Steadily advancing various aspects of medical insurance work

2024-04-12

The National Medical Insurance Administration held a regular press conference on the 11th to introduce the relevant situation of medical insurance work. The scale of resident medical insurance participation is basically the same as the same period in 2023. Zhu Yongfeng, Deputy Director of the Planning, Finance and Regulations Department of the National Medical Insurance Bureau, introduced that the overall operation of the medical insurance fund in 2023 was stable, with three characteristics: firstly, it remained stable overall, and the overall fund achieved a reasonable surplus. In 2023, the total income of the basic medical insurance pooling fund (including maternity insurance) was 2.7 trillion yuan, with a total expenditure of 2.2 trillion yuan. The current balance of the pooling fund was 500 billion yuan, with a cumulative balance of 3.4 trillion yuan. Among them, the cumulative balance of the employee medical insurance pooling fund is 2.6 trillion yuan, and the cumulative balance of the resident medical insurance pooling fund is over 760 billion yuan. The second is the recovery growth of fund expenditures. In 2023, the expenditure on basic medical insurance funds for employees and residents increased by 16.9% and 12.4% year-on-year, respectively. The national outpatient and inpatient settlement reached 8.247 billion people, a year-on-year increase of 27%. The third is to further expand the scope of fund utilization. On the one hand, individual employee accounts can be used by family members for joint use; On the other hand, outpatient medical expenses are included in the reimbursement scope of the fund. In 2023, 326 million people enjoyed employee medical insurance outpatient benefits, and personal account expenses increased by 7.9% year-on-year. Next, the National Medical Insurance Administration will also promote the resolution of the issue of cross regional pooling of personal accounts, so that insured individuals can benefit more. The work of participating in insurance involves the vital interests of the general public, and all parties are very concerned about the number of insured individuals. Zhu Yongfeng introduced that by the end of 2023, the number of people participating in basic medical insurance reached 1.334 billion, and the coverage rate remained above 95%, consolidating the overall scale. According to the latest situation at the end of March 2024, the scale of resident medical insurance participation is basically the same as the same period in 2023, and there has been no so-called "withdrawal tide". "On the basis of excluding nearly 40 million people with duplicate or invalid data within provinces (autonomous regions, municipalities directly under the central government) in 2022, we will continue to exclude 16 million people with cross provincial duplicate insurance in 2023. After considering the impact of 'de duplication', the actual net increase in the number of insured people in 2023 is about 4 million, and the quality of insurance has been further improved." Zhu Yongfeng said that currently, 371 million people participate in employee basic medical insurance and 963 million people participate in resident basic medical insurance. The number of employees participating in medical insurance accounts for 27.8% of the total number of insured individuals, an increase of 9 million, and the insurance structure is further optimized. Regarding the participation of disadvantaged groups in insurance, Fan Weidong, Director of the Benefits and Guarantees Department of the National Medical Insurance Bureau, introduced that overall, in 2023, medical assistance provided assistance to approximately 80 million disadvantaged groups, and the monitored rural low-income population's participation rate remained stable at over 99%; From an individual perspective, taking low-income recipients as an example, in 2023, the individual paid 380 yuan, with an average medical assistance subsidy exceeding 200 yuan. The variety range of medical insurance drug catalog has been basically unified nationwide. On New Year's Day this year, the new version of the National Medical Insurance Drug Catalog began to be implemented. Huang Xinyu, Director of the Medical Administration Department of the State Health Insurance Bureau, said that there were 3088 kinds of western medicines and traditional Chinese patent medicines and simple preparations, as well as 892 kinds of Chinese herbal pieces in the current version of the directory. On this basis, each province will also provide eligible ethnic medicines, traditional Chinese medicine decoction pieces

Edit:GuoGuo    Responsible editor:FangZhiYou

Source:People.cn

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