On February 19th, the Chinese government website reported that the State Council issued the Regulations on the Supervision and Administration of the Use of Medical Insurance Funds (hereinafter referred to as the Regulations), which clarified the use and supervision of basic medical insurance (including maternity insurance) funds, medical assistance funds and other medical insurance funds in China, and it will take effect on May 1st, 221.

people in the industry believe that due to the imperfect supervision system and imperfect incentive and restraint mechanism, the use efficiency of medical insurance funds is not high, and the problem of fraudulent insurance is frequent, and the fund supervision situation is more severe. The introduction of the regulations on the supervision and administration of fund use can ensure the safety of funds, promote the effective use of funds and safeguard the legitimate rights and interests of citizens' medical insurance.

The expanded materials

are for special purposes, and shall not be occupied or misappropriated

There are 5 specific contents in the Regulations, including five aspects: general principles, fund use, supervision and management, legal responsibilities and supplementary provisions.

the regulations clearly state that the use of medical insurance funds shall conform to the payment scope 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 that.

in the process of using the medical insurance fund, the administrative departments such as medical insurance, medical insurance agencies, designated medical institutions and their staff shall not accept bribes or obtain other illegal income.

Insured persons are not allowed to resell drugs, accept the return of cash or kind or obtain other illegal benefits by taking advantage of their medical security benefits.

Designated medical institutions shall not provide convenience for the insured to resell drugs, accept the return of cash or in kind or obtain other illegal benefits by taking advantage of their medical security benefits.

medical insurance agencies, designated medical institutions and other units, as well as their staff and insured persons, shall not cheat medical insurance funds by forging, altering, concealing, altering, destroying medical documents, medical certificates, accounting vouchers, electronic information and other relevant materials, or fabricating medical service items.