加强医保基金监管 这些行为将被移送公安机关

Core Viewpoint - The National Healthcare Security Administration (NHSA) has released the implementation details of the "Regulations on the Supervision and Management of Medical Security Fund Usage," aiming to establish an intelligent supervision management system for medical security funds [1] Group 1: Regulatory Framework - The NHSA requires the establishment of a comprehensive intelligent regulatory system that integrates pre-, during-, and post-event supervision across all processes, fields, and chains [1] - The regulations specify that any behavior suspected of violating public security management or constituting a crime must be promptly reported to law enforcement, including fraudulent activities related to insurance claims and the sale of medical products [1] Group 2: Responsibilities of Healthcare Institutions - Healthcare management institutions are mandated to fulfill their contractual management responsibilities by implementing various auditing measures, including daily reviews, intelligent audits, spot checks, and verifications of expenses claimed by designated medical institutions [1]