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For this reason, thousands of pharmacies on the ground were checked, and many "non-drugs" were banned from entering the storethis year, the situation of combating fraudulent insurance has not come to an end, in order to make reasonable use of medical insurance funds, fixed-point medical institutions and fixed-point pharmacies have become the main regulatory object of the regulatory authoritiesyesterday, in the Guizhou Provincial People's Government Network and the contemporary pioneer network jointly created by the "provincial people's government online interview" column, Guizhou Provincial Medical Security Bureau party group member, deputy director Chen Wei introduced to reporters this year, Guizhou Province to combat fraud and insurance behavior of the initial resultshigh pressure continued until December this year
it is learned that Guizhou Provincial Health Insurance Bureau to crack down on fraudulent fraud of medical insurance fund behavior as the starting point, the united health, public security, drug supervision and other departments, in September last year to carry out a good situation to combat fraud and insurance, the first quarter of 2019 continued to advance in depth, heavy-handed, practical, comprehensive "to combat fraud fraud medical insurance fund re-action."as of the end of March, the province to inspect a total of 11,172 designated medical institutions, of which 8410 on-site inspection3,892 illegal fixed-point medical institutions were processed, of which 635 were suspended from medical insurance services, 49 were dissolved and 63 administrative penalties were imposed;this high-pressure posture will not stop, as planned until at least Decemberfrom April 2019, the relevant departments in the province-wide to carry out an eight-month anti-fraud fraud insurance special management, to achieve the fixed-point pharmaceutical institutions on-site inspection of full coverage, continue to maintain the high-pressure situation to combat fraud fraud insuranceat present, the province has checked 9338 fixed-point medical institutions, handling 3,395 medical institutions;strict supervision of fixed-point medical insurance pharmacies, in addition to the lifting of agreements, suspension of settlement, and even the transfer of judicial organs, many areas of fixed-point pharmacies "non-drugs" is directly off the shelvesfixed-point pharmacies banned the sale of "non-drugs"recently, the Zhejiang Provincial Medical Security Bureau issued "on the public request for "Zhejiang Province basic medical insurance fixed-point drugstore management interim measures (draft for comments)" advice and recommendations of the announcement, for the fixed-point medical insurance drugstores declaration conditions, put forward the following requirements:, Article 4 clear: daily necessities, cosmetics, health care products are not allowed to enter the fixed-point pharmacythis will mean: if pharmacies want to declare as fixed-point health insurance pharmacies, in addition to meeting other relevant conditions, household goods, health care products and other "non-drugs" will be absolutely prohibited from the store salesThe reasonbehind behind the, in addition to taking into account the professionalism of pharmacies, to avoid the risk of stealing medical insurance funds, has also become an important aspect, and even this has become the main reason for the current ban on non-drug sales in many places in addition to Zhejiang, fixed-point pharmacies in Guizhou Province also limited the sale of "non-drug" At the end of July 2019, the Guizhou Provincial Medical Security Bureau issued a Notice on adjusting health care products to the scope of payment of individual accounts for basic medical insurance for employees "Notice" provisions, from August 12, Guizhou Province, the fixed-point drugstores will not be able to use the employee's personal account to buy health care products Among the , article 4, paragraph 2, of the Notice, lists "stealing medical security credentials, withdrawing cash for insured persons or purchasing nutritional health care products, cosmetics, household items and other non-medical items" as fraudulent insurance practices involving fixed-point retail pharmacies and "non-drug" can be stored for sale, the industry has also been controversial, due to differences in health insurance territorial management policies, the management of fixed-point pharmacies around the management is not uniform but from the strict control of health insurance funds, as well as the trend of centralized drugstore procurement in many provinces, fixed-point pharmacies " non-drug" sales management may become more and more difficult The National Health Insurance Administration, which is itself centralized in procurement, pricing and payment, will also likely gradually tighten the management of the collection and sale of varieties in pharmacies in the future.