最高法发布典型案例依法严惩医保骗保犯罪

Group 1 - The Supreme People's Court has showcased its determination to combat medical insurance fraud and protect the safety of the medical insurance fund, emphasizing the responsibility to safeguard the legitimate rights and interests of the public [1] - In a specific case, the actual controller of a private hospital in Shanxi, Ai Mouzhong, was involved in fraudulent activities that inflated hospitalization costs by over 9.7 million yuan, with 2 million yuan remaining unpaid, leading to a prison sentence of 13 years and 6 months for him and various sentences for co-defendants [1] Group 2 - Recent years have seen criminal groups engaging in non-contact methods to illegally profit from the resale of medical insurance fraudulently obtained drugs, resulting in significant losses to the medical insurance fund and potential health risks to the public [2] - In one case, defendant Dai Mouchou was sentenced to 6 years in prison and fined 120,000 yuan for selling "recovered medical insurance drugs" without the necessary licenses, with over 20,000 boxes of drugs seized by law enforcement [2] - In 2024, courts across the country concluded 1,156 cases of medical insurance fraud involving 2,299 individuals, marking a 131.2% increase in case closures year-on-year and recovering over 402 million yuan in losses to the medical insurance fund [2]