How much is the medical insurance fraud, and criminal responsibility shall be investigated.

Medical insurance fraud involves the illegal possession of medical insurance funds. Once the amount reaches a certain amount, it will constitute a crime and need to be investigated for criminal responsibility. The specific amount standard will be different according to the laws and regulations in different regions, but generally speaking, if the amount of insurance fraud reaches a certain amount, it may constitute fraud or other related crimes.

first, the definition and harm of medical insurance fraud

medical insurance fraud refers to the act of defrauding medical insurance funds by fictional facts, concealing the truth or other means. This behavior will not only lead to the loss of medical insurance funds, but also damage the national financial interests, and will also affect the rights and interests of patients who really need medical insurance assistance. Therefore, it is an inevitable requirement to crack down on medical insurance fraud to safeguard social fairness and justice and protect people's health rights and interests.

second, the standard of the amount of criminal responsibility

the legal provisions of different regions may be different about how much medical insurance fraud should be investigated for criminal responsibility. Generally speaking, when the amount of insurance fraud reaches a certain amount, it may constitute a crime This amount standard will usually be comprehensively considered according to local economic development level, medical insurance fund scale and other factors. In some places, it may be stipulated that a certain amount of fraudulent insurance constitutes fraud; In other places, other factors may need to be considered, such as the means and times of fraudulent insurance.

It should be noted that even if the amount of insurance fraud does not meet the standard of criminal filing, it may face administrative punishment and credit punishment. Therefore, we should be vigilant against any form of medical insurance fraud and actively cooperate with relevant departments to investigate and deal with it.

iii. measures to prevent and combat medical insurance fraud

in order to prevent and combat medical insurance fraud, we need to start from many aspects. First of all, strengthen the publicity and education of medical insurance policies, and raise the public's awareness and vigilance against medical insurance fraud. Secondly, improve the medical insurance supervision mechanism and strengthen the supervision and management of medical institutions and medical insurance agencies. In addition, the efficiency and accuracy of medical insurance management can be improved by technical means, such as establishing a medical insurance information platform and realizing information sharing.

To sum up:

Medical insurance fraud involves illegal possession of medical insurance funds. Once the amount reaches a certain amount, it may constitute a crime and need to be investigated for criminal responsibility. The specific amount standard will be different according to the legal provisions of different regions. In order to prevent and combat medical insurance fraud, we need to strengthen publicity and education, improve the supervision mechanism, and use technical means and other efforts. At the same time, the discovered medical insurance fraud should be severely cracked down according to law to safeguard social fairness and justice and protect people's health rights and interests.

Legal basis:

Article 266 of the Criminal Law of the People's Republic of China

stipulates:

Whoever defrauds public or private property in a relatively large amount shall be sentenced to fixed-term imprisonment of not more than three years, criminal detention or public surveillance, and shall also or only be fined; If the amount is huge or there are other serious circumstances, he shall be sentenced to fixed-term imprisonment of not less than three years but not more than ten years and shall also be fined; If the amount is especially huge or there are other especially serious circumstances, he shall be sentenced to fixed-term imprisonment of not less than 1 years or life imprisonment, and shall also be fined or confiscated. Where there are other provisions in this Law, such provisions shall prevail.

Article 1 of the Interpretation on Several Issues Concerning the Specific Application of Laws in Handling Criminal Cases of Fraud stipulates:

Those who defraud public or private property with a value of 3, to 1, yuan or more, 3, to 1, yuan or more, and 5, yuan or more shall be deemed as "large amount", "huge amount" and "extremely huge amount" as stipulated in Article 266 of the Criminal Law respectively. The Higher People's Courts and People's Procuratorates of all provinces, autonomous regions and municipalities directly under the Central Government may, in combination with the economic and social development of the region, jointly study and determine the specific amount standards to be implemented in the region within the amount range specified in the preceding paragraph, and report them to the Supreme People's Court and the Supreme People's Procuratorate for the record.