Xinhua News Agency, Fuzhou, December 30 (Reporter Chen Hongyi) The reporter learned from the Fujian Provincial Medical Insurance Bureau that since this year, medical insurance departments at all levels in the province have recovered a total of 260 million yuan in medical insurance funds, and have publicly exposed 1,308 typical cases of violations of laws and regulations. , Effectively safeguarding the safety of the people’s "medicine money" and "life-saving money".
Fu Zhou, deputy director of the Fujian Provincial Medical Insurance Bureau, said that since this year, medical insurance departments at all levels in Fujian have completed full coverage on-site inspections of 13,564 designated medical institutions, suspended 293 medical insurance agreements, cancelled 91 medical insurance agreements, handed over 7 judicial agencies, and handed over. There are 6 disciplinary inspection and supervisory agencies, and a total of 563 insured persons who violate laws and regulations have been handled.
In fund supervision, the Fujian medical insurance department strengthened the application of big data analysis and timely screened out eight types of suspected fraudulent insurance data, including fictitious outpatient visits and low-standard admissions. Attitude to combat fraud and insurance fraud.
Fu Zhou said that in order to deepen departmental linkage and cooperation and form a regulatory force, the Fujian medical insurance department also actively coordinated the discipline inspection, public security, health, and market supervision departments to establish a joint meeting system, improve the clue transfer workflow, and vigorously promote departmental information sharing and interconnection. , Unblock the connection of execution and punishment, and the connection of discipline.