Health

Further strengthen the management of designated medical institutions under medical insurance

2025-06-27   

Recently, the National Healthcare Security Administration issued a notice on further strengthening the management of designated medical institutions for medical security, requiring strict and practical supervision of medical insurance funds, promoting the improvement of management and service levels of designated medical institutions, and ensuring the safety of medical insurance funds and the rights and interests of insured individuals. The notice clearly states that the entrance of designated medical institutions must be strictly controlled. Medical institutions providing inspection and testing services must ensure that there is at least one qualified medical technician, and medical and medical technicians are strictly prohibited from "hanging certificates" in designated medical institutions. It is strictly prohibited to require patients to purchase or bring their own drugs and medical consumables outside the hospital, as well as to force patients to be discharged or reduce necessary medical services, on the grounds of disease group or disease expense limits, medical insurance policy regulations, etc. The notice emphasizes that the tone of strict fund supervision should not be relaxed. Except for the prescribed circumstances, if there are unqualified personnel practicing medicine under false names, suspected of fabricating medical service projects, forging inspection and testing reports, fabricating medical records, providing false prescriptions, inducing and assisting others to seek medical treatment under false names or purchasing drugs under false medical treatment in medical institutions, which may cause significant risks, the settlement of medical insurance funds should be suspended; Medical institutions that fail to keep and provide medical documents, medical certificates, accounting vouchers, electronic information and other relevant materials in accordance with laws, regulations and medical insurance agreements shall suspend the settlement of medical insurance funds. If they still cannot provide them within the prescribed time, the medical insurance agreement shall be terminated in a timely manner; Medical institutions that conceal or destroy medical documents, medical certificates, accounting vouchers, delete or modify electronic information such as relevant information systems and monitoring records, do not provide inspection related materials, and refuse to cooperate with inspections such as collective confession, with serious circumstances, shall promptly terminate the medical insurance agreement. (New Society)

Edit:XieYing Responsible editor:ZhangYang

Source:news.cctv.com

Special statement: if the pictures and texts reproduced or quoted on this site infringe your legitimate rights and interests, please contact this site, and this site will correct and delete them in time. For copyright issues and website cooperation, please contact through outlook new era email:lwxsd@liaowanghn.com

Recommended Reading Change it

Links