广东职工参保首次突破5000万人大关

Core Insights - The Guangdong medical insurance system is becoming more mature and defined during the "14th Five-Year Plan" period, with an expected enrollment of approximately 113 million people by the end of October 2025 [1] Enrollment Structure - The enrollment structure is optimized, with 45% of participants being employees and 55% being residents [1] - The number of employees enrolled in the insurance has surpassed 50 million for the first time, with 5.5647 million flexible employment individuals participating in employee insurance [1] Service Efficiency - To enhance service efficiency, eight online channels, including Yue Medical Insurance and Yue Province Affairs, will provide around 76 medical insurance services [1] - There is full coverage of inter-provincial designated medical institutions at the county level, with 7,510 designated medical institutions connected for inter-provincial services [1] - The cross-province direct settlement rate for hospitalization expenses is 75.64% [1] Digital Payment and Usage - The medical insurance code for settlement is efficient, with over 102 million people activated, resulting in an activation rate of 92.7% and a usage rate of 56% [1] - More than 7,000 designated medical institutions have integrated mobile payment, and over 3,000 have connected to the electronic prescription center, with a total of 130 million online settlements [1] Fund Settlement Improvements - Guangdong has achieved immediate settlement of medical insurance funds within the coordinated area, reducing the monthly settlement duration from 30 working days to 17.6 working days [1] - The province has also become the first in the country to realize immediate settlement for inter-provincial medical treatment, compressing the monthly settlement time to within 15 working days [1]