医疗机构

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多地启动省级医保飞检,药店参保人倒卖回流药纳入重点检查
Nan Fang Du Shi Bao· 2025-05-23 14:18
Core Insights - The provincial medical insurance flying inspections are being initiated across various regions, focusing on the issue of "return drugs" and fraudulent practices in medical insurance [1][2][3] Group 1: Inspection Overview - The provincial flying inspections will cover all medical service behaviors and costs from January 1, 2023, to December 31, 2024, with the possibility of extending checks to previous years or 2025 [1] - The inspections are organized in a collaborative manner involving provincial and municipal levels, with teams typically consisting of around 50 members, including experts from various fields [2] Group 2: Focus Areas - Key areas of inspection include medical institutions, retail pharmacies, insured individuals, and medical insurance handling agencies, with specific attention on self-inspection results in nine medical fields [3] - The "return drug" issue is highlighted, with a focus on tracking drug traceability codes to combat illegal resale practices [3][4] Group 3: Regulatory Actions - The inspections will lead to immediate reporting to drug regulatory authorities for any discovered illegal activities, including the sale of return drugs and counterfeit medications [4] - The National Medical Insurance Administration has previously recovered over 8 billion yuan through similar inspections, demonstrating the effectiveness of these regulatory measures [2]
存在过度诊疗等违规行为!北京7家医保定点医疗机构被处理
Yang Shi Xin Wen· 2025-05-22 16:33
Core Viewpoint - The Beijing Medical Insurance Bureau reported the results of a special inspection aimed at combating fraud in medical insurance, revealing that seven medical institutions engaged in various illegal activities, resulting in losses to the medical insurance fund ranging from tens of thousands to hundreds of thousands of yuan. All misappropriated funds have been recovered [1] Group 1: Specific Violations by Medical Institutions - Beijing Jingda Hospital assisted others in impersonating patients to defraud the medical insurance fund, resulting in a loss of 167,200 yuan. The hospital was ordered to return the funds and pay a fine of 334,500 yuan, along with a six-month suspension of its agreement [2] - Beijing Changping Huiren Hospital fabricated medical service items to defraud the medical insurance fund, leading to a loss of 92,291.44 yuan. The hospital was ordered to return the funds and pay a fine of 369,100 yuan, with a six-month suspension of its agreement [3] - Beijing Jingbei Hospital engaged in excessive diagnosis and treatment, duplicate charging, and included non-reimbursable medical expenses in the medical insurance fund, causing a loss of 1,015,700 yuan. The hospital was ordered to return the funds and pay a fine of 1,015,700 yuan [4] - Beijing Cerebrovascular Disease Hospital also committed excessive diagnosis and treatment, duplicate charging, and included non-reimbursable medical expenses, resulting in a loss of 664,600 yuan. The hospital was ordered to return the funds and pay a fine of 664,600 yuan [5] - Beijing Si Hui Traditional Chinese Medicine Hospital was found to have similar violations, causing a loss of 425,400 yuan, and was ordered to return the funds and pay a fine of 425,400 yuan [6] - Beijing Zhongke Yinyi Property Management Co., Ltd. Health Center violated diagnostic norms and included non-reimbursable medical expenses, leading to a loss of 362,700 yuan. The center was ordered to return the funds and pay a fine of 362,700 yuan [7] Group 2: Other Violations - Beijing Beiya Orthopedic Hospital's Western medicine practitioners illegally prescribed traditional Chinese medicine decoctions without the necessary qualifications, resulting in the recovery of over 7.84 million yuan for the improperly prescribed items [8]
【西街观察】健康证“给钱就办”是挑战公共卫生防线
Bei Jing Shang Bao· 2025-05-13 14:55
Core Viewpoint - The article highlights the serious issues surrounding the issuance of health certificates in medical institutions, revealing widespread violations that compromise public safety and health standards [1][2][3]. Group 1: Issues in Health Certificate Issuance - Some medical institutions are found to be compressing health examination items, allowing certificates to be issued in less than an hour, undermining the integrity of the health certification process [1][3]. - There are instances of outright forgery, where fake health certificates are produced, particularly by labor intermediaries and examination centers, creating a "health certificate black market" [1][3][4]. - The demand for health certificates has surged due to the growth of service industries like home care and food delivery, leading to unethical practices among some medical institutions and labor intermediaries [3][4]. Group 2: Regulatory Failures - The lack of stringent oversight and enforcement from regulatory bodies has allowed these violations to proliferate, with infrequent inspections and light penalties failing to deter misconduct [2][3]. - The existing regulatory framework is inadequate, leading to a situation where the costs of violating health certificate protocols are low, thus encouraging negligence and malpractice [3][4]. Group 3: Recommendations for Improvement - To strengthen the integrity of health certificate issuance, it is essential to increase the penalties for violations and establish a regular inspection mechanism [3][4]. - Implementing a unified and compliant health certificate information network could help eliminate fake certificates and ensure the authenticity of health records [4].
沈阳两家医院违规办健康证,被立案查处!医师未诊查即出证明
Nan Fang Du Shi Bao· 2025-05-13 09:38
近日,沈阳市、郑州市等多地医疗机构,被曝健康证办理过程存在各类违规情况,引发社会关注。5月 13日,南都记者从沈阳市卫生健康委员会(以下简称沈阳卫健委)获悉,经核查,相关医疗机构存在健 康证体检违规行为,已责令相关医疗机构停止从业人员健康体检业务并依法立案查处,并对机构和个人 做出行政处罚。 调查现场。 5月13日,沈阳卫健委发布通报称,11日,媒体报道国内多家医疗机构涉嫌违规办理健康证问题后,卫 健委立即组织市、区两级卫生监督执法人员对涉及沈阳市的两家医疗机构进行现场调查。 经现场核查,沈阳康民医院、辽宁省健康产业集团华晨医院存在未经医师亲自诊查出具健康证明的违规 行为,辽宁省健康产业集团华晨医院还存在未落实医疗质量安全核心制度(查对制度)的违规行为。 通报称,辖区卫生健康部门已责令沈阳康民医院、辽宁省健康产业集团华晨医院,立即停止从业人员健 康检查工作并依法立案查处,将依据相关法律法规规定对机构和个人做出行政处罚。 下一步,卫健委将组织全市所有从业人员健康检查机构展开自查,同时,开展从业人员健康检查机构专 项监督检查,重点检查未经体检办理健康证、体检项目不全、体检不规范、未落实查对制度等违规行 为,对发现 ...
北京已有近200家医疗机构提供体重管理服务
news flash· 2025-04-28 06:32
Core Viewpoint - Beijing is enhancing its weight management services through the expansion of medical institutions and community health initiatives aimed at promoting healthy weight management among citizens [1] Group 1: Medical Institutions and Services - A total of 195 medical institutions in Beijing currently provide weight management services [1] - An additional 128 medical institutions are set to introduce related services this year [1] Group 2: Community Engagement and Education - The Beijing Health Commission has established a health science expert database consisting of over 100 experts to disseminate knowledge on healthy weight management [1] - Starting in April, the commission initiated a program where nutrition experts will enter communities to conduct educational lectures themed "Healthy Weight Prevention of Chronic Diseases, Nutrition Knowledge into Communities" [1] - This year, Beijing plans to conduct 100 similar educational lectures to encourage citizens to actively manage their weight [1] Group 3: Infrastructure Development - The city will expand and renovate 4 sports parks and construct or update 60 sports facilities, including football and basketball courts [1]
全国已有合资、独资医疗机构150多家
Xin Hua Wang· 2025-04-21 12:18
国家卫生健康委医政司司长焦雅辉21日在国新办新闻发布会上表示,自服务业扩大开放综合试点工作启 动实施以来,我国通过发展外资医疗机构、引进境外医务人员等举措取得积极进展。目前,全国已有合 资、独资医疗机构150多家,短期执业的境外医务人员1500多人。 焦雅辉说,下一步将指导试点地区卫生健康部门扎扎实实落实好试点任务,积极推进商业健康保险支持 外资医疗机构发展,鼓励外资医疗机构积极参加和使用中国版国际医院评审认证标准,并以此对接国际 上的商业健康保险。同时,指导试点城市不断动态梳理总结试点情况,形成可复制可推广的经验,为进 一步扩大开放、优化政策做好充足准备。 (文章来源:新华网) 焦雅辉介绍,在商务部统筹协调下,国家卫生健康委积极推动医疗领域服务业扩大开放试点相关工作。 我国已允许香港和澳门服务提供者举办合资、独资医疗机构,允许台湾服务提供者举办合资医疗机构和 独资医院,允许外资举办合资医疗机构。2024年年底,我国出台独资医院领域扩大开放试点工作方案, 允许在北京、天津、上海等9个省市设立外商独资医院。 据介绍,外资医疗机构一方面为优化营商环境、满足当地居民多层次多样化健康服务需求发挥积极作 用;另一方面, ...