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织密医疗保障网
Shang Hai Zheng Quan Bao·2025-08-24 17:47

Core Insights - The national unified medical insurance information platform has achieved millisecond-level response times and has connected 644,000 designated medical institutions across provinces, facilitating "cross-province handling" for eight high-frequency services [1] - The implementation of big data and artificial intelligence technologies is enhancing the accessibility of medical insurance services while also making it harder for fraudulent activities to occur [1] - The medical insurance fund regulatory system has been fully established, with over 100 billion yuan recovered from fraudulent activities [1] Group 1 - Since the beginning of this year, flying inspections have covered all planning areas and various medical insurance fund users [1] - The government is actively addressing historical issues related to "returning drugs" and has launched special actions to combat fraud and illegal activities using traceability codes [1] - Cumulatively, during the 14th Five-Year Plan period, medical insurance funds have disbursed 12.13 trillion yuan, providing financial support for medical reimbursements and the development of the pharmaceutical industry [1] Group 2 - The National Medical Insurance Administration aims to effectively manage and utilize medical insurance funds to protect public health while also injecting strong momentum into the development of related industries, including pharmaceuticals [1] - The ongoing efforts are part of a broader initiative to support the construction of a healthier China at a higher level [1]