Core Viewpoint - The Supreme People's Court of China has announced strict measures to combat medical insurance fraud in 2024, emphasizing the protection of medical insurance funds and the legitimate rights of the public [1][2]. Group 1: Measures and Actions - The Supreme People's Court has drafted guiding opinions on handling medical insurance fraud cases, clarifying the legal application, punishment, and case handling requirements [2]. - A special rectification campaign for illegal activities related to medical insurance funds will be conducted in collaboration with the National Medical Insurance Administration [2]. - In 2024, courts across the country 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 [2]. Group 2: Typical Cases - Case 1: A private hospital in Shanxi fraudulently obtained over 9.7 million yuan by inflating drug prices and creating false medical records. Key individuals received prison sentences ranging from four years to thirteen and a half years [3]. - Case 2: A hospital in Chongqing defrauded over 3.9 million yuan by offering free or low-cost hospital stays and manipulating medical records. The responsible individual was sentenced to twelve years in prison [4][5]. - Case 3: An individual sold "recovered" medical insurance drugs without proper licenses, earning over 340,000 yuan. The individual was sentenced to six years in prison [6][7]. - Case 4: An individual exploited medical insurance policies to fraudulently obtain drugs worth over 220,000 yuan, receiving a sentence of three years and two months [8][9].
免费住院治疗?医院向“大额病人”返利?最高法严惩医保骗保
Yang Shi Xin Wen·2025-08-05 02:54