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on september 27, the national medical insurance administration held a press conference to introduce the relevant situation of "establishing a medical insurance payment qualification management system for relevant personnel of designated medical institutions."

yan qinghui, deputy director of the national medical insurance administration, said that since this year, the national medical insurance administration has taken proactive measures to further strengthen the supervision of medical insurance funds and continuously expand the depth of supervision. we continue to increase the intensity of unannounced inspections. since this year, the country's unannounced inspections have covered all provinces across the country. the number of designated medical institutions inspected has reached 500, and the amount of suspected violations investigated and punished is 2.21 billion yuan. through big data model clues, the number of designated medical institutions for special inspections has reached 185, suspected violations of 810 million yuan were found, and 111 institutions were found to be fraudulent. from january to august this year, medical insurance departments at all levels across the country recovered a total of 13.66 billion yuan in medical insurance funds. judging from these data, it can be said that the supervision of medical insurance funds has accelerated this year. we have paid more attention to the systemic, holistic and collaborative nature of supervision, actively innovated supervision methods, and strived to establish and improve a comprehensive and effective mechanism for the supervision of medical insurance funds.

yan qinghui said that at present, the supervision situation of medical insurance funds is still relatively complex. in the use of medical insurance funds, illegal and illegal behaviors such as the one at wuxi hongqiao hospital still occur from time to time. currently, the supervision of medical insurance funds is still at the critical point of "removing existing stocks and controlling increases", and continued efforts are needed to achieve a fundamental improvement. the majority of medical workers are the guardians of people's lives and health, and are also active defenders of the medical insurance system. medical workers are a key link in the chain of using medical insurance funds and are an important part of maintaining the safety of medical insurance funds. therefore, giving full play to the subjective initiative of medical personnel can effectively prevent the occurrence of illegal activities by relevant departments, and plays a very important role in the supervision of medical insurance funds.