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Medical Insurance Fraud

In late November 2018, the National Health Care Security Administration, China’s top healthcare regulator, launched a nationwide crackdown on medical insurance fraud that targets medical institutions, drugstores and those who are insured following a report of an alleged insurance fraud conducted by a major hospital in Shenyang, Liaoning Province.

By NewsChina Updated Mar.1

In late November 2018, the National Health Care Security Administration, China’s top healthcare regulator, launched a nationwide crackdown on medical insurance fraud that targets medical institutions, drugstores and those who are insured following a report of an alleged insurance fraud conducted by a major hospital in Shenyang, Liaoning Province. It was found that the hospital deliberately faked the medical records of patients in order to swindle insurance money from government agencies. The crackdown will also target illegal acts perpetrated by hospitals which encourage patients to use other people’s social insurance cards or provide fake medical bills. Experts cautioned that medical insurance fraud has become possible due to the lure of profits and weak supervision over social insurance funds. It is urgent to introduce a sound and complete reimbursement system to prevent fraud. 
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