What signal is being released? Multiple medical insurance directors are being taken away for investigation. Suspected | Reported | Official | Investigation | Field | Director | Medicine | Medical Insurance

Release time:Apr 14, 2024 21:02 PM

According to a report from China Gansu Network on August 14th, since mid July, regulatory authorities have expressed their actions and determination towards medical anti-corruption three times in a row. The medical anti-corruption storm has been advancing, and not only hospital secretaries and deans have been arrested. In recent information released by disciplinary supervision departments in various regions, several leading cadres from the medical insurance field have been investigated.

The anti-corruption storm in medicine has penetrated into the field of medical insurance

On August 7th, the Discipline Inspection Commission and Supervision Commission of Anshan City, Liaoning Province, announced that Zhang Huan, Secretary of the Party Group and Director of the Haicheng Medical Security Bureau, is suspected of serious violations of discipline and law and is currently undergoing disciplinary review and supervision investigation by the Haicheng Municipal Commission for Discipline Inspection and Supervision.

On August 10th, the Discipline Inspection Commission and Supervision Commission of Heilongjiang Province released a news citation from the Discipline Inspection Commission and Supervision Commission of Qitaihe City: Wang Qun, former director of Qitaihe People's Hospital, is suspected of serious violations of discipline and law and is currently undergoing disciplinary review and supervision investigation. According to the public resume, Wang Qun has served as the Party Secretary and Director of the Qitaihe Municipal Medical Security Bureau, and is a department level cadre of the Municipal Medical Security Bureau.

Multiple medical insurance directors were taken away for investigation

What signal is being released? Multiple medical insurance directors are being taken away for investigation. Suspected | Reported | Official | Investigation | Field | Director | Medicine | Medical Insurance

On August 10th, the website of the Discipline Inspection Commission and Supervision Commission of Xiangtan City, Hunan Province, announced that Zhou Xiaoyuan, a department level official of the Xiangxiang Medical Security Bureau and former Deputy Secretary and General Manager of the Party Group of Xiangxiang Economic Development Zone Construction Investment and Development Co., Ltd., is suspected of serious violations of discipline and law and is currently undergoing disciplinary review and supervision investigation by the Xiangxiang Municipal Commission of Discipline Inspection and Supervision.

In addition, there is also a former head of the provincial medical insurance bureau on trial recently. On the morning of August 7th, the Intermediate People's Court of Hezhou City, Guangxi Zhuang Autonomous Region held a public trial of the bribery case of Wang Zhongping, former Party Secretary and Director of the Medical Security Bureau of Guangxi Zhuang Autonomous Region.

What aspects are involved in the corruption of medical insurance officials

According to public media reports, several medical insurance directors have been investigated and dealt with in recent years for suspected violations of discipline and law.

The bribery case of Wang Zhongping, former Party Secretary and Director of the Medical Security Bureau of Guangxi Zhuang Autonomous Region, mentioned earlier. The People's Procuratorate of Hezhou City, Guangxi Zhuang Autonomous Region, accuses that from 2012 to 2022, the defendant Wang Zhongping took advantage of his position as Secretary of the Party Committee and Director of the Social Insurance Bureau of Guangxi Zhuang Autonomous Region, Secretary of the Party Group and Director of the Medical Security Bureau of Guangxi Zhuang Autonomous Region, and provided assistance to relevant units and individuals in enterprise operation, engineering contracting, business promotion, and other matters. He illegally received a total of RMB 17.073198 million from relevant units and individuals, either alone or jointly with others.

The abuse of power by the director of medical insurance causes losses to the medical insurance fund

According to "Clean Nine Rivers" on February 7, 2023, the Lushan Municipal Commission for Discipline Inspection and Supervision conducted a case review and investigation into the serious violations of discipline and law committed by the left wing of the former Party Secretary and Director of the Lushan Medical Security Bureau. After investigation, it was found that the left wing took advantage of their position to seek benefits for others in project application, engineering contracting, medical insurance expense reimbursement, etc., and accepted large amounts of money from others, suspected of bribery crimes; Abuse of power has caused significant losses to the medical insurance fund and is suspected of committing crimes of abuse of power.

It is not uncommon for medical insurance officials to be involved in cases

On February 6, 2023, Red Star News reported that the Discipline Inspection Commission and Supervision Commission of Liangshan Prefecture, Sichuan Province, published a typical case in the "Case Book" column. During her tenure as the Deputy Director and Accountant of the Medical Insurance Bureau of Ganluo County, Sichuan Province, Luo Hairong used her position to fabricate or repeatedly reimburse medical insurance, embezzling a total of more than 3.47 million yuan from medical insurance funds. At the same time, she also forged false accounting information and embezzled more than 15000 yuan from pharmacy deposits, totaling more than 3.486 million yuan... All of this money was used by her to purchase houses, invest in pharmacies, and for daily expenses.

On December 15, 2022, the website of the Central Commission for Discipline Inspection and the National Supervisory Commission announced that the Dalian Municipal Commission for Discipline Inspection and Supervision has launched a case review and investigation into the serious violations of discipline and law by Di Shujun, former Party Secretary and Director of the Dalian Medical Security Bureau. After investigation, it was found that Di Shujun used the convenience of his position, authority, and position to provide assistance to others in handling bank loans, project contracting, and job promotions, and illegally accepted and demanded huge amounts of property.

Pengpai News reported on December 13, 2022 that Xiangtan Furong Hospital has set up two medical insurance systems and fraudulently obtained medical insurance funds of up to 12.62 million yuan. Zhang Qiang, the hospital's legal representative and director, was sentenced to 11 years in prison and fined 700000 yuan for committing fraud and bribery. Several officials from the Xiangtan medical insurance system were also investigated and dealt with due to their involvement in the Zhang Qiang case. According to the verdict, four medical insurance officials received over six million yuan in bribes from Zhang Qiang and were all sentenced by the court.

From the above cases, it can be seen that the downfall of medical insurance officials is related to job-related crimes. Some provide assistance to others in project contracting and engineering contracting, and collect "benefit fees" from them, while others involve the problem of medical insurance fund embezzlement. The corruption of medical insurance officials includes common power rent-seeking and power money transactions, involving illegal duties, and even being involved in "medical insurance cases" with industry characteristics, involving crimes of abuse of power.

What does the anti-corruption sword of medicine mean for medical insurance officials

According to the website of the Central Commission for Discipline Inspection and the National Supervisory Commission, on July 28th, a video conference was held to mobilize and deploy the coordination of disciplinary inspection and supervision agencies in carrying out the centralized rectification of corruption in the national pharmaceutical industry. The meeting mentioned that "we will deepen the systematic governance of the pharmaceutical industry in all fields, all chains, and all coverage", "closely monitor leading cadres and key personnel, adhere to the joint investigation of bribery and bribery, and concentrate our efforts to investigate and deal with a number of corruption cases in the pharmaceutical industry, forming a deterrent effect.".

Screenshots of relevant conference reports

This round of anti-corruption efforts in the medical field is unprecedented. The reporter searched through the Judgment Document Network and found that in previous years, from "top three" hospitals, to county-level hospitals, and then to township health centers and community health service centers, the anti-corruption of medicine has reached the grassroots level, which can be said to be "piercing through with one rod".

It is not surprising that multiple medical insurance directors have been taken away for investigation. It is a manifestation of the governance of the pharmaceutical industry in all fields, all chains, and all coverage, as well as a manifestation of "sticking to the bottom". No matter which link is involved, they will scrape bone and treat poison.

Medical anti-corruption is related to purifying the industry ecosystem

The medical insurance department is responsible for the supervision of medical insurance funds. The previous corruption cases of medical insurance officials have exposed that "some cadres and employees in the medical insurance field still use loopholes in the system to supervise and steal". The fact that multiple medical insurance directors have been taken away for investigation demonstrates the determination of the people to value life-saving money. It is necessary to identify the "medical scammers" who have embezzled medical insurance funds from the source in order to prevent the misuse of life-saving money by the people.

Hu Xiaodong, a professor at the School of Political Science and Public Administration of China University of Political Science and Law and a member of the China Association of Administrative Management, believes that the aim is to purify the medical industry and create a clean and upright medical ecosystem.

Zhuang Deshui, Deputy Director of the Research Center for Clean Governance at Peking University, believes that special rectification is a strategy that has always been adhered to in the fight against corruption, and it is a key breakthrough to promote the reform of the medical system through anti-corruption in the pharmaceutical field, thereby promoting the construction of a healthy China.

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