In May this year, the National Medical Insurance Bureau issued the "Notice on the Unannounced Inspection of the Medical Security Fund in 2022" and said that in the second half of this year, the National Medical Insurance Bureau, the Ministry of Finance, the National Health Commission, and the State Administration of Traditional Chinese Medicine will jointly organize and carry out unannounced inspections of medical insurance funds, covering 31 provinces across the country.
For example, on September 19, the Bozhou Municipal Medical Insurance Bureau of Anhui Province issued an announcement that the Yicheng District Medical Insurance Bureau recently established a special inspection team to carry out on-site inspections
of designated retail pharmacies in its jurisdiction.
The inspection focuses on medical insurance settlement system, invoicing and inventory management system, placement of prescription drug cabinets, clear price marking of drugs, and medical insurance monitoring and operation
.
On September 26, the website of the Taibai County People's Government of Shaanxi Province published an article that the local medical insurance department concentrated on carrying out a special inspection
of designated pharmacies in the county to combat insurance fraud and fraud.
In addition, recently, the Jingshan Medical Security Fund Verification Center also organized special inspection classes to go to all townships in the city and carried out special inspections
of 26 designated retail pharmacies for medical insurance chronic diseases in the jurisdiction.
It is worth noting that at present, after inspections in many places, a number of cases of violation of
regulations by designated medical institutions have been exposed one after another.
For example, in the September "Special Management Inspection to Combat Insurance Fraud and Fraud" operation in Hanyuan County, Sichuan Province, 37 local designated pharmacies were punished
for violating medical insurance agreements.
According to the exposure information, the main violations of the above-mentioned designated pharmacies involve the use of medical insurance certificates to purchase cosmetics, daily necessities, and nutritional products; selling prescription drugs without a prescription; The ratio of drug purchase, sales and inventory does not comply with the regulations; Business hours licensed pharmacists are not on duty
.
On October 14, the Huazhou Municipal Government website announced two batches of announcements on the suspension of designated retail pharmacy service agreements, and a total of 22 pharmacies were suspended by the Huazhou Medical Security Management Center
.
The termination of the service agreement was mainly due to the fact that these pharmacies violated the service agreement of designated retail pharmacies by the absence of licensed pharmacists during business hours, the inability to print out the details of POS medical insurance consumption according to regulations, the sale of prescription drugs without prescription slips, the payment of non-pharmaceutical medical insurance personal account social security cards, the doctors who sit in the hall to see patients or give injections, and the failure to cooperate with examinations
.
On October 8, Yingjing County in Sichuan Province announced a number of cases of violations of laws and regulations by designated medical institutions, and 11 designated pharmacies were interviewed by regulatory authorities for rectification
for violating medical insurance agreements.
The combing found that the 11 designated pharmacies were all chain franchised stores, and the main violation content was "inconsistency between the medical insurance card records and the sales information of the pharmacy management system"
.
In September, the Medical Insurance Bureau of Fuxin Mongolian Autonomous County in Liaoning Province issued a document saying that after inspection, 17 local designated pharmacies violated the provisions of the agreement, such as the absence of pharmacists, the sale of prescriptions without a prescription, the inability to provide prescriptions, the unstamped prescriptions, the incomplete filling of prescriptions
, and the writing of prescriptions by others.
In general, the medical insurance fund market is directly related to the insured people's medical treatment, and through the continuous random inspection of designated medical institutions by the state and even in various places, the effectiveness of supervision will be further improved and the use
of medical insurance funds will be better guaranteed.
={"common":{"bdSnsKey":{},"bdText":"","bdMini":"1","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"32"},"share":{},"image":{"viewList":[" weixin","sqq","qzone","tsina","tqq","tsohu","tieba","renren","youdao","fx","ty","fbook","twi","copy","print"],"viewText":"Share to:","viewSize":"24"},"selectShare":{" bdContainerClass":null,"bdSelectMiniList":["weixin","sqq","qzone","tsina","tqq","tsohu","tieba","renren","youdao","fx","ty","fbook","twi","copy","print"]}}; with(document)0[(getElementsByTagName('head')[0]|| body).
appendChild(createElement('script')).
src='http://bdimg.
share.
baidu.
com/static/api/js/share.
js?v=89860593.
js?cdnversion='+~(-new Date()/36e5)]; 
