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【国家医保局】启动医保基金管理专项整治“百日行动”
Yang Shi Wang·2025-09-25 20:13

Core Viewpoint - The National Healthcare Security Administration (NHSA) has initiated a "100-day action" to address prominent issues in medical insurance fund management and long-term care insurance services, effective immediately until December 31 of this year [1] Group 1: Medical Insurance Fund Management - A comprehensive governance initiative will be launched to tackle the issue of reselling medical insurance drugs, focusing on fraudulent practices by designated medical institutions, including falsifying prescriptions and illegal sales of medical insurance drugs [1] - The action will include special investigations into excessive prescription practices, monitoring abnormal prescription and purchase behaviors through drug traceability code data [1] - There will be a targeted effort to combat fraudulent claims related to maternity allowances [1]