What event is the "Notice on Looking Back" on the Special Governance of Designated Medical Institutions issued by the State?

The notice of "Looking Back" on the Special Governance of Designated Medical Institutions "issued by the state is aimed at the suspected insurance fraud in many hospitals in Taihe, Anhui Province.

On December 18th, the National Medical Insurance Bureau and National Health Commission jointly issued the Notice on Looking Back on the Special Governance of Designated Medical Institutions. The notice pointed out that recently, the news media exposed the induced hospitalization and false hospitalization of some designated medical institutions in Taihe County, Anhui Province. The nature is bad and the impact is extremely bad, reflecting that the special governance is not deep enough, the situation of fraudulent insurance is still grim, and there are still loopholes in the supervision of medical insurance funds. We must take this as a lesson and resolutely put an end to such problems from happening again.

It is mentioned in the notice that from the date of publication to January 31st, 221, a nationwide special governance "Looking Back" will be launched for designated medical institutions, focusing on cracking down on fraudulent insurance fraud such as induced hospitalization and false hospitalization. The scope of the special governance "Looking Back" will cover all designated medical institutions with medical insurance in China.

Extended information

Eight people in Taihe hospitals were arrested for allegedly defrauding insurance:

On December 16, Fuyang Medical Insurance Bureau released the latest news: The Fuyang Municipal Party Committee and Municipal Government attached great importance to the media report on December 14 that "many hospitals in Taihe County were suspected of defrauding insurance". According to the arrangement of the main leaders of Fuyang Municipal Party Committee and Municipal Government, On the morning of the 14th, a joint investigation team composed of the deputy mayor in charge, the Municipal Commission for Discipline Inspection and Supervision, and the municipal public security, medical insurance, health and other departments was set up. It was stationed in Taihe County for the first time to guide and urge the local government to quickly investigate and dispose of it. The county discipline inspection and supervision and public security organs have investigated the suspects according to the rules and regulations and taken measures.

the follow-up of the investigation and handling will be announced to the public in a timely manner. At the same time, according to the requirements of the higher-level medical insurance regulatory authorities, special investigations and rectifications will be deployed throughout the city, fraud and insurance fraud will be severely investigated, supervision of medical insurance funds will be strengthened, and a long-term mechanism for the safe operation of medical insurance funds will be established to safeguard and guarantee the safety of medical insurance funds. ?

It is understood that as of December 19th, the public security organs in Taihe County have criminally detained eight people, and the director of the Fifth People's Hospital in Taihe County has been examined and investigated by the Commission for Discipline Inspection and taken lien measures. The main leaders of three private hospitals, Puji Chinese Medicine Hospital, Dongfang Hospital and Hemei Hospital, are under investigation. The specific amount of hospital insurance fraud is still under further verification.

Beijing News-A number of hospitals in Taihe, Anhui Province are suspected of defrauding insurance: eight people were detained, and the director of a hospital was detained by the Commission for Discipline Inspection for investigation.