The verdict of this medical insurance fraud case is that the criminal suspects Li and Zhu have returned the illegal income of 2 million yuan and 654.38+10,000 yuan to Changsha Medical Security Affairs Center respectively, and the remaining illegal funds of 2153,947.38 yuan have also been returned to Changsha Medical Security Affairs Center. After trial by the court, the verdict is as follows: Liu and Li defrauded the national medical insurance fund, and the amount was extremely huge. Their actions have constituted the crime of fraud. Liu was sentenced to fixed-term imprisonment of 10 year and fined100000 yuan; Li was sentenced to 3 years in prison, suspended for 5 years, and fined 70,000 yuan.

Cheating medical insurance funds is a problem of collusion between hospitals and patients inside and outside to defraud medical insurance expenses. The patient is on the move, the diagnosis is false and the ward is empty.

The implementation measures of medical insurance fraud include:

1 The medical administrative departments of Yuhong and Dadong District have ordered the two hospitals to suspend business for rectification and properly arrange the patients who are being treated in this hospital.

2. The public security department has quickly controlled the responsible persons of the two hospitals according to law, and investigated the criminal acts suspected of defrauding insurance overnight.

3. The medical insurance department stopped the operation of the medical insurance network in two hospitals and went to the hospital for investigation. Fourth, the Supervision Department of the Municipal Commission for Discipline Inspection investigated whether there was dereliction of duty in the medical insurance, approval, accounting and distribution of the new rural cooperative medical system. The municipal government also decided to conduct a centralized inspection on the use of funds for medical insurance and the new rural cooperative medical system in the city, draw inferences from others, strengthen supervision and resolutely cut off the interest chain behind the problem of fraudulent insurance.

Article 266 of the Criminal Law of People's Republic of China (PRC) stipulates that whoever defrauds public or private property in a relatively large amount shall be sentenced to fixed-term imprisonment of not more than three years, criminal detention or public surveillance, and shall also or only be fined; If the amount is huge or there are other serious circumstances, he shall be sentenced to fixed-term imprisonment of not less than three years but not more than ten years and shall also be fined; If the amount is especially huge or there are other especially serious circumstances, he shall be sentenced to fixed-term imprisonment of not less than 10 years or life imprisonment, and shall also be fined or confiscated. Where there are other provisions in this Law, such provisions shall prevail.