MPB Macedonia reports that today (29.10.26) by police officers from the Department of Organised Crime and Organised Crime in Co-ordination with the Public Prosecutor’s Office, a police action was carried out under investigation into allegations of illegal procedures relating to eye operations, during which a criminal group, some of which were former and current officials of the Health Insurance Fund in the Republic of Macedonia.
As the MPB reports, as part of the action, based on orders previously provided by the Constitutional Criminal Court, there were raids at several locations in Skopje and one in Tetovo and Kumanovo, during which eight people were deprived of freedom, and during the raids, were found and seized money of approximately 50,000 euros and mobile phones.
The Department for Oppression of Organised Crime and Internal Crime raised criminal charges in the Public Prosecutor against 11 people, of whom one is Albanian citizens and a legal person. Speculation has been raised against D.D. (60) from Skopje, O.R. (66) by Tetovo and S.B. (59) from Skopje for misusing official position and authority, R.A. (45) from Kumanovo for careless taskmaking, Mr.A. (35) from Skopje for falsification or destruction of business books, V.Q. (47) from Skopje, S.A. (40) by Skopje and G.A. (33) By the Republic of Albania for misusing official office and authority, C.S. (47) from Skopje, Mr.S. (58) from Skopje and I.P. (49) from Skopje for reckless task management and against Skopje’s private health care institution for money laundering and other revenues from criminal acts.
In response to claims intensification, two then FSF directors in 2020, along with a representative of the private health care institution, have linked an agreement contrary to the Fund’s specific procedures and internal acts. The chairman of the Board of Directors is suspected of irregularities in her adoption.
According to the agreement, introducing false data into the FSF electronic system and preparing fake content bills, the health care institution allegedly assigned the same services to both the Fund and patients. In addition to legal participation, patients have also been charged with a private price for operations, while hiding to them that services are also charged by FSSH.
The announced director of the Control Sector has allegedly failed to submit reports of irregularities identified in the competent commission and delayed implementing regular controls, thus avoiding the introduction of additional contractual penalties and possible disruption of the contract. Two Skopje Regional Office managers are suspected of not following the collection of fines already imposed and of not informing competent services, so payments to the institution have continued without compensation for debts.
Also, there are doubts that F-paid funds The SSH, for which individuals authorized at the institution knew they originated with a criminal offense, was introduced into the payment system, recorded in various accounting accounts, and used for salaries, purchases and other payments.
According to the report, the damage to the FSF budget amounts to 104,818,754 denars, or about 1.7m euros, for bills-based payments, and 525,000 additional denars for unpaid contractual fines. There are doubts that in the period from 2022 to 2025, the health institution has acquired illegal assets of 261,271,961 denars, or about 4.25m euros. According to the indictment, between 3,000 and 4,000 patients have been damaged by the double fat prescribed, the MPB report said. /Telegraphy/
