人社部回应深圳“医保套现”事件:将改进医保个人账户

2017-04-30 何源 央广网

针对深圳部分三甲医院医生伪造病历、帮助不法分子套现医保卡的消息,人社部回应,将大力打击医保欺诈、骗保行为,完善医保定点机构的管理和退出机制。

据中国之声《全国新闻联播》报道,近日,有媒体曝出深圳部分三甲医院医生伪造病历、帮助不法分子套现医保卡的消息。对此,人社部回应,将大力打击医保欺诈、骗保行为,完善医保定点机构的管理和退出机制。下一步,将研究改进个人账户的具体办法。

经调查,在深圳“医保套现”灰色利益链中,有部分三甲医院医生凭空开处方、不法分子刷医保卡拿药转售,套取现金后收取最高50%的手续费,再与医生分账。

医保个人账户套现问题,近年来极为常见。套现者通常会刷医保卡购买一些慢性病比如治疗乙肝的药品,这些药品走量大、销路有保障。“就那几种药,一种是治疗慢性乙型肝炎的贺普丁,有时顾客要买,有时回售给厂里。”

我国城镇职工基本医保,由社会统筹和个人账户组成。个人账户实账积累,其中资金除了可用于门诊看病拿药,参保人突发死亡时也可以被继承。虽然其他方式提现,都属于违法行为,但仍有参保人宁愿打折套现。

国家行政学院教授竹立家表示,套现行为表面看能拿到现金、把钱用活,但提前消耗个人账户的钱,长远看会损害自身利益。通过医保,居民相互之间能起到“联保”的作用。这个钱是专款专用,决不能医保卡变成通用卡,钱多就拿出来用在其他地方。从医保本质来讲,这样会淡化和消解制度本身的保障功能。

针对深圳“医保套现”事件,人社部新闻发言人卢爱红本周回应,广东和深圳人社部门已开展调查处理工作。人社部将完善医保定点机构管理和退出机制,从制度上堵塞欺诈骗保漏洞。研究改进个人账户的具体办法,逐步实现监管对象从医疗机构向医务人员医疗服务行为延伸。促进医保监管与刑事司法的有效衔接,对欺诈骗保行为发现一起,查处一起。

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    2017-05-02 flyingzyx

    学习了,不错。

    0

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    2017-05-01 榄枷檬

    研究改进个人账户的具体办法,逐步实现监管对象从医疗机构向医务人员医疗服务行为延伸。

    0

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    2017-05-01 胖红

    学习了很多的事情

    0

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    2017-05-01 daiyaozu

    学习了,不错

    0

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    2017-04-30 王国安

    医保管理有缺陷才让不法分子有机可乘。

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1927551, encodeId=2640192e55137, content=<a href='/topic/show?id=3f6b212e1dc' target=_blank style='color:#2F92EE;'>#个人账户#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=21271, encryptionId=3f6b212e1dc, topicName=个人账户)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18fc139, createdName=一闲, createdTime=Thu Apr 05 07:06:00 CST 2018, time=2018-04-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1706632, encodeId=dbb81e06632e8, content=<a href='/topic/show?id=632f250234f' target=_blank style='color:#2F92EE;'>#人社部#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=25023, encryptionId=632f250234f, topicName=人社部)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=672831300828, createdName=1249857fm42暂无昵称, createdTime=Wed May 03 17:06:00 CST 2017, time=2017-05-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=192748, encodeId=e42e192e48b6, content=学习了,不错。, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2SEXGDldsNfP4rKvY7vJmaHcyvLXicuyaCTJtVOkX3jvd6DwNMD88hDjJwsU7MnUH6zeqC4zt3yGV/0, createdBy=4e701628585, createdName=flyingzyx, createdTime=Tue May 02 07:08:28 CST 2017, time=2017-05-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=192423, encodeId=774419242387, content=研究改进个人账户的具体办法,逐步实现监管对象从医疗机构向医务人员医疗服务行为延伸。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Mon May 01 07:33:34 CST 2017, time=2017-05-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=192404, encodeId=6b6019240444, content=学习了很多的事情, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NcXNhUvfhzd2dD8SUAwqrufRiaKMGaaBScoAzEicJJibuu3wCIWWQxoLgS2UOBx1vsPe3faZtAiatc0pTWlS6868zZH/0, createdBy=0a231960988, createdName=胖红, createdTime=Mon May 01 07:18:41 CST 2017, time=2017-05-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=192304, encodeId=888219230449, content=学习了,不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhQkEvDREF6S2vZq3ZIpUYjdqicKVoAWaJSGoe8xNvS6o6QpmOlh2AQ7xuUpj8NiaDjJJgjbc7Xj3T6/0, createdBy=1c242047915, createdName=daiyaozu, createdTime=Mon May 01 00:06:37 CST 2017, time=2017-05-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=192282, encodeId=70fc1922828e, content=医保管理有缺陷才让不法分子有机可乘。, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/27/136abcae2f8e58d33f28258f76f49b4f.jpg, createdBy=7e701980206, createdName=王国安, createdTime=Sun Apr 30 23:16:20 CST 2017, time=2017-04-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=192231, encodeId=8544192231fb, content=好好学习,涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLANEL7Sww3HicKsN9aribicAmGGWXOIMEiaZ1iadgZg9RibjqSwIKUS8gSPib2NwTVg2zVvVJhdP3BkuDIl/0, createdBy=944d1605392, createdName=shaosai, createdTime=Sun Apr 30 16:25:58 CST 2017, time=2017-04-30, status=1, ipAttribution=)]
    2017-04-30 shaosai

    好好学习,涨知识

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