参保率95%以上，临沂各级财政补助居民参保投入252.51亿

Core Viewpoint - The Linyi Municipal Government has made significant progress in enhancing the medical insurance system during the "14th Five-Year Plan" period, focusing on ensuring basic medical coverage, promoting reforms, and improving service quality [2][3][4]. Group 1: Medical Insurance Coverage - The basic medical insurance coverage rate in Linyi has remained stable at over 95%, with a total of 252.51 billion yuan invested by various levels of government to support resident insurance [3][4]. - The reimbursement rates for inpatient expenses under employee and resident medical insurance are maintained at 80% and 65%, respectively [3]. Group 2: Medical Assistance and Support - A total of 348.97 million medical assistance cases were recorded, alleviating medical expenses by 14.51 billion yuan during the "14th Five-Year Plan" period [3]. - The reimbursement standard for insured residents' hospital deliveries has been increased to 3,000 yuan, with a 100% reimbursement rate for insured employees [3]. Group 3: Medical Insurance System Reform - Linyi has implemented a centralized procurement policy for drugs and medical consumables, executing 890 types of procured drugs and 40 categories of medical consumables [4]. - The city has conducted 18 price adjustments for medical service projects, reducing prices for 346 items to ease the financial burden on residents [4]. Group 4: Service Improvement Initiatives - The city has launched a "city-wide handling" initiative for 27 medical insurance services, achieving seamless processing for registration and reimbursement [5]. - The direct settlement rate for medical expenses across provinces has improved to 91.96%, with a total of 4.11 billion yuan disbursed for maternity benefits [5]. Group 5: Fund Management and Efficiency - Over the past five years, the total expenditure of the medical insurance fund reached 795.14 billion yuan, benefiting 2.75 billion people [6]. - The city has implemented a prepayment system for qualified medical institutions, with 39.38 billion yuan disbursed as advance payments during the "14th Five-Year Plan" [6]. Group 6: Regulatory Enhancements - A joint meeting system for medical insurance fund supervision has been established, enhancing the regulatory framework and ensuring accountability [7]. - During the "14th Five-Year Plan" period, the city recovered and refused payments amounting to 10.2 billion yuan due to violations of fund usage [7].