NHSA and NHC launch special medical insurance funds malpractice rectification

The National Healthcare Security Administration (NHSA) and the National Health Commission (NHC) released a notification in relation to rectifying the utilization of special medical insurance funds. The aim is to standardize diagnosis and treatment services and charging behaviors in the designated medical institutions, ratchet up refined management of medical institutions, and secure safe, efficient, and rational use of medical insurance funds.

All designated medical institutions in China are involved, as are the medical services and expenses covered by the basic medical insurance funds payment scope since January 1, 2018. They will be rectified on a case-by-case basis, with an emphasis on unreasonable charges, items (drugs) swapping, unstandardized diagnosis and treatment, and fictional services.


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