China to expand crackdown on medical insurance fraud

A nationwide operation involving police and health authorities to crack down on medical insurance fraud will be extended for another year, the National Healthcare Security Administration (NHSA) announced on Wednesday.

The operation, launched jointly in April by the NHSA, the Ministry of Public Security and the National Health Commission, has achieved positive results, senior NHSA official Jiang Chengjia said at a press briefing. in Beijing.

By the end of October, a total of 3,970 cases had been investigated during the joint operation, and the national medical insurance fund had suspended service contracts with 142 medical institutions and terminated contracts with 61 institutions. , Jiang said.

The operation was to be completed by the end of the year.

Notable progress has been made in combating medical insurance fraud since the NHSA was established in 2018, Jiang said.

Healthcare safety regulatory agencies across China conducted around 2.34 million medical facility inspections related to insurance fraud from 2018 to October this year.

Through these inspections, about 50.6 billion yuan ($7.94 billion) of medical insurance funds have been recovered, Jiang said.


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