Research On The Investigation Countermeasures Of Social Medical Insurance Fraud Cases

The social medical insurance system is an important part of the social security system.The effective operation of this system is important for protecting the basic health and survival rights of citizens,reducing the gap between the rich and the poor,promoting social equity,and eliminating social instability caused by diseases.Significance.In recent years,with the rapid development of the medical insurance industry,the risks of medical insurance fund payments have gradually increased.Due to the many operating links of the medical industry,the complexity of business,the asymmetry of information between the supply and demand of medical services,and the lack of criminal crackdown,social medical treatment Insurance fraud crimes frequently occur,causing a large loss of medical insurance funds.Therefore,it is imperative to crack down on social medical insurance fraud crimes.It is of great practical significance to study the methods of investigating and obtaining evidence for such crimes.This article is divided into five parts.The first part is introduction.Clarify the current status of theoretical research,put forward research ideas and research methods.The second part outlines the crimes of social medical insurance fraud.First,the qualitative nature and concept of social medical insurance fraud crimes are discussed through specific cases.Secondly,through statistical analysis of the empirical research methods of past years' judgment documents,the characteristics and causes of such crimes are analyzed.The third part analyzes the main fraud methods of social medical insurance fraud crimes and deconstructs the implementation process.The fourth part summarizes the difficulties in investigating social medical insurance fraud cases.Combining with the practice of handling cases by public security organs,it summarizes the investigation difficulties of such crimes in terms of clue sources,investigation and evidence collection,case determination.The fifth part proposes investigative countermeasures of social medical insurance fraud cases.Based on the summary and analysis of the characteristics,methods,and investigation difficulties of such criminal cases,according to the logical chain of the investigation process,from clues acquisition,initial investigation,in-depth investigation,centralized collection of nets,and improvement of evidence,the objectives of each investigation link are clarified methods and forensic focus.