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    Home > Medical News > Medical World News > Hospitals collectively participate in fraud, business kickbacks into corruption "heavy-hit areas"

    Hospitals collectively participate in fraud, business kickbacks into corruption "heavy-hit areas"

    • Last Update: 2020-05-12
    • Source: Internet
    • Author: User
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    from thedean of thehospital to the nurses collectiveto participate in the, to obtain 24.14 million yuan of medical insuranceReceiving "red envelopes" and "
    rebates
    " are becoming more and more popular, andcommercialrebatesbecome the "
    in the worst-hit areas" ofof corruption in medicalHainan medical and health system 43 cadres have been investigated for corruption, related cases, trial before the basic endCase officers to investigate a president to bring out a group of bosses, investigate a boss and bring out a group of medical personnel Behind series of corruption cases, exposing the weak supervision of medical insurance funds, imperfect medical equipment procurement system, hospitals medical ethics assessment in the form of many deep-seated problems, there is an urgent need to improve the relevant medical supervision system, improve effective anti-corrosion mechanism fraud insurance : nearly 3000 people "no disease" inspection in hospital in Hainan discipline inspection and supervision organs to investigate some hospitals to withdraw medical insurance funds in cases, up to the director, vice-president, down to the department director, the attending doctor, nurses and other people to participate in the , as long as the patient suing for admission procedures as long as the "leave patients", indicating that such patients do not have to pay the hospital deposit, but not the hospital Hainan Province Anning Hospital is a specialized hospital for mental illness, from 2009 to the end of 2012 through false medical orders, false lying inspection projects, false lying 2,962 inpatients, the withdrawal of medical insurance funds 24.14 million yuan " section actually has 86 beds, while the highest number of registered inpatients is 225, 2.6 times the number of beds An insider at Anning Hospital in Hainan Province said the hospital used data from more than 1,800 insured patients in eight departments, falsely prescribed medical treatments, falsified hospital records, and made up medical fees to apply to social security agencies for reimbursement the practice of Anning Hospital in Hainan Province has become a "success story" in the medical industry, and some hospitals with economic benefits have done everything possible to follow suit to increase revenue For example, eight Hong Kong District Central Health Hospital in Oriental City took more than 830,000 yuan in medical insurance funds, and China Construction Farm Hospital took more than 470,000 yuan in medical insurance funds it is understood that Hainan medical insurance information management system function is single, only the reporting function, no monitoring and interception warning, medical insurance inspection mainly rely on on-site inspection, bill verification and other more extensive way Haikou City Prosecutor's Office said that the fabrication of medical records, false prescriptions and other links, hospital personnel to work together, the regulatory authorities in the short term is difficult to find rebates: 90% corruption involving medical procurement
    reporters learned that the procurement link has become medical personnel to receive commercial rebates "
    disaster area ." Hainan Provincial Health Department, the former director of the Chinese medicine department Huang Morerong, the financial resources department researcher Chen Changxuan to use the state to allocate 2 million yuan a year to support the development of special funds for chinese medicine, in medical procurement, in advance to inform suppliers of the budget price of procurement projects, parameters, and even in the formulation of procurement standards to give tilt, receive commercial rebates move hundreds of thousands of yuan in Hainan medical and health system series of corruption cases, in addition to the head of the health administrative department, some provincial hospitals, city and county hospitals to receive commercial kickbacks of personnel involved in the dean, department director, attending doctor, etc , more than 90% of the personnel involved in the procurement process to receive commercial kickbacks, drugs, medical equipment, supplies supply and other medical-related industries are involved Hainan, a bid to participate in the procurement of medical equipment said, in order to know in advance medical equipment procurement information, the best way is to send money, less than 50,000 yuan, more than nearly 100,000 yuan because of the professionalism and difference softer of medical devices, hospital departments can easily target specific manufacturers when formulating product parameters, providing convenience for a small number of cadres to seek benefits Huang said, as long as the hospital put forward the "technical threshold" can easily determine the final winning bidder, the hospital set the technical indicators, the final finalists also one or two, bidding has become a walk." some medical staff received "red envelopes" and "kickbacks" from patients' families and medical equipment suppliers that were once taken for granted In 2013, Hainan medical and health system illegally received "red envelope" "kickback" special clearance, a total of 2055 people to the provincial discipline commission integrity account to hand over 12.615 million yuan Since 2009, Hainan medical and health system received "red envelope" "kickback" trend is becoming more and more serious, but as of the time of the case, no one was warned or investigated anti-corrosion: medical compensation mechanism and procurement supervision still need to "bottom weaving net" reporters found that the current implementation of the "drug supplement" mechanism is not reasonable Hospital pure labor income is small, and the financial allocation is seriously inadequate, some hospitals mainly rely on drug sales, Hainan hospitals drug revenue accounted for more than 40% And some patients less specialized hospitals have fewer sources of disease, operating pressure, fraud insurance become the hospital "income-generating" way Zhu Hengpeng, director of the Public Policy Research Center of the Institute of Economic Research of the Chinese Academy of Social Sciences, said that medical insurance supervision needs to be scrutinized through information technology, but also for research and development analysis of medical data information, as soon as possible to transform into a professional medical insurance operating institution, relying on intelligent management platform to curb fraud, fraud and other disorders in addition, from these corruption cases, some of the hospital leaders involved in the moral bottom line of the decline Wu Bangfa, former president of the Third People's Hospital of Haikou City, served for 10 years, from which he hired doctors and nurses to receive "benefits" and accepted bribes of 1.03 million yuan in drug procurement and medical equipment procurement; Lin Junjie, the former president of Wanning People's Hospital, has evolved into paternalism in the management of the hospital, which has caused the hospital meeting and bidding to lose the binding effect of the system "s urgent need to improve the pricing, procurement system and standards of medical devices, and strengthen supervision Zhuang Yiqiang, deputy secretary-general of the China Medical Association, said that the procurement of medical equipment should form a supervision system supplemented by social intermediaries, suppliers, the news media and the public, so as to avoid bias in bidding by setting specific technical parameters experts said that the medical and health system of key posts and key links of the integrity of the risk prevention and control system construction flow in the form, the lack of supervision and restriction of power operation, should increase the current "medical supplement" mechanism adjustment, increase the proportion of hospital, medical staff labor value, at the same time multi-pronged to improve the monitoring system of medical procurement (Xinhua News Agency, Haikou, November 25)
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