国家医保局曝光！

Core Viewpoint - The article emphasizes the importance of safeguarding the medical insurance fund, which is crucial for the public's healthcare needs, and highlights the government's zero-tolerance policy towards fraudulent activities related to medical insurance [2]. Group 1: Fraud Cases - In Jiangsu Province, a case involved an individual named Jing who exploited special disease insurance benefits by faking medication needs and selling high-priced drugs, resulting in a loss of over 280,000 yuan to the medical insurance fund [3]. - In Guizhou Province, Zhao orchestrated a scheme where he instructed patients to over-prescribe medications and then sold them, leading to a total loss of 282,392.52 yuan from the medical insurance fund [4][5]. - In Jiangxi Province, an individual named Xiao used another person's social security card to fraudulently obtain and sell medication, causing a loss of 75,613.44 yuan to the medical insurance fund [6]. - In Shaanxi Province, Peng exploited the medical insurance benefits of deceased individuals to sell drugs, resulting in a loss of 60,769.96 yuan [7]. - In Gansu Province, a person named Heng created a network to sell medications using others' insurance information, defrauding the medical insurance fund of 369,772.72 yuan [9]. - In Sichuan Province, Qian used the identity of a deceased person to obtain and sell medication, causing a loss of 13,815.90 yuan [10]. - In Fujian Province, a group of patients conspired to over-prescribe medications and sell them, leading to a total loss of 331,962.42 yuan from the medical insurance fund [11][12]. - In Qinghai Province, Bai was found to have fraudulently used another person's identity to claim medical expenses, resulting in a loss of 37,879.4 yuan [13]. - In Ningxia, an individual named Ou allowed others to use his social security card for fraudulent claims, involving 11,984.66 yuan [14]. - In Hunan Province, Li and a pharmacy owner colluded to forge documents and defraud the medical insurance fund of 35,000 yuan [15]. - In Inner Mongolia, Ma was found to have submitted forged medical records to claim benefits, resulting in a loss of 7,953 yuan [16]. Group 2: Government Actions - The National Medical Insurance Administration has taken a strong stance against fraud, showcasing a series of typical cases to educate the public and deter similar activities [2][17]. - The article highlights the collaboration between medical insurance departments and law enforcement to investigate and prosecute fraudulent activities, ensuring accountability and recovery of lost funds [3][4][5][6][7][8][9][10][11][12][13][14][15][16].