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Medical insurance profiteering faces inspection

Hoang Nhung
Thursday,  Jun 8,2017,21:31 (GMT+7)
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Medical insurance profiteering faces inspection

Hoang Nhung

HCMC – The Ministry of Health has told the local departments of health to conduct inspections and find ways to take back VND3 trillion (US$132 million) allegedly profiteered by individuals from the health insurance fund after a refusal of Vietnam Social Security to reimburse the sum to hospitals.

According to the ministry, the health insurance information system detected many violations by many individuals and organizations in health insurance fund profiteering in the first four months of the year.

To prevent these violations and promote the effectiveness of health insurance, the ministry has assigned the directors of the departments of health and relevant agencies to strengthen inspections and management of health insurance funds.

Medical insurance agencies in provinces and cities will also have to implement inspections and submit results to the ministry before June 15.

Pham Luong Son, deputy general director of Vietnam Social Security, said the agency had detected 2,800 patients who took at least 50 visits to medical centers each in the first four months of 2017, with a single individual making 123 visits even on days off and holidays.

The health insurance agency will coordinate with the HCMC Department of Health and medical centers to check and take back the money, Son added.

In early June, a patient in HCMC gave back VND9 million appropriated from the insurance fund.

Vietnam Social Insurance will continue inspections and ask individuals or organizations with alleged violations to return the money. If they refuse to give back the money, the agency would cooperate with competent agencies to impose sanctions.

 

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