Original title: Provide medical insurance card "empty brush" was found to be fraudulent, a warning lesson

　　Si Hanhan

　　As long as you put your medical insurance card in the pharmacy, you can not only dispense medicines for free, but also get oil, rice, and red envelopes. However, the price for getting "small bargains" is punishment. According to a report by "Qianjiang Evening News" on December 5, Zhejiang The Hangzhou West Lake Court recently heard a case in which the defendant, Yu, provided his medical insurance card for others to swipe. He defrauded the National Medical Insurance Fund of nearly 150,000 yuan in four years, and Yu made a profit of 15,000 yuan. In the end, the West Lake Court sentenced Yu to fraud. A fixed-term imprisonment of one year and six months, suspended for two years, and fined 15,000 yuan.

　　The medical insurance fund is a special fund established by the state to guarantee people's basic medical care, and it is a "life-saving money".

If everyone, like Yu in the above case, regards the medical insurance card as a tool for profit, the consequences will be disastrous.

Therefore, from a certain point of view, the court's above-mentioned judgment is a legal lecture for the public.

　　For a long time, many people have had such a misunderstanding that "the medical insurance card is their own money, and it is not for nothing", so some people regard the medical insurance card as a shopping card, and some people conspire with others like Yu to swipe it empty Arbitrage, they are not very clear that these behaviors are already illegal use of medical insurance cards.

　　In fact, when people swipe their medical insurance cards, they will not only use the fees paid by individuals, but also use the expenses allocated by the medical insurance fund. thereby harming the rights and interests of the public.

　　Of course, the above cases also exposed some loopholes in the management of medical insurance cards.

According to reports, the employees of the pharmacy involved in the above-mentioned incident used multiple other people's medical insurance cards in the same way to defraud the National Medical Insurance Fund.

It is not difficult to see from this that some medical insurance designated pharmacies did not act in accordance with laws and regulations in the use and operation of medical insurance cards, but "encouraged" and encouraged fraudulent use in pursuit of interests.

　　At the same time, the field of medical insurance fund fraud is often highly professional and involves a wide range of areas, while the relevant regulatory departments are insufficiently staffed and have heavy tasks.

　　In order to further weave the "safety net" of medical insurance funds and protect the "life-saving money" of the people, recently, the National Medical Insurance Administration and the Ministry of Finance jointly formulated the "Reward Measures for Reporting Illegal and Illegal Use of Medical Security Funds", which will be issued on January 1, 2023. It will come into force officially.

The method clarifies that a one-time reward will be given to whistleblowers who use medical insurance funds in violation of laws and regulations in a certain proportion, which will help guide and encourage the public to participate in social supervision, make up for shortcomings in supervision, and improve the safety factor of medical insurance funds.

　　Compared with pursuing responsibility after the event, the crackdown on fraudulent insurance needs to move forward.

Relevant departments should increase the medical insurance system, policy publicity and case-based explanations, guide the masses of insured people to use medical insurance cards correctly in accordance with laws and regulations, and let people establish the awareness that "life-saving money" cannot be used indiscriminately and violators will be punished.

At the same time, it is necessary to strictly regulate the operation of medical insurance service institutions, improve the supervision mechanism, broaden the supervision channels, and have zero tolerance for illegal sales of non-medical insurance products, cash transactions using medical insurance cards, empty and stolen personal account funds, and transfer of suspected crimes. The judiciary handles it according to law, increasing the cost of breaking the law.

The public should also bear in mind that there is no small price to pay for being greedy for petty gains.

(China Industry Network - Workers' Daily)