The release of new cases of insurance fraud by personnel in designated medical institutions.

date
20/12/2025
On December 20, the National Health Insurance Administration released a new batch of typical cases of fraud and deception by personnel of designated medical institutions. In the cases exposed this time, the designated medical institutions that violated the law and regulations were all subjected to administrative penalties and agreement processing, and the personnel involved were simultaneously included in the scoring management system and had their medical insurance payment qualifications suspended for a certain period. This publicly disclosed typical cases is the third batch of typical cases publicly announced since the implementation of the medical insurance payment qualification management system, mainly including: the case of fraud and deception in the substitution of diagnosis and treatment services at Boai Hospital in Fushun City, Liaoning Province, the case of fictitious diagnosis and treatment services fraud at Shuikuang Hospital in Liupanshui City, Guizhou Province, and the case of aiding in purchasing drugs under false names to deceive medical insurance funds at Julong Pharmacy in Pinghu City, Jiaxing, Zhejiang Province.