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Core Insights - The Supreme People's Court of China has highlighted severe penalties for medical insurance fraud, showcasing two significant cases involving private hospitals that exploited the national medical insurance fund [1][2][3] Group 1: Case Summaries - In the first case, a hospital in Chongqing, led by Du Moujun, engaged in fraudulent practices such as offering free or low-cost treatments and falsifying medical records to claim over 3.9 million yuan from the national medical insurance fund [1][2] - The second case involved Ai Mouzhong, who orchestrated a scheme at a hospital in Shanxi, inflating drug prices and creating false medical records, resulting in a fraudulent claim of over 9.7 million yuan, with 2 million yuan remaining unpaid due to the fraud being detected [2][3] Group 2: Legal Outcomes - Du Moujun was sentenced to 12 years in prison and fined 500,000 yuan for his role in the fraud, while Ai Mouzhong received a 13.5-year sentence and a similar fine [2][3] - The Supreme Court emphasized the importance of strict legal repercussions for those involved in medical insurance fraud, particularly targeting organizers and professional fraudsters [3] Group 3: Industry Implications - The cases illustrate the risks associated with private hospitals that may resort to fraudulent activities to gain financial benefits, undermining the integrity of the medical insurance system [3] - In 2024, Chinese courts processed 1,156 cases of medical insurance fraud, with a 131.2% increase in case resolution compared to the previous year, recovering over 402 million yuan in lost funds [3]