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实现医保智能监控 构筑基金安全网 被引量:16

Fight against Medical Insurance Fraud and Safeguard the Security of the Fund
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摘要 近年来,医疗保险欺诈案件时有发生,严重危害医保基金安全,亟需加大打击力度。我国从国家到地方层面一直高度重视医保反欺诈工作,取得了一定的成效。本文针对医保欺诈的主要特征,提出通过健全法律法规、提升技术手段、加强部门合作、建设诚信体系等举措,加强综合治理,以进一步维护医保基金安全,保护好老百姓的救命钱,充分发挥其保障作用。 In recent years, medical insurance fraud cases have occurred frequently, seriously endangering the safety of medical insurance fund, and it is urgent to intensify the crackdown. China has always attached great importance to the anti fraud work of medical insurance from the state to the local level, and has achieved certain results.In view of the main characteristics of medical insurance fraud, this paper proposes to improve the security of the fund and give full play to the security of the fund through the measures of perfecting the laws and regulations, enhancing the technical means, strengthening the cooperation of the departments and building a good faith system.
作者 唐霁松 Tang Jisong(Social Insurance Fund Supervision Bureau of the Ministry of Human Resources and Social Security, Beijing, 100716)
出处 《中国医疗保险》 2018年第5期5-7,共3页 China Health Insurance
关键词 医疗保险 欺诈 骗保 治理举措 medical insurance, swindle, fraud insurance, governance measures
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