Originally specified for reducing the economic burden of patients, the "outpatient specific items" (methods to reduce the size of the calf) has become a "money tree" for certain profit-driven individuals. Eleven criminals from Kunshan City, Jiangsu Province, defrauded 410,000 yuan from the social medical insurance fund and were sentenced in the first trial by the沧lang District People's Court of Suzhou for fraud.
The "outpatient specific items" is a public welfare service measure specifically designed by the Suzhou municipal government for cancer patients. That is, the drugs prescribed for confirmed cancer outpatients are all paid 81% to 85.5% by the city's social medical insurance fund. From January 2008 to July 2009, Cai Mou, Cheng Mou and other eleven people conspired together, obtained the urban employee medical insurance certificates, medical records and social security cards of many cancer patients, registered at major hospitals and obtained hospital prescriptions, and then went to several pharmacies to obtain approximately 600,000 yuan worth of cancer-specific drugs. After obtaining them, they sold most of the drugs they had acquired. According to statistics, within 18 months, this fraud gang cumulatively defrauded 410,000 yuan from the social medical insurance fund.
The沧lang District People's Court of Suzhou made the first-instance verdict on the 18th day, Cai Mou was convicted of fraud and sentenced to 10 years in prison, and fined 100,000 yuan; Cheng Mou was convicted of fraud and sentenced to 4 years in prison, and fined 30,000 yuan. The other defendants were also sentenced to fixed-term imprisonment for committing fraud.