Chinanews.com, October 8th. Wang Yongming, the second-level inspector of the Criminal Investigation Bureau of the Ministry of Public Security, introduced on the 8th that on April 9 this year, the Ministry of Public Security, the National Medical Insurance Bureau, the National Health Commission, etc. jointly deployed a special rectification action against fraudulent insurance As of the end of September, public security organs across the country have eliminated 251 criminal gangs, arrested 3,819 criminal suspects, recovered 230 million yuan of defrauded medical insurance funds, and united medical insurance departments to shut down and deal with 277 medical institutions, forming a severe crackdown on medical insurance fraud. The strong momentum and deterrence of the fund's illegal crimes.
The Ministry of Public Security held a press conference on the 8th to introduce the relevant work in conjunction with the National Medical Insurance Administration and the National Health Commission to jointly deploy and carry out a special rectification action against fraudulent insurance in accordance with the law.
Wang Yongming introduced the relevant situation:
1. Full police mobilization to fully explore clues to the problem.
In order to coordinate and promote the special action, the Ministry of Public Security established a team leader in charge of the deputy minister, and the news and publicity, economic investigation, public security, criminal investigation, food and drug, network security, legal system, science and technology departments as member units to combat fraudulent medical insurance funds. Lead the group.
Organize public security organs at all levels and medical insurance departments at the same level to establish a clue transfer mechanism to jointly sort out suspicious clues found in previous administrative penalties and daily supervision; give full play to the advantages of the public security organs in multi-faceted information channels, especially the police station in hospitals. It has a role in collecting and reporting clues extensively; joint medical insurance, health care, market supervision and other departments to conduct secret investigations on designated medical institutions, visit patients with special diseases, abnormally high medical insurance reimbursements, and other key personnel to comprehensively investigate clues to illegal crimes.
2. Highlight the key points and quickly form a high-pressure situation of crackdown.
Since the launch of the special rectification action, public security organs across the country have closely focused on the key crimes of fraudulent medical insurance funds such as "fake patients", "fake conditions" and "fake bills" in the medical security field, and have the courage to take the initiative and take the initiative to crack down on them with a zero tolerance attitude. Various criminal activities involving fraudulent medical insurance funds successfully eliminated 47 criminal suspects involved in the case, and the "3.11" medical insurance fund fraud case in Dazhou, Sichuan, which had applied for 10.73 million yuan in medical insurance funds, and 23 criminal suspects involved and the amount involved A number of major impact cases, including the “12.20” fraudulent medical insurance fund case in Langfang, Hebei, which cost more than 16 million yuan, greatly deterred such crimes.
3. Strike the whole chain and spare no effort to restore the country's economic losses.
In accordance with the deployment requirements of the Ministry of Public Security, local public security organs insist on in-depth operations, in-depth investigations, severely crack down on the manipulators and backbone members of the behind-the-scenes organization, resolutely cut off the chain of illegal interests, and punish professional card collectors, illegal drug traffickers and other relevant personnel in accordance with the law. Fully investigate the flow of funds of criminal gangs, freeze defrauded funds in a timely manner, and make every effort to recover the stolen money and goods to maximize the recovery of the country's economic losses.
Jiangsu Zhenjiang uncovered the “December 01” inter-provincial fraudulent medical insurance fund case supervised by the Ministry of Public Security, cut off the chain of crimes involving drug prescribers, drug dealers, pharmacy staff, and insured personnel, and eliminated more than 20 crimes of fraudulent medical insurance funds The gang arrested more than 180 criminal suspects, seized 2.66 million yuan of funds involved, 7 sets of real estate, seized more than 30,000 boxes of drugs involved in the case, worth more than 2 million yuan, and seized more than 20 million yuan in total.
Fourth, combine operations to form a powerful combined force for combat and remediation.
The Ministry of Public Security and the National Medical Insurance Bureau established a joint working group, held regular meetings, exchanged information in a timely manner, comprehensively promoted the special rectification action plan, coordinated and solved the difficulties and problems encountered in the crackdown and rectification work, selected experts to guide forward, and directly organized investigations and handled major issues. case.
Local public security organs take the initiative to strengthen cooperation with medical insurance, health, audit, drug supervision, disciplinary inspection, procuratorial departments and other departments, combine the professional advantages of each department with the investigative methods of public security organs, strengthen the connection of executions, and form an overall joint force; in the process of handling cases China pays attention to timely discovering hidden dangers and loopholes, notifying relevant departments to improve the supervision mechanism, strengthening prevention at the source, and preventing and reducing the occurrence of such cases to the greatest extent.
Wang Yongming introduced that under the severe crackdown by the public security organs, the momentum of the crime of fraudulent medical insurance funds has been curbed to a certain extent.
However, the current situation of the safety of medical insurance funds is still severe and complicated, and the work of combating fraudulent medical insurance funds has a long way to go.
In the next step, public security agencies across the country will continue to increase their efforts to crack down on fraudulent medical insurance fund crimes, to open the way, to fight and prevent, to take multiple measures simultaneously, and to launch a more violent offensive against the fraudulent medical insurance fund crimes to ensure that special rectification actions are obtained. Greater results.
Wang Yongming said that the public security organs are telling criminals to immediately stop criminal activities that violate the safety of the National Medical Insurance Fund, and voluntarily surrendered to the case and strive for leniency.
It also appeals to the general public to actively provide clues about fraudulent medical insurance funds, support and cooperate with the public security organs in combating fraudulent medical insurance fund crimes, and contribute to the security of the national medical insurance fund.