胃复春胶囊

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倒卖医保药品套取现金获刑 国家医保局公布7起个人欺诈骗保案例
Yang Shi Wang· 2025-09-11 06:40
Core Viewpoint - The National Medical Insurance Administration is intensifying efforts to combat fraudulent activities related to medical insurance funds, emphasizing the importance of safeguarding public health resources and ensuring the sustainability of the medical insurance system [1][8]. Group 1: Fraud Cases - Case 1: In Shenzhen, an individual named Li exploited others' medical insurance accounts to sell drugs illegally, defrauding the medical insurance fund of 93,013.68 yuan, with total illegal transactions amounting to 169,025.00 yuan [1]. - Case 2: In Beijing, a couple named Yu and Wang were caught selling medical drugs at lower prices, acquiring drugs worth over 110,000 yuan, and were sentenced to 1 year and 2 months in prison [2]. - Case 3: In Hubei, two individuals, Qiu and Ke, misused their outpatient chronic disease benefits to sell drugs, resulting in a total fraud amount of 408,25.78 yuan [3]. - Case 4: In Shanghai, a retiree named Hu was found selling drugs purchased through medical insurance, leading to a recovery of 5,223.31 yuan in funds [4]. - Case 5: In Xinjiang, a retiree named Tan submitted fraudulent medical bills totaling 426,218.45 yuan over several years, resulting in a prison sentence of 3 years [5]. - Case 6: In Jilin, an individual named Gao fraudulently claimed reimbursement for medical expenses already covered by a third party, amounting to 27,394.69 yuan [6]. - Case 7: In Tianjin, Zhang was found to have used another person's medical insurance card to claim medical expenses of 11,284.99 yuan [7]. Group 2: Regulatory Actions - The National Medical Insurance Administration, in collaboration with various governmental departments, is conducting a nationwide crackdown on fraudulent activities, highlighting the importance of maintaining a high-pressure regulatory environment [1][8]. - The administration is utilizing big data and technology to monitor and identify suspicious activities related to medical insurance claims [2][4][6]. - There is a strong emphasis on educating the public about the legal implications of fraud and the importance of adhering to medical insurance regulations [8].