Several hospitals in Taihe, Anhui suspected of defrauding insurance: 8 people were detained, and the director of a hospital was detained by the Commission for Discipline Inspection for investigation

  Beijing News (Reporter Han Futao) On December 20, Sun Xiujian, director of the Propaganda Department of Taihe County, Anhui Province, told the Beijing News reporter that the Beijing News reported that the suspected insurance fraud in many hospitals in Taihe County was basically true.

As of December 19, the Taihe County Public Security Bureau has criminally detained 8 people. The president of Taihe County Fifth People's Hospital has been investigated and investigated by the Commission for Discipline Inspection and has taken lien measures.

The principals of the three private hospitals, Puji Hospital of Traditional Chinese Medicine, Dongfang Hospital, and Hemei Hospital, are under investigation.

The specific amount of hospital fraud insurance is still under further verification.

  On December 18, the National Medical Insurance Administration and the National Health Commission jointly issued the "Notice on the "Looking Back" of the Special Management of Designated Medical Institutions."

The notice pointed out that the news media recently exposed some of the designated medical institutions in Taihe County, Anhui Province to induce hospitalization and false hospitalization, which were of terrible nature and extremely bad impact, reflecting that the special governance was not deep enough, the situation of fraudulent insurance was still severe, and the supervision of medical insurance funds There are still loopholes, and we must use this as a lesson to resolutely prevent such problems from recurring.

  The notice mentioned that from the date of publication, until January 31, 2021, a nationwide special treatment of designated medical institutions will be carried out immediately to "look back", focusing on combating induced hospitalization, false hospitalization and other fraudulent insurance problems, and special treatment "Looking back" covers all medical insurance designated medical institutions nationwide.

  On December 14, the Beijing News exclusively published the report "Suspected insurance fraud in many hospitals in Taihe, Anhui: no disease, "cerebral infarction", some people were hospitalized 9 times a year for free". The report pointed out that in Taihe County, Anhui Province, many A hospital used a “free” routine to attract the elderly with no or mild illness to be hospitalized, suspected of arranging medical insurance funds.

  In the afternoon after the report was issued, Taihe County, Anhui Province established a multi-departmental joint investigation team. The Anhui Medical Insurance Bureau and the Provincial Health Commission formed a joint inspection and supervision team to Taihe County to follow up and supervise Taihe County quickly and thoroughly. Clear facts of violations.

  On December 15, the head of the Fund Supervision Department of the National Medical Insurance Bureau told the media that in response to the suspected insurance fraud problem in many hospitals in Taihe County, Anhui Province, the National Medical Insurance Bureau has dispatched a working group to Taihe County for on-site supervision.

  On December 16, according to the Anhui Discipline Inspection and Supervision Network, the Commission for Discipline Inspection of Anhui Province has sent personnel to Taihe County to guide and supervise the joint investigation team of cities and counties to investigate suspected insurance fraud in many hospitals in Taihe County reported by the media.