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Shandong has strictly investigated and dealt with the illegal use of medical insurance funds and cracked down on fraud and fraud by carrying out a special campaign against fraud and defrauding insurance and a special investigation and rectification campaign for the use and management of medical insurance funds
.
In 2021, the province will inspect a total of 68,976 designated medical institutions, suspend 1,563 medical insurance settlements, cancel 720 medical insurance agreements, impose administrative fines on 530, and impose a fine of 23.
6745 million yuan (RMB, the same below), and recover 1.
542 billion medical insurance funds.
32 typical cases were exposed, forming a powerful deterrent
.
.
In 2021, the province will inspect a total of 68,976 designated medical institutions, suspend 1,563 medical insurance settlements, cancel 720 medical insurance agreements, impose administrative fines on 530, and impose a fine of 23.
6745 million yuan (RMB, the same below), and recover 1.
542 billion medical insurance funds.
32 typical cases were exposed, forming a powerful deterrent
.
The Shandong Provincial People's Government held a press conference on the 5th to interpret the "Measures for the Supervision and Administration of Medical Security Funds in Shandong Province" (hereinafter referred to as the "Measures")
.
Guo Jishui, deputy director of the Shandong Provincial Medical Insurance Bureau, said that the "Measures" further strengthened the supervision of medical insurance fund raising management and agreement constraints .
, Make clear regulations for the implementation of centralized procurement of medical consumables
.
.
Guo Jishui, deputy director of the Shandong Provincial Medical Insurance Bureau, said that the "Measures" further strengthened the supervision of medical insurance fund raising management and agreement constraints .
, Make clear regulations for the implementation of centralized procurement of medical consumables
.
Guo Jishui said that the "Measures" focus on key objects such as designated medical institutions, grass-roots medical and health institutions, and designated medical institutions in medical and nursing institutions, and resolutely investigate and deal with illegal use of migrant workers and deceased identity information to obtain medical insurance outpatient pooling funds.
Violations, and malicious fraudulent behaviors such as "fake patients, fake medical conditions, and fake bills"
.
At the same time, focus on areas with high incidence of fraud and insurance fraud, such as hemodialysis, exchange of drugs, and use of high-value medical consumables, and strengthen the supervision of irregularities such as abnormal medical expense growth, use of high-value drug consumables, excessive diagnosis and treatment inspections, and personal overdose
.
Violations, and malicious fraudulent behaviors such as "fake patients, fake medical conditions, and fake bills"
.
At the same time, focus on areas with high incidence of fraud and insurance fraud, such as hemodialysis, exchange of drugs, and use of high-value medical consumables, and strengthen the supervision of irregularities such as abnormal medical expense growth, use of high-value drug consumables, excessive diagnosis and treatment inspections, and personal overdose
.
"The "Measures" also focus on major cases such as the use of anti- tumor targeted drugs included in medical insurance, tampering with the genetic test results of tumor patients, illegal cash payment of medical insurance cards, and taking advantage of the opportunity to enjoy medical insurance benefits to resell medical insurance drugs and obtain illegal benefits
.
" Guo Jishui Said that the supervision of medical insurance funds focuses on areas with high incidence of fraud and insurance fraud, clues to major problems, and key targets for the use of medical insurance funds.
.
.
" Guo Jishui Said that the supervision of medical insurance funds focuses on areas with high incidence of fraud and insurance fraud, clues to major problems, and key targets for the use of medical insurance funds.
.
Guo Jishui said that in terms of raising and using long-term care funds, Shandong is a province with a large elderly population, and there is a greater demand for basic living care and closely related medical care services for long-term disabled people
.
As one of the two key provinces for long-term care insurance pilot projects in the country, 16 cities and provinces in the province have achieved full coverage of long-term care insurance for employees
.
On the basis of summarizing the pilot experience, the "Measures" stipulates the establishment of a multi-channel fundraising mechanism for long-term care; for insured persons who apply for long-term care needs, if they are assessed and found to be eligible, the nursing institution that has signed a service agreement can provide nursing services
.
.
As one of the two key provinces for long-term care insurance pilot projects in the country, 16 cities and provinces in the province have achieved full coverage of long-term care insurance for employees
.
On the basis of summarizing the pilot experience, the "Measures" stipulates the establishment of a multi-channel fundraising mechanism for long-term care; for insured persons who apply for long-term care needs, if they are assessed and found to be eligible, the nursing institution that has signed a service agreement can provide nursing services
.
In terms of the implementation of the centralized procurement policy, Shandong has fully implemented the centralized procurement policy of drugs and medical consumables, which has saved a total of 18.
5 billion yuan in medical expenses, and the burden of medical expenses on patients has been greatly reduced
.
The "Measures" stipulate that designated pharmaceutical institutions shall, in accordance with the national and provincial regulations on centralized procurement of drugs and medical consumables, standardize the procurement behavior of drugs and medical consumables, settle and pay for goods in a timely manner, and complete the agreed procurement volume of selected products in centralized and volume-based procurement
.
5 billion yuan in medical expenses, and the burden of medical expenses on patients has been greatly reduced
.
The "Measures" stipulate that designated pharmaceutical institutions shall, in accordance with the national and provincial regulations on centralized procurement of drugs and medical consumables, standardize the procurement behavior of drugs and medical consumables, settle and pay for goods in a timely manner, and complete the agreed procurement volume of selected products in centralized and volume-based procurement
.
It is understood that by the end of 2021, the number of urban and rural residents and employees in Shandong Province will reach 97.
324 million, basically achieving universal coverage
.
(Finish)
324 million, basically achieving universal coverage
.
(Finish)
Shandong has strictly investigated and dealt with the illegal use of medical insurance funds and cracked down on fraud and fraud by carrying out a special campaign against fraud and defrauding insurance and a special investigation and rectification campaign for the use and management of medical insurance funds
.
In 2021, the province will inspect a total of 68,976 designated medical institutions, suspend 1,563 medical insurance settlements, cancel 720 medical insurance agreements, impose administrative fines on 530, and impose a fine of 23.
6745 million yuan (RMB, the same below), and recover 1.
542 billion medical insurance funds.
32 typical cases were exposed, forming a powerful deterrent
.
.
In 2021, the province will inspect a total of 68,976 designated medical institutions, suspend 1,563 medical insurance settlements, cancel 720 medical insurance agreements, impose administrative fines on 530, and impose a fine of 23.
6745 million yuan (RMB, the same below), and recover 1.
542 billion medical insurance funds.
32 typical cases were exposed, forming a powerful deterrent
.
The Shandong Provincial People's Government held a press conference on the 5th to interpret the "Measures for the Supervision and Administration of Medical Security Funds in Shandong Province" (hereinafter referred to as the "Measures")
.
Guo Jishui, deputy director of the Shandong Provincial Medical Insurance Bureau, said that the "Measures" further strengthened the supervision of medical insurance fund raising management and agreement constraints .
, Make clear regulations for the implementation of centralized procurement of medical consumables
.
.
Guo Jishui, deputy director of the Shandong Provincial Medical Insurance Bureau, said that the "Measures" further strengthened the supervision of medical insurance fund raising management and agreement constraints .
, Make clear regulations for the implementation of centralized procurement of medical consumables
.
Guo Jishui said that the "Measures" focus on key objects such as designated medical institutions, grass-roots medical and health institutions, and designated medical institutions in medical and nursing institutions, and resolutely investigate and deal with illegal use of migrant workers and deceased identity information to obtain medical insurance outpatient pooling funds.
Violations, and malicious fraudulent behaviors such as "fake patients, fake medical conditions, and fake bills"
.
At the same time, focus on areas with high incidence of fraud and insurance fraud, such as hemodialysis, exchange of drugs, and use of high-value medical consumables, and strengthen the supervision of irregularities such as abnormal medical expense growth, use of high-value drug consumables, excessive diagnosis and treatment inspections, and personal overdose
.
Violations, and malicious fraudulent behaviors such as "fake patients, fake medical conditions, and fake bills"
.
At the same time, focus on areas with high incidence of fraud and insurance fraud, such as hemodialysis, exchange of drugs, and use of high-value medical consumables, and strengthen the supervision of irregularities such as abnormal medical expense growth, use of high-value drug consumables, excessive diagnosis and treatment inspections, and personal overdose
.
"The "Measures" also focus on major cases such as the use of anti- tumor targeted drugs included in medical insurance, tampering with the genetic test results of tumor patients, illegal cash payment of medical insurance cards, and taking advantage of the opportunity to enjoy medical insurance benefits to resell medical insurance drugs and obtain illegal benefits
.
" Guo Jishui Said that the supervision of medical insurance funds focuses on areas with high incidence of fraud and insurance fraud, clues to major problems, and key targets for the use of medical insurance funds.
.
.
" Guo Jishui Said that the supervision of medical insurance funds focuses on areas with high incidence of fraud and insurance fraud, clues to major problems, and key targets for the use of medical insurance funds.
.
Guo Jishui said that in terms of raising and using long-term care funds, Shandong is a province with a large elderly population, and there is a greater demand for basic living care and closely related medical care services for long-term disabled people
.
As one of the two key provinces for long-term care insurance pilot projects in the country, 16 cities and provinces in the province have achieved full coverage of long-term care insurance for employees
.
On the basis of summarizing the pilot experience, the "Measures" stipulates the establishment of a multi-channel fundraising mechanism for long-term care; for insured persons who apply for long-term care needs, if they are assessed and found to be eligible, the nursing institution that has signed a service agreement can provide nursing services
.
.
As one of the two key provinces for long-term care insurance pilot projects in the country, 16 cities and provinces in the province have achieved full coverage of long-term care insurance for employees
.
On the basis of summarizing the pilot experience, the "Measures" stipulates the establishment of a multi-channel fundraising mechanism for long-term care; for insured persons who apply for long-term care needs, if they are assessed and found to be eligible, the nursing institution that has signed a service agreement can provide nursing services
.
In terms of the implementation of the centralized procurement policy, Shandong has fully implemented the centralized procurement policy of drugs and medical consumables, which has saved a total of 18.
5 billion yuan in medical expenses, and the burden of medical expenses on patients has been greatly reduced
.
The "Measures" stipulate that designated pharmaceutical institutions shall, in accordance with the national and provincial regulations on centralized procurement of drugs and medical consumables, standardize the procurement behavior of drugs and medical consumables, settle and pay for goods in a timely manner, and complete the agreed procurement volume of selected products in centralized and volume-based procurement
.
5 billion yuan in medical expenses, and the burden of medical expenses on patients has been greatly reduced
.
The "Measures" stipulate that designated pharmaceutical institutions shall, in accordance with the national and provincial regulations on centralized procurement of drugs and medical consumables, standardize the procurement behavior of drugs and medical consumables, settle and pay for goods in a timely manner, and complete the agreed procurement volume of selected products in centralized and volume-based procurement
.
It is understood that by the end of 2021, the number of urban and rural residents and employees in Shandong Province will reach 97.
324 million, basically achieving universal coverage
.
(Finish)
324 million, basically achieving universal coverage
.
(Finish)
Shandong has strictly investigated and dealt with the illegal use of medical insurance funds and cracked down on fraud and fraud by carrying out a special campaign against fraud and defrauding insurance and a special investigation and rectification campaign for the use and management of medical insurance funds
.
In 2021, the province will inspect a total of 68,976 designated medical institutions, suspend 1,563 medical insurance settlements, cancel 720 medical insurance agreements, impose administrative fines on 530, and impose a fine of 23.
6745 million yuan (RMB, the same below), and recover 1.
542 billion medical insurance funds.
32 typical cases were exposed, forming a powerful deterrent
.
.
In 2021, the province will inspect a total of 68,976 designated medical institutions, suspend 1,563 medical insurance settlements, cancel 720 medical insurance agreements, impose administrative fines on 530, and impose a fine of 23.
6745 million yuan (RMB, the same below), and recover 1.
542 billion medical insurance funds.
32 typical cases were exposed, forming a powerful deterrent
.
The Shandong Provincial People's Government held a press conference on the 5th to interpret the "Measures for the Supervision and Administration of Medical Security Funds in Shandong Province" (hereinafter referred to as the "Measures")
.
Guo Jishui, deputy director of the Shandong Provincial Medical Insurance Bureau, said that the "Measures" further strengthened the supervision of medical insurance fund raising management and agreement constraints .
, Make clear regulations for the implementation of centralized procurement of medical consumables
.
standard standard standard.
Guo Jishui, deputy director of the Shandong Provincial Medical Insurance Bureau, said that the "Measures" further strengthened the supervision of medical insurance fund raising management and agreement constraints .
, Make clear regulations for the implementation of centralized procurement of medical consumables
.
Guo Jishui said that the "Measures" focus on key objects such as designated medical institutions, grass-roots medical and health institutions, and designated medical institutions in medical and nursing institutions, and resolutely investigate and deal with illegal use of migrant workers and deceased identity information to obtain medical insurance outpatient pooling funds.
Violations, and malicious fraudulent behaviors such as "fake patients, fake medical conditions, and fake bills"
.
At the same time, focus on areas with high incidence of fraud and insurance fraud, such as hemodialysis, exchange of drugs, and use of high-value medical consumables, and strengthen the supervision of irregularities such as abnormal medical expense growth, use of high-value drug consumables, excessive diagnosis and treatment inspections, and personal overdose
.
Violations, and malicious fraudulent behaviors such as "fake patients, fake medical conditions, and fake bills"
.
At the same time, focus on areas with high incidence of fraud and insurance fraud, such as hemodialysis, exchange of drugs, and use of high-value medical consumables, and strengthen the supervision of irregularities such as abnormal medical expense growth, use of high-value drug consumables, excessive diagnosis and treatment inspections, and personal overdose
.
"The "Measures" also focus on major cases such as the use of anti- tumor targeted drugs included in medical insurance, tampering with the genetic test results of tumor patients, illegal cash payment of medical insurance cards, and taking advantage of the opportunity to enjoy medical insurance benefits to resell medical insurance drugs and obtain illegal benefits
.
" Guo Jishui Said that the supervision of medical insurance funds focuses on areas with high incidence of fraud and insurance fraud, clues to major problems, and key targets for the use of medical insurance funds.
.
tumor tumor tumor.
" Guo Jishui Said that the supervision of medical insurance funds focuses on areas with high incidence of fraud and insurance fraud, clues to major problems, and key targets for the use of medical insurance funds.
.
Guo Jishui said that in terms of raising and using long-term care funds, Shandong is a province with a large elderly population, and there is a greater demand for basic living care and closely related medical care services for long-term disabled people
.
As one of the two key provinces for long-term care insurance pilot projects in the country, 16 cities and provinces in the province have achieved full coverage of long-term care insurance for employees
.
On the basis of summarizing the pilot experience, the "Measures" stipulates the establishment of a multi-channel fundraising mechanism for long-term care; for insured persons who apply for long-term care needs, if they are assessed and found to be eligible, the nursing institution that has signed a service agreement can provide nursing services
.
.
As one of the two key provinces for long-term care insurance pilot projects in the country, 16 cities and provinces in the province have achieved full coverage of long-term care insurance for employees
.
On the basis of summarizing the pilot experience, the "Measures" stipulates the establishment of a multi-channel fundraising mechanism for long-term care; for insured persons who apply for long-term care needs, if they are assessed and found to be eligible, the nursing institution that has signed a service agreement can provide nursing services
.
In terms of the implementation of the centralized procurement policy, Shandong has fully implemented the centralized procurement policy of drugs and medical consumables, which has saved a total of 18.
5 billion yuan in medical expenses, and the burden of medical expenses on patients has been greatly reduced
.
The "Measures" stipulate that designated pharmaceutical institutions shall, in accordance with the national and provincial regulations on centralized procurement of drugs and medical consumables, standardize the procurement behavior of drugs and medical consumables, settle and pay for goods in a timely manner, and complete the agreed procurement volume of selected products in centralized and volume-based procurement
.
Medicines , Medicines , Medicines, Medicines, Medicines, Medicines, Medicines, Medicines , Purchases , Purchases5 billion yuan in medical expenses, and the burden of medical expenses on patients has been greatly reduced
.
The "Measures" stipulate that designated pharmaceutical institutions shall, in accordance with the national and provincial regulations on centralized procurement of drugs and medical consumables, standardize the procurement behavior of drugs and medical consumables, settle and pay for goods in a timely manner, and complete the agreed procurement volume of selected products in centralized and volume-based procurement
.
It is understood that by the end of 2021, the number of urban and rural residents and employees in Shandong Province will reach 97.
324 million, basically achieving universal coverage
.
(Finish)
324 million, basically achieving universal coverage
.
(Finish)
