The Department of Internal State Audit for the Ulytau Region conducted an unscheduled audit of the activities of the regional branch of the NJSC "Social Health Insurance Fund". The audit covered the period from January 1, 2023, to March 31, 2026. As part of the audit, the use of funds totaling 13.65 billion tenge was examined.
The audit revealed a number of violations related to the provision and accounting of medical services, the reliability of data in information systems, and the use of health insurance funds.
In particular, hospitals in the Zhanaarka district and the city of Satpayev placed allocated funds on bank deposits, receiving 92.7 million tenge in deposit income.
In addition, facts were identified in the information systems of services provided to deceased citizens and persons who were outside the country, duplication of medical services, as well as simultaneous treatment of one patient in several hospitals.
Cases of non-compliance by individual medical organizations with licensing requirements and payment for medical services not actually provided were also established.
Following the audit results, appropriate measures will be taken to eliminate the identified violations, recover unreasonably paid funds, and strengthen control over the use of health insurance funds.