China National Medical Insurance Administration: 23.4 billion medical insurance funds will be recovered in 2021
China News Agency, Beijing, April 1 (Reporter Li Chun) The reporter learned from the National Medical Security Administration of China on April 1 that on March 31, the National Medical Insurance Administration, the Ministry of Public Security, and the National Health Commission jointly held a 2022 National Anti-Fraud A teleconference on the special rectification action against insurance fraud.
According to the meeting, China will recover 23.4 billion yuan (RMB, the same below) of medical insurance funds in 2021.
The meeting that day pointed out that the special rectification action in 2021 has achieved remarkable results.
In the whole year, a total of 708,000 designated medical institutions were inspected, 411,000 were investigated and punished, and 23.4 billion yuan of medical insurance funds were recovered.
The medical insurance and health departments have assisted the public security organs in detecting more than 2,031 criminal cases of fraudulent medical insurance funds, arresting more than 5,002 criminal suspects, recovering 510 million yuan of medical insurance funds involved, and detecting 349 cases of illegal operation of medical insurance drugs, involving an amount of 1.5 billion yuan ; 212 clues on special issues were transferred to the discipline inspection and supervision department.
In addition, the meeting emphasized that it is necessary to deeply and accurately grasp the complex situation facing the current fund supervision, focusing on tampering with inspection results, interchanging high-value medical consumables and other behaviors, always maintaining a high-pressure situation, strengthening coordination and linkage, strengthening overall guidance, comprehensively compacting responsibilities, and continuing to Strengthen capacity building, and continue to deepen the fight against fraud and insurance fraud with a "zero tolerance" attitude.
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