Core Viewpoint - The National Healthcare Security Administration (NHSA) has issued a new notification to strengthen the management of designated medical institutions under the medical insurance system, aiming to ensure that every penny of medical insurance funds is spent meaningfully [1] Group 1: Entry Standards for Designated Medical Institutions - The notification specifies stricter application conditions for medical institutions seeking to become designated under the medical insurance system, including the mandatory use of drug and consumable traceability codes [2] - Newly designated institutions will undergo a 6-month trial period, during which compliance with relevant policies will be monitored, with potential extensions or terminations of agreements based on performance [2] Group 2: Daily Management and Monitoring - The NHSA has initiated intelligent supervision reforms to enhance the management of designated medical institutions, including pre-emptive reminders for uploaded expenses [2] - A "driving license" point system will be implemented for personnel at designated institutions, with penalties for accumulating points over a year [2] Group 3: Utilization of Medical Insurance Funds - The notification prohibits practices that force patients to purchase medications or supplies outside the hospital, ensuring that necessary medical services are not reduced [3] - Special provisions will be made for vulnerable groups, including separate designated facilities for low-income patients and monitoring for those with high hospitalization rates [3] Group 4: Exit Mechanism for Designated Medical Institutions - Clear criteria for the exit of designated medical institutions have been established, including actions that may lead to suspension or termination of agreements due to fraudulent activities [6] - Local healthcare departments are actively working on exit mechanisms, with processes in place for institutions that voluntarily withdraw from the program [6] - The NHSA emphasizes a comprehensive management approach from entry to exit, ensuring that medical insurance funds are effectively utilized [6]