China News Service, February 20th. Shi Zihai, deputy director of the National Medical Insurance Administration, introduced on the 20th that last year, in conjunction with the health department, on the basis of comprehensive self-examination and self-correction, more than 600,000 designated medical institutions were inspected, including self-examination and inspection. A total of more than 400,000 medical institutions that violated laws and regulations were handled, and 22.31 billion yuan of medical insurance funds were recovered.
The State Council Information Office held a regular policy briefing by the State Council on the 20th to introduce the "Regulations on the Supervision and Administration of the Use of Medical Security Funds". Shi Zihai made the above statement at the meeting.
Shi Zihai pointed out that the medical security fund is the people's "medical care money" and "life-saving money". The safety of the use of the fund involves the vital interests of the general public and is related to the healthy and sustainable development of the medical security system.
There are many users of medical security funds, long chains, many risk points, and difficult supervision. The problem of fraudulent insurance continues to occur frequently, and the supervision situation has been relatively severe.
Shi Zihai said that in 2019, the national medical security department inspected a total of 815,000 designated medical institutions, and adopted methods such as interviews, ordering corrections, recovery, and fines to deal with 264,000 medical institutions that violated laws and regulations, accounting for 32 of the inspected institutions. %.
11.56 billion yuan of medical insurance funds were recovered that year.
Last year, on the basis of comprehensive self-examination and self-correction with the health department, we inspected more than 600,000 designated medical institutions, and even handled more than 400,000 designated medical institutions that violated laws and regulations, that is, half of them. The above-mentioned designated medical institutions have problems with the use of funds to varying degrees. Last year, the medical insurance fund recovered 22.31 billion yuan.
Shi Zihai introduced that the "Opinions of the Central Committee of the Communist Party of China and the State Council on Deepening the Reform of the Medical Security System" issued in March last year proposed that relevant laws and regulations for the supervision of medical insurance funds should be formulated and improved, and the regulatory authority, procedures and punishment standards should be standardized.
The "Guiding Opinions of the General Office of the State Council on Promoting the Reform of the Medical Security Fund Supervision System" proposes to strengthen the rule of law and standard protection of medical insurance fund supervision, and formulate the "Regulations on the Supervision and Management of the Use of Medical Security Funds" and related supporting measures.
The National Medical Security Administration, in conjunction with the Ministry of Justice and other relevant departments, focuses on outstanding problems in the use of medical security funds. In accordance with the requirements of scientific legislation, democratic legislation, and law-based legislation, it listens to the opinions of relevant departments, localities and experts, and solicits public opinions. Based on the research and drafting of the "Regulations on the Supervision and Administration of the Use of Medical Security Funds (Draft)."
On December 9, 2020, the 117th executive meeting of the State Council reviewed and approved the "Regulations", and Premier Li Keqiang issued the regulations on January 15 this year. The regulations will come into effect on May 1 this year. The regulations have been published in full on the 20th. There are five chapters and 50 articles. The main contents include: First, implement the requirements of people's health as the center and strengthen medical security services. The second is to clarify the responsibilities of relevant entities in the use of funds and regulate the use of funds. The third is to improve the regulatory system and strengthen regulatory measures. The fourth is to refine legal responsibilities and increase punishment.