical insurance fund.

First of all, there are regulatory loopholes and lack of mechanisms in the medical insurance field. There are subjective and objective reasons for the problems in this field, and regulatory loopholes are one of the main reasons. The medical insurance fund chain is long and involves many subjects, which will not only increase the difficulty of supervision, but also reduce the efficiency of supervision. Under the existing circumstances, we have not formulated a stricter supervision mechanism, so it will increase the probability of fraudulent insurance.

Secondly, the medical insurance fund is profitable, and the mercenary can't resist the temptation. Some people not only have no sense of law and responsibility, but also fail to put collective interests first. They pay more attention to personal interests and hope to get more sources of life, so they will target medical insurance. Through fictional cases or other illegal means, they can get a lot of benefits in a short time, and this feeling of getting something for nothing will further stimulate their criminal psychology.

Finally, the subjective understanding of designated hospitals for medical insurance is insufficient. In fact, not only natural persons, but also medical institutions will have illegal acts of defrauding medical insurance. These institutions can be authorized by the state or reimbursed according to people's applications, which gives them a chance. The managers of these institutions can't establish correct values and fail to assume their due social responsibilities, which leads to frequent insurance fraud.