📋 Tender Overview
Trong 9 thang dau nam 2026, co quan Bao hiem xa hoi (BHXH) da thu hoi gan 433 ty dong tien cham dong BHXH, bao hiem y te (BHYT), bao hiem that nghiep (BHTN); yeu cau dang ky tham gia hoac dong bo sung cho 60.710 lao dong, voi so tien phai truy dong hon 222,2 ty dong. Tai xuong Co quan BHXH tang cuong phoi hop voi co quan lien quan de tang hieu qua xu ly vi pham - Anh minh hoaKiem tra cac don vi co dau hieu vi pham, cham dong keo daiTrong 9 thang dau nam 2026, he thong BHXH Viet Nam da kiem tra tai 7.151 don vi, gom kiem tra chuyen nganh tai 6.670 don vi va kiem tra viec thuc hien hop dong kham benh, chua benh BHYT tai 481 co so kham benh, chua benh.De xac dinh dung doi tuong can kiem tra, BHXH Viet Nam ra soat du lieu quan ly, khoanh vung va phan tich dau hieu vi pham. Trong tam la cac don vi co nguy co vi pham ve doi tuong, muc dong; don vi cham dong, tron dong; co so kham benh, chua benh BHYT co chi phi gia tang bat thuong. Viec phan tich du lieu giup xac dinh trong tam kiem tra, tap trung vao cac don vi co dau hieu vi pham.Doi voi nhom don vi cham dong keo dai, co quan BHXH da kiem tra chuyen de tai 1.399 don vi cham dong tren 6 thang, thu hoi tren 114 ty dong; lap bien ban va xu phat vi pham hanh chinh doi voi 249 don vi, voi tong so tien phat hon 2 ty dong. Sau kiem tra, viec theo doi, don doc khac phuc tiep tuc duoc thuc hien de thuc day doanh nghiep hoan thanh nghia vu dong. Viec thu hoi tien cham dong, yeu cau dang ky tham gia va dong bo sung huong toi khac phuc thieu sot ve doi tuong, thoi gian, muc dong, lam co so giai quyet che do dung quy dinh. Voi nguoi lao dong tai doanh nghiep cham dong, co quan BHXH thuc hien xac nhan thoi gian da dong, giai quyet cac che do om dau, thai san, huu tri cho truong hop du dieu kien.Kiem tra tu xa, ngan ngua chi tra sai quy dinhCung voi viec lua chon doi tuong theo dau hieu rui ro, co quan BHXH ket hop kiem tra truc tiep voi kiem tra tu xa. Trong 9 thang dau nam, kiem tra tu xa da duoc thuc hien tai 1.848 don vi su dung lao dong, thu hoi hon 186,7 ty dong tien cham dong, tron dong. Cong tac kiem tra tu xa cho phep trien khai cac buoc trong quy trinh kiem tra ma khong phai tiep xuc truc tiep voi doi tuong kiem tra, gan cai cach hanh chinh voi ung dung cong nghe thong tin va chuyen doi so. Viec thuc hien van tuan thu quy trinh, thu tuc theo quy dinh, dong thoi gan voi don doc don vi khac phuc vi pham. Ben canh kiem tra viec dong, co quan BHXH chu trong kiem soat ho so chi tra che do va thuc hien hop dong kham benh, chua benh BHYT. Qua kiem tra, co quan BHXH yeu cau thu hoi 9,3 ty dong da chi tra che do BHXH khong dung quy dinh, lien quan den 10.234 luot nguoi lao dong; tu choi thanh toan va thu hoi ve quy BHYT hon 183,5 ty dong do khong du dieu kien thanh toan. Viec phat hien, xu ly cac khoan huong va thanh toan sai gop phan bao ve cac quy bao hiem, bao dam nguon luc phuc vu nguoi tham gia, thu huong chinh sach.Tang hieu qua xu ly vi pham qua phoi hop lien nganhDe nang cao hieu qua phat hien, xu ly vi pham, co quan BHXH tang cuong phoi hop voi co quan thue, cong doan, co quan noi vu, y te va chinh quyen cac cap trong trao doi thong tin, theo doi viec chap hanh phap luat ve BHXH, BHYT, BHTN. Dong thoi, co quan BHXH phoi hop voi co quan cong an, Vien kiem sat nhan dan de xac minh, cung co ho so, xu ly cac vu viec theo quy dinh. Co quan BHXH cung chu dong cung cap thong tin cho cac co quan bao chi, truyen thong de tuyen truyen, pho bien phap luat va thong tin ve ket qua thuc hien chinh sach.Trong 9 thang dau nam 2026, co quan BHXH da chuyen 21 ho so kien nghi khoi to sang co quan dieu tra, gom 9 vu viec gian lan BHYT; 3 vu viec co ca hanh vi gian lan BHXH va gian lan BHYT; 9 vu viec lien quan den hanh vi tron dong BHXH.Thuc hien Nghi quyet so 205/2025/QH15 ngay 24/6/2025 cua Quoc hoi ve viec thi diem Vien kiem sat nhan dan khoi kien vu an dan su de bao ve quyen dan su cua cac chu the la nhom de bi ton thuong hoac bao ve loi ich cong, co quan BHXH da ky quy che phoi hop voi Vien Kiem sat nhan dan cac cap hoac chu dong trao doi du lieu, xac minh vi pham, cung co ho so va lua chon nhung vu viec du dieu kien de khoi kien. Du dat nhung ket qua cu the, viec thu hoi tien cham dong van gap nhieu tro ngai. Khoang 39.000 don vi khong con kha nang dong co tong so tien cham dong kho thu hoi khoang 5.100 ty dong. Nhieu doanh nghiep da ngung hoat dong, giai the, pha san hoac khong con o dia chi dang ky, anh huong truc tiep den viec giai quyet quyen loi nguoi lao dong. Viec phat hien vi pham cung gap kho khi doanh nghiep khong dang ky day du nguoi thuoc dien tham gia, ke khai thieu tien luong lam can cu dong hoac giao ket hop dong mang ten cong tac vien, dich vu, khoan viec nhung co noi dung thuoc dien phai tham gia BHXH bat buoc de ne tranh nghia vu dong. Trong khi do, du lieu chia se chua chi tiet den tung lao dong, muc thu nhap; mot so don vi chua cung cap ho so, du lieu hoac khong hop tac khi kiem tra tu xa; luc luong kiem tra con mong.Truoc nhung kho khan nay, trong nhung thang cuoi nam 2026, BHXH Viet Nam tiep tuc ra soat, chuan hoa du lieu cham dong, tron dong; giao nhiem vu cu the cho tung dia phuong va tang cuong kiem tra don vi cham dong keo dai. Kiem tra truc tiep va tu xa duoc gan voi theo doi ket qua khac phuc, nham don doc don vi thuc hien day du cac yeu cau, ket luan sau kiem tra. Thu CucTham khao themQuyet liet thu hoi so tien cham dong BHXH, BHYTTham khao themKhac phuc khoang trong phap ly, tao thuan loi cho nguoi dan, doanh nghiep, co quan BHXHTham khao themCanh bao nhung thu doan lua dao moi lien quan den BHXH, BHYT
