Vietnam Social Security said that according to the report of Dong Nai Provincial Social Security, the issuance of certificates of leave to enjoy social insurance benefits for 6 general clinics in this province is not in accordance with regulations such as: Patients who do not go to the clinic are still issued certificates of leave to enjoy social insurance benefits; doctors who do not go to work at the clinic still sign and issue certificates of leave to enjoy social insurance benefits; even when not sick, they still prescribe tests, diagnostic imaging, medicine... to take advantage of social insurance and health insurance funds.
Regarding this matter, Vietnam Social Security has repeatedly directed Social Security agencies of provinces and centrally-run cities to regularly review, inspect, and closely coordinate with relevant agencies. In particular, regarding the issuance of social insurance leave certificates for 6 general clinics in Dong Nai province since May 2022, Dong Nai Social Security proactively coordinated with relevant agencies to detect and transfer the case to Dong Nai Provincial Police.
To ensure compliance with legal policies, Vietnam Social Security requests the Ministry of Health to direct medical examination and treatment facilities under the Ministry of Health, Departments of Health of provinces and centrally run cities to rectify medical examination and treatment facilities in the area to strictly implement the Law on Medical Examination and Treatment, the Law on Health Insurance, the medical examination and treatment procedures of the Ministry of Health and strictly prohibit acts of profiteering from the Social Insurance and Health Insurance funds.
Social Insurance also proposed to strengthen inspection and examination of the implementation of health insurance examination and treatment at medical examination and treatment facilities, especially private medical facilities.
For medical examination and treatment facilities identified as having committed acts of profiteering from social insurance and health insurance funds, it is proposed to assign the Department of Health to coordinate with the provincial and municipal social insurance agencies to strictly handle them according to the provisions of law.
It is known that, in order to strictly handle the violation in Dong Nai, on June 3, Dong Nai Department of Health sent an urgent document to the provincial Social Insurance Department agreeing to temporarily suspend the health insurance examination and treatment contract for 4 private clinics in Bien Hoa City including: Tan Long General Clinic, Long Binh Tan (Long Binh Tan Ward); Tam Duc (Tan Hiep Ward) and My Duc International General Clinic (Long Binh Ward) due to the case of issuing fake leave certificates to profit from the Social Insurance and Health Insurance funds.
Source
Comment (0)