骗取医保基金、倒卖医保药品……最高法发布医保骗保犯罪典型案例

Core Viewpoint - The Supreme People's Court emphasizes the strict punishment of medical insurance fraud to protect the medical insurance fund and the legitimate rights of the public [1] Group 1: Legal Actions and Statistics - In 2024, courts nationwide concluded 1,156 cases of medical insurance fraud involving 2,299 individuals, with a year-on-year increase of 131.2%, recovering over 402 million yuan in losses [1] - The Supreme Court outlines penalties for individuals who misuse medical insurance benefits for illegal gains, including fines and suspension of medical expense settlements for 3 to 12 months [1] Group 2: Case Examples - A case involving defendant Tao Mouyun, who fraudulently obtained medical insurance funds by selling drugs without a medical history, resulted in losses exceeding 220,000 yuan [2] - Defendant Dai Mouxiu was sentenced to six years in prison for illegally purchasing and selling drugs obtained through medical insurance fraud, with total sales exceeding 340 million yuan [4][6] Group 3: Criminal Trends - The illegal acquisition and sale of drugs purchased through medical insurance fraud have become a severe issue, with organized crime groups profiting from these activities, leading to significant losses for the medical insurance fund and potential health risks for the public [3]