久久亚洲国产成人影院-久久亚洲国产的中文-久久亚洲国产高清-久久亚洲国产精品-亚洲图片偷拍自拍-亚洲图色视频

Global EditionASIA 中文雙語Fran?ais
China
Home / China / Society

Credit system could help reduce medical scams

By Wang Xiaoyu | China Daily | Updated: 2024-10-09 09:45
Share
Share - WeChat

China plans to develop a points-based credit system for healthcare professionals who are certified to process medical insurance funds to curb the misuse of funds and strengthen punishment for violators, according to a guideline released recently.

Similar to the nation's point system for driver's licenses, the new system will target relevant staff members at insurance-designated medical institutions as well as owners of pharmacies, according to the guideline jointly released by the National Healthcare Security Administration, the National Health Commission and the National Medical Products Administration on Sept 27.

Workers who are found to have engaged in dishonest or illegal behavior will have points assigned to them in the system deducted. They can lose one to three points for minor offenses, while the most severe violations will result in a loss of 10 to 12 points.

Those who lose nine to 11 points in a year will see their insurance payment certifications suspended for one to six months, which also means that patients who use healthcare services and medications prescribed by them — except for first aid and emergency care services — will not be reimbursed for the amount they spent on these services.

An accumulation of 12 deducted points will lead to revocation of their eligibility to work as certified insurance agents. Also, they will not be allowed to apply for the qualification again for one to three consecutive years, depending on specific conditions.

Gu Rong, head of the National Healthcare Security Administration's fund supervision department, said that information on certification suspensions or revocations will be shared nationwide and reported to health authorities and drug regulators to ensure joint supervision.

"In the future, we will also consider establishing individual insurance credibility files for relevant personnel to track points and monitor their compliance with insurance rules and regulations throughout their career," he said.

Despite the nation's intensifying oversight over healthcare insurance funds in recent years, irregular and illegal use of insurance funds remains rampant.

In a recent case that drew widespread public attention, medical workers at a hospital in Wuxi, Jiangsu province, are suspected of fabricating medical records to obtain insurance payments.

"An outstanding challenge is that although we have cracked down on a number of offenses, we can only implement supervision on and hand penalties to specific institutions rather than individuals," Gu said. "So some violators simply change their identities and resume their old occupations elsewhere."

Gu said that extending the regulatory scope from designated medical institutions to all healthcare personnel and pharmacy managers is expected to enhance oversight and increase deterrence.

He added that the guideline highlights the significance of gradual and steady implementation to avoid a one-size-fits-all approach. Local authorities are asked to put all relevant personnel under supervision within three years, and they are allowed to tailor specifics of the guidelines based on local circumstances and roll out pilot programs first.

The administration said that this year, it has carried out unannounced inspections at 500 insurance-designated medical institutions across the nation.

These inspections have led to the discovery of 2.21 billion yuan ($344 million) in misused insurance funds. From January to August, healthcare fund regulators nationwide regained 13.66 billion yuan of ill-gotten insurance funds.

Yan Qinghui, deputy director of the administration, stressed that supervising insurance funds remains complicated and requires long-term efforts to root out existing problems while curbing potential offenses.

Top
BACK TO THE TOP
English
Copyright 1995 - . All rights reserved. The content (including but not limited to text, photo, multimedia information, etc) published in this site belongs to China Daily Information Co (CDIC). Without written authorization from CDIC, such content shall not be republished or used in any form. Note: Browsers with 1024*768 or higher resolution are suggested for this site.
License for publishing multimedia online 0108263

Registration Number: 130349
FOLLOW US
 
主站蜘蛛池模板: 毛片中文字幕 | 一品道一本香蕉视频 | 久久a热6| 中文字幕乱码中文乱码51精品 | 亚欧精品在线观看 | 性感一级毛片 | 国产成人十八黄网片 | 婷婷丁香久久 | 一区视频在线 | 亚洲综合久久1区2区3区 | 亚洲综合美女 | 爽爽窝窝午夜精品一区二区 | 成人国产精品999视频 | 一级免费看片 | 一区二区三区免费观看 | 国产区91 | 国产色在线播放 | 99久久精品久久久久久清纯 | 亚洲国产精品成人综合久久久 | 亚洲欧美在线观看 | 看全色黄大色黄大片女图片 | 性视频网站在线 | 久久久久久亚洲精品中文字幕 | 国产精品国产精品国产三级普 | 成人欧美视频在线观看播放 | 91久久香蕉国产线看 | 怡红院免费va男人的天堂 | 怡红院在线观看在线视频 | 午夜免费69性视频爽爽爽 | 天堂入口| 国产精品久久一区 | 久艹在线观看 | 欧美亚洲在线 | 久草热线视频 | 国产成人高清亚洲一区91 | 亚洲天堂网站在线 | 香蕉成人国产精品免费看网站 | 亚洲精品99久久久久中文字幕 | 操你.com| 日韩精品视频在线 | 天堂中文字幕 |