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Original title: Regulations on the use of health insurance funds are issued to clarify how to keep them.Common people“Money to save lives”
According to news from the National Health Insurance Administration on the 20th, to date, the number of omnichannel users of electronic health insurance certificates has exceeded 500 million, covering almost 40% of the insured nationwide. Currently, the electronic health insurance voucher payment feature can be used in 208 cities, covering more than 100,000 designated medical institutions and 220,000 designated retail pharmacies.
The balance of the health insurance fund exceeds 3 trillion yuan. How to monitor and effectively use the fund to protect people’s lives and health is a matter of concern.
The “Regulation on the supervision and administration of the use of health insurance funds” to be implemented aims to strengthen the supervision of the use of health insurance funds by legal means.
Shi Zihai, deputy director of the National Medical Security Administration: With economic growth going from high speed to medium and high speed, increasing population aging, changes in the spectrum of diseases, advances in medical technology, etc., medical expenses continue to grow and the The fund’s income growth rate is less than the expense growth rate. will become the new normal Medical security funds There is some pressure on the balance in the medium and long term.
Experts said there is another important reason for the enactment of the regulations, that is, such as the “life-saving money” of ordinary people, the health insurance fund has become the “Tang monk meat” in the eyes from some bad doctors. institutions.
It is understood that in 2019, the national medical security department inspected a total of 81.5 million designated medical institutions, and served 264,000 medical institutions that violated laws and regulations by adopting methods such as interviews, ordering corrections, recoveries and fines, accounting for 32% of the inspected institutions., To recover 11,556 million of medical insurance funds; In 2020, the National Health Insurance Office and the health department will inspect more than 600,000 designated medical institutions (excluding village clinics) and deal with more than 400,000 medical institutions that violate laws and regulations.
Shi Zihai, deputy director of the National Medical Security Administration:Last year, the health insurance fund recovered 22.31 billion yuan, so the situation remains very dire.
What are the penalties for violations of laws and regulations by health insurance agencies?
According to data from the Ministry of Public Security, in 2020 alone, public security organs across the country investigated and handled 1,396 criminal cases of health insurance fraud, arrested 1,082 crime suspects, and recovered more than 400 million yuan in funds from Medical insurance.
Once the “Regulations on the Supervision and Administration of the Use of Medical Security Funds” are formally implemented, legal enforcement will be further strengthened. So for health insurance agencies, if they use health insurance funds in violation of laws and regulations, what kind of legal punishment will they face?
Wang Zhenjiang, Director of the Third Legislative Office of the Ministry of Justice:Regarding medical security agencies, different illegal acts are distinguished, and there are provisions to order corrections, order returns, impose fines and impose sanctions on those directly responsible and other people directly responsible.
Does the health insurance burden, the cost of the new corona vaccine, affect the public to see a doctor?
Currently, the purchase and vaccination costs of the new corona vaccine in various places are borne by the health insurance fund, will this affect our people to see other diseases?
In this regard, the National Health Insurance Office indicated that the cost of purchasing and vaccinating the new corona vaccine is borne mainly by the health insurance fund using the balance of recent years and does not affect the income and expenses of the current fund. So please be assured that this will not affect the current medical treatment of our people.
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Editor-in-charge: Zhang Mei
