SGGPO
There are cases where there are no diseases but are still "visited" by the clinics and then issued a dossier and certificate of "disease" to enjoy the social insurance (social insurance) regime. This is a handshake, collusion between clinics and workers.
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| View of the regular press conference of Vietnam Social Security on the afternoon of 5-6, in Hanoi |
On the afternoon of June 5, in Hanoi, Vietnam Social Security held a regular press conference. The issue of interest to the press, raising many questions is the situation of profiteering and social insurance policies, especially the case of buying and selling records and papers certifying sick leave to enjoy social insurance ... that the police agency has revealed at Dongnai province.
According to Mr. Le Van Phuc, Head of Social Insurance Policy Implementation Department (Vietnam Social Insurance), the status of issuing sick leave papers is not in accordance with regulations, occurring in both contracted and non-contracted establishments. illness by health insurance (HI) with the social insurance agency.
“There is a handshake between the medical facility and the employee. There are cases where there are no diseases, but the facilities are still examined and given diagnoses to issue a certificate," Phuc said and said, more than a year ago, the social insurance agency also discovered a similar situation. self at a business and has turned to the police agency to investigate and clarify. Cases of profiteering like this are often discovered by the social insurance agency.
According to Mr. Phuc, Vietnam Social Security has sent an official letter to the Ministry of Health, requesting a document directing health departments to request medical examination and treatment facilities in the area to strictly implement regulations on assessment, medical examination and issuance. certificate… to avoid the situation of profiteering as happened.
Talking to the press at the press conference, Mr. Nguyen The Manh, General Director of Vietnam Social Insurance, affirmed that the case in Dong Nai province was actually a collusion between clinics and employees. Because at present, the payment of social insurance benefits for employees is mostly through accounts, so in fact, employees still receive that payment, not the clinics that have made false statements and are receive that money.
Therefore, Mr. Manh said that the paid money "cannot go anywhere" (other than the employee's account). The General Director of Vietnam Social Insurance explained: “The employee signed (papers, records – PV), when transferred, we have compared, checked and determined the correct account of the employee. in the database of the social insurance agency”. If such a strict payment mechanism is not applied, the situation of profiteering will still be very large (as happened 4-5 years ago, but now it is basically not much).
Previously, according to a report of Dong Nai Social Insurance, the issuance of leave certificates to enjoy social insurance benefits of 6 general clinics in Dong Nai province did not comply with regulations, such as: patients who do not go to the doctor still granted a certificate of leave for social insurance, the doctor does not work at the clinic but still signs the certificate of leave for social insurance; Even if they are not sick, they still prescribe tests, diagnostic imaging, drugs, etc. to profit from social insurance and health insurance funds.
After the incident, the Department of Health of Dong Nai province sent an urgent document to the social insurance of Dong Nai province to suspend the contract of medical examination and treatment with health insurance (HI) for 4 private clinics in Bien city. Hoa, including: Tan Long General Clinic; Long Binh Tan General Clinic (Long Binh Tan Ward); Tam Duc General Clinic (Tan Hiep Ward) and My Duc International General Clinic (Long Binh Ward).
All four clinics involved in the case of falsifying documents to enjoy social insurance are being investigated by Bien Hoa City Police. The Social Insurance Agency has established a team to verify the issuance of certificates and directly inspect and verify at health facilities with signs of violations as well as at units, businesses, places of residence and workplaces. of participants of social insurance, in order to promptly detect and prevent acts of profiteering from social insurance and health insurance funds.
