1, to enter the modern society, we must learn to think systematically. Medical insurance is a complete system. A system includes many interrelated and mutually restrictive links. If there is a problem, we should pay attention to both the problem link and the related link. Hospital fraud should solve the problems of hospitals, and at the same time, all links related to hospitals and medical insurance should not be ignored. We should look for the reasons from the perspective of the whole system, plug the loopholes from the source and fundamentally, and cannot treat the symptoms rather than the root cause. Perfecting the system and perfecting the system is the real solution to the problem.
2. Fraud and insurance fraud inside and outside medical institutions have seriously damaged social interests and will have a negative impact on society. How to curb this illegal behavior? It is nothing more than strengthening education and publicity, establishing a long-term supervision mechanism and cracking down on illegal activities. The obvious function of education and publicity is to let the public know that fraud is illegal and will be punished by law. Enable most people to abide by the law and reduce the crime rate. Establish a long-term supervision mechanism. Collusion and fraud inside and outside medical institutions is the behavior of a few institutions, more specifically, the criminal behavior of a few people. Because of the hidden action, it is difficult for insurance institutions to see through.
Any crime is flawed, and the truth will come out one day. Because crime is very hidden, if all forces are mobilized, there are still many upright people in this world. Therefore, whoever can provide real and effective evidence should give the whistleblower a material reward, and the reward should be stronger. Malicious slander will go to hell to ensure fairness. The establishment of an investigation agency can temporarily recruit investigators and compensate those who have contributed. Finally, it is a serious blow to illegal institutions and personnel. Cancel the qualification of business license for fraudulent institutions.
Introduction to Liu Bin