医保骗保犯罪案件侦查难点与侦查进路

Difficulties and Approaches in the Investigation of Criminal Cases of Medical Insurance Fraud

医保基金作为社会保障体系的重要组成部分,其安全稳固直接影响着公共福利和社会稳定。当前,医保骗保犯罪呈现出犯罪主体多元化、犯罪手段多样化、犯罪行为隐蔽化、犯罪数额巨大等特点。然而,侦查机关侦查医保骗保犯罪案件时面临着调查取证难、侦查协作难、追赃挽损难、相关主体法律意识淡薄等挑战,亟须从深入推进专项侦查、推动大数据赋能、深化侦查协作、加强追赃挽损、强化法治宣传与舆论引导等多维度探索侦查进路,以期切实保护医保基金安全,维护社会公正与稳定。

As an important part of social security,the security and stability of medical insurance fund directly affect the public welfare and social stability.At present,the crime of medical insurance fraud shows the characteristics of diversified criminal subjects,multiple criminal means,concealed criminal behaviors and huge amount of crime.However,when investigating criminal cases of medical insurance fraud,investigation authorities have difficulty in investigation and collection of evidence,detection and cooperation,recovery of funds,and weak legal awareness of related parties.It is urgent to explore investigation approaches from multiple dimensions such as in-depth promotion of special investigation,big data empowerment,detection and cooperation,recovery of funds,publicity of law and public opinion guidance,so as to effectively protect the security of medical insurance funds and maintain social justice and stability.