最高人民法院发布人民法院依法严惩医保骗保犯罪典型案例

Core Viewpoint - The Supreme People's Court emphasizes the importance of safeguarding the medical insurance fund, which is crucial for public health and the sustainable development of the medical security system, and outlines measures to combat medical insurance fraud [1][2]. Summary by Sections Regulatory Measures - The Supreme People's Court has drafted guiding opinions on handling medical insurance fraud cases, clarifying the legal application, punishment, and procedural requirements [1]. - A special rectification campaign for illegal activities related to medical insurance funds will be conducted in collaboration with relevant departments [1]. - Courts will strictly punish medical insurance fraud, focusing on key perpetrators and professional fraudsters [1]. Case Statistics - In 2024, courts concluded 1,156 cases involving medical insurance fraud, with a total of 2,299 individuals involved, marking a 131.2% increase in case closures year-on-year, recovering over 402 million yuan in losses [1]. Judicial Recommendations - The Supreme People's Court has issued judicial recommendations based on research to strengthen the supervision of medical insurance funds and maintain their safety [1]. Public Awareness - The court has organized press conferences to publicize typical cases of medical insurance fraud, aiming to raise public awareness and create a positive social response [1]. Case Examples - Case of Ai Mouzhong et al.: Involves a private hospital that fraudulently inflated medical costs, resulting in a total fraudulent amount of over 9.7 million yuan [3][6]. - Case of Du Moujun: A hospital director who manipulated patient admissions and falsified medical records to defraud over 3.9 million yuan from the medical insurance fund [7][8]. - Case of Dai Mouxiu: Engaged in the illegal sale of "recovered" medical insurance drugs, resulting in a conviction for concealing and disguising criminal proceeds [9][10]. - Case of Tao Mouyun and Xu Mouxia: Involved in the fraudulent acquisition of medications through the misuse of medical insurance cards, leading to significant financial losses [11][13].