The state issued a "notice on the implementation of designated medical institutions to carry out special management "look back"" is aimed at Anhui Taihe a number of hospitals suspected of fraudulent insurance incident .
On Dec. 18, the National Health Insurance Administration and the National Health Commission jointly issued a notice on the special management of sentinel medical institutions. The notice pointed out that the recent news media exposure of Anhui Province, Taihe County, part of the designated medical institutions induced hospitalization, false hospitalization and other issues, the nature of the bad, the impact is extremely bad, reflecting the special governance is not deep enough, fraud fraud situation is still grim, the health insurance fund supervision loopholes still exist, we must take this as a lesson to resolutely prevent the recurrence of such problems.
The notice mentioned that since the date of publication, to January 31, 2021, the country immediately carried out a designated medical institutions special governance "look back", focusing on the fight against induced hospitalization, false hospitalization and other fraud fraudulent insurance problems, special governance "look back The scope of the special management "look back" for all the national health insurance designated medical institutions.
Expanded
Taihe hospitals suspected of fraudulent insurance 8 people were detained:
December 16, Fuyang City, the Bureau of Medical Insurance issued the latest news: for December 14 media reports "Taihe County hospitals suspected of fraudulent insurance" problem. The problem, Fuyang municipal government attaches great importance to, according to the Fuyang municipal government, the main leader of the arrangement, the morning of the 14th, that is, set up by the deputy mayor in charge of the team leader, the municipal commission for discipline inspection and supervision of the city and the city of public security, health care, health and other departments of the joint investigation team, the first time stationed in the county of Taihe, guidance and supervision of the local government to quickly launch the investigation and disposal, the county commission for discipline inspection and supervision, public security organs The relevant suspects have been investigated and measures have been taken in accordance with the rules and regulations of the law.
The investigation and handling of the follow-up situation will be promptly announced to the community. At the same time, according to the requirements of the higher level of health insurance regulators, the city-wide deployment of special investigation and rectification, serious investigation and handling of fraudulent insurance behavior, strengthen the supervision of the health insurance fund, build a long-term mechanism for the safe operation of the health insurance fund, maintenance and protection of the security of the health insurance fund.
It is understood that, as of December 19, the public security organs of Taihe County has criminal detention of 8 people, Taihe County Fifth People's Hospital director has been discipline inspection and investigation and take retention measures. Puji Chinese Hospital, Dongfang Hospital, and Hemei Hospital, three private hospitals, the main person in charge is under investigation. The specific amount of hospital insurance fraud is still under further verification.
New Beijing News - Anhui Taihe many hospitals suspected of insurance fraud: criminal detention of eight people, a hospital director was retained by the Commission for Discipline Inspection investigation