To optimize the efficiency of the health insurance fund and protect the legal rights of citizens, the Ministry of Health has issued a new directive requiring provinces and cities to strengthen inspections and control over health insurance activities in 2026.
Strengthening discipline in management and operations Local governments are urged to direct Health Departments and Social Security agencies to develop detailed inspection plans, focusing on compliance with professional standards and service delivery conditions. Key areas include the implementation of insurance policies at organizations, initial medical registration processes, and referral procedures, aiming to provide maximum convenience for patients.
Inter-agency coordination and avoiding overlaps The Ministry of Health emphasized that inspections must ensure consistency, avoiding duplication of subjects or content between functional agencies. Furthermore, local authorities must:
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Address violations: Promptly detect and apply strict sanctions against fraudulent activities or policy implementation errors.
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Data transparency: Submit semi-annual and annual reports to the Ministry of Health for close monitoring of the actual situation.
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Review medicine supply: Strictly control the provision of long-term outpatient medication (over 30 days) to ensure reasonableness and legal compliance.
This intensified inspection is expected to prevent lax management and thoroughly resolve obstacles arising during the operation of the local healthcare system.