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  近年来,随着医保报销比例不断提升、医保药品目录覆盖范围不断扩大,参保群众购药渠道日益多元,医院、药店、诊所和互联网医院等多种场景都可便捷购买到所需药品。然而,在医保政策惠民的同时,部分不法分子也借机牟利,一些药贩子通过“医保取现”“高价回收”等手段诱导参保人倒卖医保药品。这种通过医保报销渠道获取的药品,经非法转手后再次进入市场销售的,就是医保“回流药”。

  朋友,参与“回流药”买卖,损人、害己、必被捉。

损人:回流药品脱离监管体系,安全无保障,可能伤害他人性命

  假药害人——治病不成反要命。“回流药”中可能混杂假冒伪劣药品,有效成分不足甚至含有毒害物质。患者使用后不仅无法治病,还可能引发严重不良反应,甚至危及生命。

  错药伤人——吃比不吃更可怕。有的药贩子在拆解重组“回流药”过程中,剂量规格、药品种类往往产生混淆。小孩吃了成人药会有生命危险,需要促进血液循环的患者吃了凝血药更可能会直接丧命。

  过期药误人——药效尽失误病情。回收的药品可能已经过期或储存不当导致变质,有效成分降解失效。患者使用这类药品,轻则延误治疗,重则导致病情恶化。

害己:“医保取现”透支自身救命钱,“套取基金”涉嫌欺诈骗保

  害己其一,“医保取现”是诱人的陷阱。参保者使用个人账户购药,然后以所谓的6至7折卖给收药人,看似给参保人提供了一种便捷的获取现金方式,实则是一场精心设计的骗局。一方面,所谓的“医保取现”“回流药买卖”,给个人账户造成的损失就是在透支参保人自己的“救命钱”,真正是“把自己卖了还替不法分子数钱”。另一方面,当前医保基金个人账户的使用空间不断拓展,共济范围愈发宽广,应用场景日益丰富,就算是一辈子不生病不吃药,也可用于继承,不会有一分钱损失。

  害己其二,欺诈骗保更是违法行为甚至可能会坐牢。通过医保卡超量开药、重复配药、转卖药品等手段套取医保统筹基金,造成医保基金损失的,就属于欺诈骗保,是违法甚至是犯罪行为。2024年2月,最高人民法院、最高人民检察院、公安部联合印发了《关于办理医保骗保刑事案件若干问题的指导意见》,明确指出,“明知系利用医保骗保购买的药品而非法收购、销售的,依照刑法第三百一十二条和相关司法解释的规定,以掩饰、隐瞒犯罪所得罪定罪处罚;指使、教唆、授意他人利用医保骗保购买药品,进而非法收购、销售,依照刑法第二百六十六条的规定,以诈骗罪定罪处罚”“行为人以非法占有为目的,利用享受医疗保障基金待遇的机会转卖药品、医用耗材等,接受返还现金、实物或者获得其他非法利益,骗取医疗保障基金支出的,依照刑法第二百六十六条的规定,以诈骗罪定罪处罚;同时构成其他犯罪的,依照处罚较重的规定定罪处罚”。现实中也已有真实案例,如药贩子马某雨多次使用多张他人医保凭证,在多家医院虚假就医、购买药品,并将部分药品出售获利,最终被判处有期徒刑八年三个月。

必被捉:药品追溯码使药品倒卖行为无处藏身

  为防范药品倒卖行为,今年7月1日起,全国所有医保定点医药机构在销售药品时,必须按要求扫码后方可进行医保结算。卖药必扫码,买药请验码,所有药品的追溯码都会被记录、追踪,参保者转卖医保药品就相当于在药盒上贴上了自己的身份证,卖出去的每一盒药,在医保大数据监控下,都会原原本本成为卖药人违法犯罪最直接的证据,无所遁形!

  我们每个人都有守护自己健康的权利,更有维护社会公平正义的责任。“倒卖药品”“医保套现”行为的出现,是对道德和法律的严重挑衅。所以,朋友们,请不要再向药贩子卖药了,更不能将手中的“救命药”变成药贩子的“摇钱树”,万不可为一点蝇头小利去触犯法律,最后得不偿失后悔莫及。我们也郑重告诫还有此牟利想法的不法分子,切莫伸手,伸手必被捉!

  药品追溯码就是每盒药品的“电子身份证”,具有唯一性。一盒药品的追溯码,只应有一次被扫码销售的记录,若重复出现多次,就存在假药、回流药或药品被串换销售的可能。2024年4月以来,国家医保局全力开展医保药品耗材追溯信息采集应用工作,取得显著进展。在此,我们还提醒所有朋友们为了维护自己的合法权益,为了自己和家人们的健康,在买药用药时拿起手机,使用国家医保局微信公众号或国家医保服务平台APP按照下方的步骤扫描药品追溯码,了解药品的“前世今生”。

  第一步:进入“国家医保局”微信公众号主页,点击服务→药品追溯信息查询,进入查询页面;

  或进入“国家医保局”微信公众号消息对话页,点击医保服务→药品追溯信息查询,进入查询页面。

  第二步:在“药品信息查询”页面,可扫描药品包装盒上的二维码或条形码进行查询。

  查询的结果将分为四种情况。

  情况1:“未查询到产品销售信息”,建议等两天再次扫码,如还未出现,说明售出机构未扫描该盒药品上的追溯码,可向售出机构或有关部门反映。

  情况2:“查询到仅有1次销售信息”,如确为本人购买的,说明该药品合法合规。

  情况3:“查询到仅有1次销售信息”,如非本人购买,说明该药品此前已被出售过,极有可能为“回流药”“串换药”或假药,消费者可举报并拿着销售小票和药盒向售出机构索赔。

  情况4:“查询到有2次及以上的销售信息”,说明该药品此前已被出售过,极有可能为“回流药”“串换药”或假药,消费者可举报并拿着销售小票和药盒向售出机构索赔。

  特别需要说明的是,如果使用医保部门以外的软件或APP扫描药品追溯码,得到的信息并不是该药品的医保销售结算信息,不适用于上述方法和结论。

  (来源:国家医保局微信公众号)

  大家旅游的时候可能都会遇到这样的情况:买了景区的门票之后只能玩一天,如果按照景区开园闭园的时间来算,可能没办法一天完完整整地游玩整个景区。

  现在国内许多景点都开始实行“一票游多日”的制度,即购买一张门票后,可以在规定的时间内多次到景区内游玩,打破了传统门票“仅当日有效”的惯例,满足了人们深度游玩的需求。那么如何通过优化服务,进一步撬动旅游消费市场,让“门票经济”向“产业经济”转型?

  根据《广西国家A级旅游景区“一票3日使用制”实施方案(试行)》(以下简称《方案》),2025年3月17日起至2026年2月28日(劳动节、国庆节、春节3个法定节假日及相应调休日除外),游客通过微信或支付宝上的“一键游广西”小程序及其合作渠道,用实名认证信息购买适用范围内的景区首道门票(不含船票、摆渡车车票以及景区内其他消费项目使用券)后,在景区开放时间且不超过景区最大承载量情况下,3日内本人可持首道门票不限次数进入景区游览。

  《方案》已实行一个多月,不少体验过的游客认为,游玩景区有了更多灵活性。

  游客曾女士:景区一般都比较大,一天时间玩不完可以第二天再来玩。

  游客卢先生:购票的优惠力度也比较大,可以带一些亲朋好友在这边多玩几天,也是一个比较省钱的方案。

  贺州市姑婆山景区市场营销部经理蔡小媛告诉记者,“一票3日使用制”模式能够尽可能满足游客“慢下来、住下来、玩透彻”的需求。

  蔡小媛表示,“以前我们的票都是当天的票当天有效,客人游玩的行程就很紧张。像我们景区是以站点观光为主,景区面积比较大,如果是当日票走常规线路游玩基本上游几个大景点就差不多了。如果说‘慢下来、住下来、玩透彻’,‘一票3日使用制’客人可以去森林观光、温泉康养,就会有更多的时间去游玩。我们执行《方案》这一个多月以来,在游客中做了简单的调查,游客对政策也很认可。”

  《方案》特别要求“人票合一”,也就是一张门票只对应一位购票人,且仅限购票游客本人使用。蔡小媛解释,在景区入口处,会有电子闸机和带有人脸识别功能的设备对游客购票信息、身份信息进行核验,并且在票型上做了设置,避免人票不符的情况发生。

  蔡小媛介绍,“人票合一”对景区的管理和服务提供了便利,因为现在景区内使用了售票系统,线上基本实现了游客实名制购票。实名制购票后,直接到验票处通过刷脸、刷身份证就可以快速入园,减少了排队时间,园区也减少了人工核验的成本。“买票当天,我们在后台设定这三天内不限次数入园,只要实名制购票第一次刷脸入园,未来三天内都可以刷脸入园。”

  蔡小媛告诉记者,为游客提供便利的同时,“一票3日使用制”也对景区的服务和管理提出了更高的要求。

  “‘一票3日使用制’游客量比原来的接待量要大,景区在管理上也加强对员工的服务意识或者应急处理能力的培训。另外,客人在景区周边停留时间长也可以促进二次消费,目前来说我们景区内的二次消费产品还比较少。‘一票3日使用制’开始实行以后,我们也正在努力往二次消费方面做文章”,蔡小媛介绍道。

  除了广西,河南、贵州、江西等地部分景区也在积极推行“一票游多日”举措。2023年9月1日起,江西庐山景区开始正式实行“一票多次多日使用制”,游客凭购买的庐山核心景区门票,自购票之日起七日内可游览庐山核心景区和其他十大景区;今年全年,贵州全省国有A级旅游景区推行“一票多日使用制”,游客在参与活动的景区内自购票之日起,5日内可无限制次数进入景区。

  河南开封万岁山武侠城景区运营总监齐首航告诉记者,“一张票三天不限次入园,包含三大景区。因为从目前的演艺场次来看,演艺场次的增多和我们整体的产品设计,再加上演绎类型的丰富,包含实景演绎、传统曲艺、民俗杂技等等,很多游客可能一天内无法体验到全时段的演艺节目和类型。我们把门票改成三天不限次入园,可以让游客自由规划行程,体验不同时段的开封文化、风土人情,还有景区的特色演出。”

  公开资料显示,2024年国内出游人次56.15亿,比上年同期增加7.24亿,同比增长14.8%。景区为了吸引更多游客前来体验,纷纷在景观和项目上做“加法”。北京第二外国语学院中国旅游大数据中心主任钟栎娜表示,越来越多的景区开始注重二次消费,单一景点景观已无法满足游客的需求,开发深度体验成了新趋势。

  钟栎娜表示,“正常情况下,人们很少愿意去复游,比如我在一个城市待三到五天,其实就有可能连着两天都去一个景区进行深度游,有复游的可能了。对于景区来说,如果能够扩大除门票外的消费其实很好。从各个角度来说,现在已经具备了多日游的场景,很多景区有很丰富的产品,比如研学、手作。”

  打破传统“当日有效”的门票经济后,景区如何通过优化服务撬动消费市场深层潜力,进而提升游客的体验?钟栎娜建议,景区想留住游客仅靠“一票3日使用制”的模式远远不够,还需要在二次消费的内容和产品上下功夫。

  “景区如果要参加‘一票3日使用制’的活动,我觉得至少要准备二到三个场景,比如观光的场景、运动的场景、体验的场景、亲子的场景。做运营特别是二次消费时,我觉得把自己作为一个空间,在空间之上可以丰富很多活动。要考虑到和其他的机构一起联合来做,让更多的利益共同体或利益相关者进来做这个事。”钟栎娜说道。

  (中央广播电视总台中国之声) 写的特别细的开车PO推荐文多人:讨论隐私与道德界限!的相关文章 科学家发现太阳系外可能存在生命的相关文章
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