严查欺诈骗保！国家医保局开展“百日行动”

Core Points - The National Medical Insurance Administration (NMIA) is launching a nationwide "100-day action" to combat illegal activities related to the misuse of medical insurance funds, particularly focusing on the resale of returned drugs, excessive prescriptions, and fraudulent claims for maternity benefits [1] Group 1: Key Focus Areas - The "100-day action" will run from September 24, 2025, to December 31, 2025, targeting three main issues: resale of returned drugs, excessive prescriptions, and fraudulent maternity benefit claims [1] - In addressing the resale of returned drugs, the action will focus on investigating practices such as falsifying prescriptions, misuse of medical insurance vouchers, and illegal sales of medical insurance drugs by both medical institutions and insured individuals [1] - For excessive prescription issues, the action will monitor abnormal prescription and purchase behaviors using drug traceability data, particularly focusing on cases that exceed clinically reasonable usage [1] Group 2: Implementation and Coordination - The NMIA emphasizes the importance of digital empowerment, enhanced coordination, and strict legal enforcement to ensure the effective implementation of the "100-day action" [1] - Local medical insurance departments are required to strengthen their efforts in addressing these issues and ensure that the objectives of the "100-day action" are met [1]