日韩精品久久一区二区三区_亚洲色图p_亚洲综合在线最大成人_国产中出在线观看_日韩免费_亚洲综合在线一区

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: 一区二区三区四区在线观看视频 | 久久久蜜桃 | 五月婷久久 | 边摸边吃奶边做激情叫床文章 | 日韩一级在线 | 亚洲精品久久久久影院 | 成人在线视频黄色 | 久草在线新免久费观看视频 | 中文字幕观看 | 青娱乐国产精品 | 久久久麻豆| 天天操天天操天天操香蕉 | 一区二区视频在线 | 新婚人妻不戴套国产精品 | 三级网站日本 | 锵锵锵锵锵锵锵锵锵好湿好大 | 91草莓 | 亚洲成人免费视频在线观看 | 偷拍在线观看视频在线观看地址 | 国产亚洲精品高清在线 | 亚洲国产精品一区二区久久 | 日韩成人黄色片 | 久久久999精品视频 日本高清不卡在线 | 黄视频网站在线看 | 国产精品极品美女在线观看免费 | 国产日产精品久久久久快鸭 | 国产精品亚洲第一 | 欧美精品播放 | 国产成人免费高清激情视频 | 久久99国产综合精品 | 欧美另类性视频 | 国产专区精品 | 亚洲一区中文字幕 | 亚洲小视频在线播放 | 亚洲一区国产视频 | 欧美三级 在线播放 | 婷婷色爱区综合五月激情韩国 | 欧美亚洲韩国国产综合五月天 | 免费午夜不卡毛片 | 亚洲不卡视频 | 偷拍亚洲制服另类无码专区 |