The State Council has issued the “Implementation Opinions on Strengthening the Normalization Supervision of the Use of Healthcare Security Funds,” outlining a comprehensive approach to enhance the oversight and management of healthcare security funds. The document clarifies the main responsibilities of various departments and sets forth regulatory measures to ensure the rational use of these funds.<\/p>\n\n\n\n
Departmental Responsibilities and Regulatory Focus<\/strong> Normalization of Regulatory Measures<\/strong>
The opinions paper delineates the responsibilities of healthcare security administrative departments at all levels, which include strengthening the supervision over medical insurance agreements, promoting business standardization, and urging medical insurance agencies to establish robust financial and risk management systems. Designated medical institutions are instructed to improve internal management systems related to the use of medical insurance funds. Departments of health, traditional Chinese medicine, market regulation, drug regulation, and auditing are to focus on combating illegal and irregular issues such as excessive diagnosis and treatment, fraudulent insurance, and illegal drug transactions. For institutions not included in medical insurance agreements but closely related to fund usage, the principle of “who approves, who supervises” will be applied, with clear regulatory responsibilities.<\/p>\n\n\n\n
The Opinions promote the normalization of five key regulatory measures:<\/p>\n\n\n\n