The price of virtual high medicine is more than 1,400 million!The first new type of medical insurance fraud in the country opened in Tongcheng

Jimu Journalist Cheng Yuxun

Correspondent Wang Xiangqun Yang Yan

Intern Li Ya Zhu Zhenyu

Trial site

"The case is very complicated and the impact is great. We will choose to pronounce them." Recently, the first national case of defrauding medical insurance funds in the country with virtual high -drug prices investigated by the Economic Investigation Brigade of the Public Security Bureau of Tongcheng County, Hubei, and in the criminal trial of the People's Court of Tongcheng County The court trial publicly.

The medical insurance fund was the "cure money" and "life -saving money" of the masses. In June 2014, after the Tongcheng Tongren Hospital (private) was included in the designated medical institution of the national medical insurance, the person in charge Wu Moumou, Chen Moumou and others moved the medical insurance "crooked mind".

Involved in Tongcheng County Tongren Hospital

In many towns and villages such as Yishui, Guan Dao, Magang, Shinan, etc., the hospital attracted the five guarantee households, low guarantee households, and precision poverty alleviation households, etc., reimbursed for hospitalization at a proportion of 90%, and then used low to use low. The price of high -priced invoices, fabricating false existence orders, consumables purchase invoices and other means to deceive the medical insurance fund, and the fraud amount is as high as 1,400 million yuan.

"Our clues report that the hospital's medical insurance funds have abnormal conditions and the amount is large, which has attracted great attention." Police handling the case told Jimu Journalists that after investigation And more than 70 suppliers, even the abnormal situation of the supplier's money for the hospital, is obviously inconsistent with common sense.

In April 2021, the Economic Investigation Brigade of the Tongcheng County Public Security Bureau was investigated for investigation by Wu Moumou, Chen Moumou and others of Tongcheng Tongren Hospital. In December of the same year, the case was transferred to the procuratorate for review and decision. From July 19th to July 20th, 2022, the case was publicly tried in the Criminal Trial Division of the People's Court of Tongcheng County.

Tongcheng County Public Security Bureau Economic Investigation Brigade Police handling the case to testify in court to testify

"During the trial, we must not only ensure the proof of the evidence, but also to strongly expose the criminal acts." The case of the case was major and complicated, and it was the first case in the country to fraud in medical insurance funds in the country. Disposal criminal behavior has guaranteed the rights and interests of the elderly people. During the trial, the police of the Economic Investigation Brigade of the Tongcheng County Public Security Bureau's investigation brigade was testified to testify, and the legitimacy of the source of the evidence was specifically explained.

In addition, the control and debate have proof of the evidence and cross -inquiring the investigators in court. Investigators in the case stated the activities related to investigations and accepted the prosecution of the defendant. At the same time, investigators appeared in court to explain the evidence to obtain evidence, providing the opportunity to refute the defense, ensuring the defense's right to countermeasures and qualifications, which is conducive to cracking down on crimes and protecting human rights, which fully reflects the principle of people -oriented.

Trial site

Jimu Journalists learned that due to the major and complicated cases, it is the first case in the country to fraud in medical insurance funds with virtual high -drug prices. The social impact is large, and the case will be pronounced.

(Correspondent's picture)

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