About 1.334 billion people! The medical insurance participation rate in China is stable at over 95%
2024-04-12
On the 11th, the National Medical Insurance Administration released the "2023 Statistical Express on the Development of Medical Security", which showed that as of the end of 2023, the number of participants in basic medical insurance was about 1.334 billion. "According to the calculation of the number of participants, China's medical insurance participation rate remains above 95%, and the total scale has been consolidated." Zhu Yongfeng, Deputy Director of the Planning, Finance and Regulations Department of the National Medical Insurance Administration, introduced that based on 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, indicating that China's overall insurance participation is stable. At present, China is improving the world's largest basic medical security network, making the bottom line of insurance more reliable, improving the quality of insurance, and optimizing the insurance structure. ——The bottom line for insurance is more reliable. In 2023, the 25 provinces that originally undertook the task of poverty alleviation through medical insurance provided medical assistance to a total of 73.082 million people to participate in basic medical insurance, with an expenditure of 15.38 billion yuan and per capita assistance of 210.5 yuan. The participation rate of low-income rural population and poverty alleviation population remained stable at over 99%, effectively safeguarding the interests of vulnerable groups. According to monitoring, in 2023, the "triple system" of basic medical insurance, major illness insurance, and medical assistance has benefited more than 180 million low-income rural residents to seek medical treatment, helping to reduce the cost burden by 188.35 billion yuan. After being reimbursed through the "triple system", nearly half of the disadvantaged groups bear an annual hospitalization medical expense of less than 1000 yuan. ——The quality of insurance has been improved. On the basis of excluding nearly 40 million people with duplicate or invalid data within provinces 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 will be further improved. A set of data is more convincing: in 2023, the settlement of outpatient and inpatient visits nationwide was 8.247 billion, a year-on-year increase of 27%, and the medical needs of insured people were guaranteed; In 2023, 126 drugs were newly included in the catalog, of which 57 drugs were approved and included in the catalog in the same year; In 2023, 130 million cross provincial direct settlements will be made, allowing more insured individuals to conveniently enjoy medical insurance services. ——The insurance structure is more optimized. By the end of 2023, the number of people participating in basic medical insurance was about 1.334 billion, including 371 million people participating in employee basic medical insurance and 963 million people participating in resident basic medical insurance. The number of people participating in employee medical insurance increased by 9 million, and the insurance structure was further optimized. In 2023, the expenditure of basic medical insurance funds for employees and residents increased by 16.9% and 12.4% year-on-year, respectively, further ensuring the medical insurance benefits enjoyed by insured individuals and the fund payment of designated medical institutions. To effectively reduce the burden of medical treatment on the public, the scope of medical insurance fund utilization has been further expanded. On the one hand, the expenditure scope of individual accounts of employees has been expanded, which can be used by family members together; On the other hand, after the outpatient medical expenses are included in the fund reimbursement scope, insured employees can enjoy better outpatient security benefits. According to Zhu Yongfeng, in 2023, 326 million people will enjoy outpatient benefits from employee medical insurance. Next, we will promote the resolution of the issue of cross regional pooling of personal accounts, so that insured individuals can further benefit from outpatient pooling reform
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