The abnormality of the medical insurance fund should not rely on the doctor to subdue the demon .

Mondo Finance Updated on 2024-01-30

Recently, there was an overcharge of 100,000 yuan about hospitalsMedicalFei's report has attracted widespread attention. The report pointed out that the Second People's Hospital of Wuhu City, Anhui Province, had problems such as excessive diagnosis and treatment, excessive inspection, over-prescribing drugs, repeated charges, applied charges and over-standard charges, which involved violationsMedicalThe total cost is up to 21820,000 yuan, of which it was used in violation of regulationsMedicareUp to 18700,000 yuan. Luckily, the patient's son wasEconomicsDr., the patient's sister is an old oneAccounting, they uncovered the illegal arbitrage of the hospitalMedicareacts. However, most patients and their families faceMedicalThe information barrier of diagnosis and treatment makes it difficult to detect excessive diagnosis and treatment and illegal useMedicareThe cat is greasy. Even if there is suspicion, it is difficult for ordinary people to have enough energy and ability to find out clearly, so they can only suffer dumb losses.

Illegal use in hospitalsMedicareThe problem continues. December 4, Hunan ProvinceMedicalAccording to a news release on the official website of the Security Bureau, Xiangya Hospital of Central South University used it in violation of laws and regulations from January 1, 2022 to December 31, 2022MedicalIndemnification, was fined more than 980,000 yuan. In March this year, the hospital was also fined 2.48 million yuan for repeated charges and excessive fees. MedicalThe insurance fraud behavior of the institution is called "haunted" by some netizens, because their insurance fraud methods are becoming more and more detailed and hiddenMedicalThe content of the information is professional and complex, which brings considerable difficulty to social supervision. Obviously, the discovery of problems should not be relied on by individuals alone, but should be plugged from the system.

For violations of laws and regulationsMedicalIs the institutional penalty sufficient? When it comes to insurance fraud, is accountability limited to notification and fines? RightMedicareHow to "prevent problems before they happen" in the supervision of funds?

MedicareIt is the life-saving money of the masses, and only by improving the efficiency of supervision and increasing the intensity of accountability and punishment can we keep the lifeline of the masses. The state should strengthen the crackdown on non-compliant medical institutions, not only limited to notification and fines, but should also take more severe measures to punish them. Only by pursuing accountability can we effectively deter those who are lucky and want to eatMedicareof "Yokai". In addition, build a setSciencePerfectMedicareRegulatory mechanisms are also crucial. The regulatory authorities should promptly detect and correct hospital irregularities to ensure:MedicareofFair Use

Actually, facedMedicalThe information barrier of diagnosis and treatment makes it difficult for most patients and their families to find excessive diagnosis and treatment and illegal useMedicareThe cat is greasy. Even if there is suspicion, ordinary people have neither the energy nor the ability to find out clearly, so they can only suffer a dumb loss. This problem is highlightedMedicalThe phenomenon of information asymmetry in the field. As a professional institution, the hospital has a wealth ofMedicalknowledge and expertise, while patients and their families are often in a vulnerable position and lack the corresponding expertise and experience. In hospitals, doctors usually do it depending on the patient's conditionMedicalDecision-making, but it is often difficult for patients to tell whether a test is really needed or**. Therefore, we need to strengthen it by strengtheningMedicalPopularization of knowledge and improvement of patientsMedicalliteracy so that they can better understand and copeMedicalProblems in the process.

In view of the problem of the proliferation of false charges in hospitals, it is difficult to find and solve it by relying solely on individuals. The improvement of the overall regulatory mechanism is the key to solving the problem. First of all, the national regulatory authorities should strengthen the ...MedicalThe day-to-day supervision of the institution, timely detection and punishment of violations. Secondly, strengtheningMedicalTransparency of information ensures that patients and their families are rightMedicalThe services and fees are well understood and mastered. At the same time, an open and transparent complaint channel should be established so that patients and their families can easily report problems to the relevant departments. In addition, all sectors of society should also strengthen theMedicalInstitutional oversight to help detect and correct violations.

MedicareIs the life-saving money of the masses for those who are scammedMedicareThe "monsters" should be cracked down on. Strengthen violationsMedicalThe severity of the punishment and the regulatory effect of the institution can effectively deter illegal acts. At the same time, individuals should also improve their ownMedicalliteracy, enhance the pairMedicalunderstand and master the process, so as to better protect their rights and interests. This can only be achieved through the joint efforts of the whole societyMedicalThe sunshine of the industry is transparent and fair and orderly, ensuringMedicareof safety and securityFair Use

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