China News Service, June 5. According to the website of the National Supervision Commission of the Central Commission for Discipline Inspection, in December 2020, the media reported that many hospitals in Taihe County, Anhui Province were suspected of fraudulently obtaining medical security funds.
The Anhui Provincial Party Committee and the Provincial Government attach great importance to it. The main responsible comrades of the Provincial Party Committee have issued instructions and listened to reports many times, and put forward clear requirements on case investigation and strengthening of the supervision of medical insurance funds, emphasizing the need to conduct investigations and reforms, legislative reforms, and strict rectifications.
In accordance with the deployment requirements of the Provincial Party Committee, the Anhui Provincial Commission for Discipline Inspection and the Fuyang Municipal Party Committee and the Municipal Commission for Discipline Inspection have filed the case in accordance with the rules and regulations and laws and regulations to seriously investigate and deal with the dereliction of duty and formal bureaucracy behind the problem.
After investigation, the Fuyang City Government, Taihe County Party Committee, County Government and other party organizations (units) and relevant party members and leading cadres have implemented the Party Central Committee and the Provincial Party Committee’s decision-making and deployment to discount, inspect rectification and centralized rectification "walking through the scene", and perform the medical insurance fund supervision responsibilities. The problem of formalism and bureaucracy is in place.
From March 2019 to December 2020, a number of designated medical institutions in Taihe County used medical insurance funds in violation of regulations and laws. Among them, 11 hospitals had fraudulent insurance problems such as forged medical documents and fictitious medical services, which seriously infringed the vital interests of the people and undermined the vital interests of the people. The medical insurance fund supervises safety and normal medical order, damaging the image of the party and the government.
On the basis of finding out facts and distinguishing responsibilities, the Anhui Provincial Commission for Discipline Inspection has deepened the use of the "four forms" and decided to deal with 7 party organizations (units) and 19 responsible persons (including Fuyang City Government, Taihe County Party Committee, and County Government). 1 cadre at the departmental level, 7 cadres at the county and department level, and 11 cadres at the section level and below) were held accountable. Among them, 5 persons responsible for serious violations of discipline and law were filed for investigation and investigation and lien measures were taken.
The public security organs have taken compulsory measures against 56 persons involved in the case. The medical insurance and health department imposed administrative penalties on the medical institutions and their employees involved in the case, and recovered the defrauded medical insurance funds in accordance with the law.
From February to May of this year, the Anhui Provincial Party Committee used the central inspection feedback problem to be rectified as a starting point, taking the rectification of Taihe County medical institutions fraudulent insurance as the starting point, and deploying a new round of deepening "three cases" throughout the province. Warning education, promote the study of party history, focus on rectification and correct work style, continue to use cases to warn, take cases as warnings, and promote reforms by cases, learn from one another and learn from one another, and persevere in rectifying formalist bureaucracy.
During the period, the province carried out a special treatment of medical insurance violations of designated medical institutions in the "look back". A total of 3,606 designated medical institutions with hospitalization qualifications were investigated, and 85 medical institutions in violation of regulations were investigated and dealt with in order to protect the people's "medical care money". Life-saving money".
The Anhui Provincial Party Committee and the Provincial Government promptly issued the "Implementation Opinions on Deepening the Reform of the Medical Security System" and "Implementation Opinions on Promoting the Reform of the Medical Security Fund Regulatory System Reform". Long-term mechanism for medical insurance fund supervision.
In accordance with the requirements of the Provincial Party Committee, the Provincial Commission for Discipline Inspection recently issued a circular, requiring all localities and units to improve their political positions, resolutely implement the Party Central Committee’s decision and deployment, and implement the "two safeguards" with practical actions; to stick to the people’s position and continue to rectify corruption around the masses Reconciling unhealthy trends and safeguarding the vital interests of the masses; to strengthen industry supervision, all walks of life should highlight problem-oriented, strengthen rectification and reform, and effectively improve the supervision system and mechanism; it is necessary to establish a system concept, deepen both symptoms and root causes, and consistently rectify formalist bureaucracy. Provide a strong guarantee for the province's "14th Five-Year Plan" to make a good start and start with a good style of work.