During the three-year special campaign against fraud and insurance fraud in Anhui Province, a total of 7,506 designated medical institutions were inspected, more than 900 violations were investigated, including standstill agreement 122, dissolution of agreement 15, and transfer of cases 12 to judicial organs, and a total of RMB1600,000 was recovered. Severely crack down on illegal acts of defrauding medical insurance funds, so that the loss of medical insurance funds can be effectively curbed.
This incident will bring vigilance and reflection to our society and country, and fully explain the need for construction? Institutional power? Solidly promote the pilot work of the construction of the fund supervision credit system, formulate the assessment and evaluation methods of designated medical institutions, the management methods of medical insurance doctors' points, and the publicity plan of administrative punishment information, create a credit evaluation index system, and promote industry self-discipline and joint punishment.
The state should innovate the management system of designated medical institutions, establish a dynamic exit mechanism, and fence in this way. The regulatory authorities should strengthen supervision, combine surprise inspections with routine inspections, promptly punish insurance fraud, make an example of it, and earnestly safeguard the safety of medical insurance funds. At the same time, it is also necessary to widely mobilize the masses, establish a reward system for reporting, deal with the problems reflected by the masses in time, and reward them if they are true. It is also necessary to build a new supervision model with the help of third-party forces, strengthen auditing through third-party forces, and avoid collusion. Only by solidly safeguarding the security of medical insurance funds can we better serve the people. Realize the party's purpose.