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New health insurance system prevents fraud


New health insurance system prevents fraud

Infrastructure and information technology are provided at Cam Le General Hospital in central Da Nang city. (Photo: VNA)
Hanoi (VNA) - The health insurance medical information
system, rolled out last June, is the optimal solution to ensure transparency
and prevent insurance fraud.


This consensus
of opinion was evident among Government officials at a conference held by
the Vietnam Social Insurance Agency on January 23 to announce its review on
implementation of the health insurance medical information assessment system.
According to reports
delivered by Pham Luong Son, Deputy Director General of the VSI, 99.5 percent
of medical facilities nationwide have been linked to the health insurance
medical information assessment system since its launch, except for 65
commune-level health stations in remote areas without electricity access.
The health insurance
medical information assessment system received some 68.9 million dossiers
requesting insurance payments worth 35 trillion VND (1.55 billion USD) in the
last six months of 2016, and another three million requesting insurance
payments of 2 trillion VND (88.6 million USD) in the first month of 2017, the
report said.
The information system
can identify the use of a health insurance card multiple times in a short
period at different locations, both inside and outside a province. In the final
quarter of last year, about 100 cases of wrongful card use over 50 times were
discovered – mostly at district-level hospitals and commune-level health
stations.
However, multiple
plaguing issues still inhibit the effectiveness of the system, Sơn said. For
example, many medical facilities still don’t fully update information in the
system on a regular basis, and the names of services and drugs are not
consistent across related legal documents.
Nguyen Duc Chung,
Chairman of the Hanoi People’s Committee, said all the city’s 673 medical
facilities had connected to the information system. A number of duplications
and possible fraud had been exposed as a result, he added.
Chung also proposed
the idea of piloting electronic health records of all of the city’s residents.-VNA