On April 27, Gongzhuling Medical Security Bureau held a monthly activity meeting on the supervision and publicity of medical insurance funds. At the meeting, the spirit of the provincial and Changchun anti fraud insurance conference was conveyed, the propaganda direction of Gongzhuling City against fraud insurance in 2023 was clarified, the awareness and attention of the masses on the anti fraud insurance policy was further improved, the masses were guided to consciously abide by and join the medical insurance fund supervision team, and a good atmosphere for the whole society to maintain the safety of medical insurance funds was created. Municipal Commission for Discipline Inspection, Public Security Bureau, Finance Bureau, Health Bureau, Market Supervision Bureau and other relevant departments attended the meeting.
The meeting called for a deep understanding of the new situation and new requirements facing the supervision of medical insurance funds. We will improve the strict and powerful fund supervision mechanism and work tirelessly. We strengthened our mission, took cracking down on fraud and insurance fraud as the top political task, effectively curbed fraud and insurance fraud, and ensured the safety of medical insurance funds.
The meeting stressed that we should take the opportunity of the month of propaganda against fraud and insurance fraud to carry out in-depth supervision and governance of medical insurance funds. Focus on fraud and insurance fraud in the medical security field, integrate resources from all parties, concentrate specialized forces, and comprehensively use intelligent monitoring, surprise inspection, third-party participation and other methods to achieve full coverage of on-site inspection of designated medical institutions. Efforts have been made in five aspects of full coverage, frequent exposure, strong system, cohesion and mechanism building to extend fund supervision from ex post punishment to in-process interception and ex post warning. With the help of the professional strength of the third party, give full play to the role of big data intelligent supervision.
The meeting stressed that it is necessary to strengthen the cooperation of departments and ensure the effectiveness of publicity activities against fraud and insurance fraud. Actively coordinate and communicate with health, public security, market supervision and other departments, establish and improve a comprehensive regulatory coordination mechanism, implement "multiple investigations for one case" and "multiple cases for one case", and effectively investigate and deal with one batch, strike one batch, deter one batch, and warn one batch. The problems found in the inspection shall not be concealed, evaded, evaded or protected, and shall be handled in strict accordance with the law and procedures. At the same time, we should strengthen the guidance of public opinion, encourage the masses to supervise and report, expose typical cases of fraud and insurance fraud, and form a benign range of joint supervision by the whole society.
At the meeting, representatives of Gongzhuling Medical Security Bureau and designated medical institutions made statements and signed the Letter of Commitment on the Use of Medical Security Fund.
Next, Gongzhuling Medical Security Bureau will take the opportunity of this centralized publicity month of medical insurance fund supervision to continue to carry out multi form and multi-channel publicity activities, continue to maintain the high pressure situation of combating fraud and insurance fraud, earnestly protect the people's "medical money", and constantly improve the people's sense of gain, happiness and security, Provide a strong guarantee for the development of the medical cause.
