The role of the national health insurance company in preventing and combating illegal activities that constitute offences within the limits of its competence

URL: https://dspace.academy.police.md/the-role-of-the-national-health-insurance-company-in-preventing-and-combating-illegal-activities-that-constitute-offences-within-the-limits-of-its-competence/

Data: 2025

This scientific study analyzes current issues regarding the legal framework and the role of the National Health Insurance Company as a competent authority to resolve, prevent and combat contraventional illegalities within the limits of its competence as a control body. The National Health Insurance Company, having the function of state controller in the management and ensuring transparency of financial means derived from the funds of compulsory health insurance by medical and pharmaceutical service providers, may examine certain improper executions or non-execution of obligations assumed in contracts for the provision of medical care (for the provision of medical services), contracts for the release of compensated medicines or regulatory acts, and apply sanctions based on the illegalities found, which attract legal consequences in the form of legal liability. Thus, in the content of the study we reported the current phases of the contravention process, where the National Health Insurance Company has the mission to determine whether the action/inaction committed is or is not a contravention and the proposals to complete the legal framework regarding new phases of the contravention process.