Core Viewpoint - The "14th Five-Year Plan" period has seen continuous development in China's healthcare and medical insurance sectors, with a focus on reducing the medical burden on citizens and enhancing the synergy among healthcare, medical insurance, and pharmaceuticals [3][4]. Group 1: Development and Reform - The "15th Five-Year Plan" period is identified as a critical time for building a comprehensive health security system, necessitating further reforms to optimize healthcare, medical insurance, and pharmaceutical systems [3][4]. - The newly released "Medical Security Blue Book (2025)" emphasizes the coordinated development and comprehensive governance of healthcare, medical insurance, and pharmaceuticals, proposing a theoretical framework for their collaboration [4]. Group 2: Recommendations for High-Quality Development - Five key areas are suggested to promote high-quality development of the medical insurance system during the "15th Five-Year Plan": 1. Integration of systems to reduce disparities between employee and resident medical insurance [5]. 2. Improvement of the funding mechanism for resident medical insurance to alleviate the financial burden on vulnerable groups [5]. 3. Enhancement of medical insurance coverage by adopting international practices to reduce out-of-pocket expenses for individuals [5]. 4. Establishment of a multi-tiered medical security system, focusing on the "bottom line" function of medical assistance [5]. 5. Steady advancement of provincial-level coordination in basic medical insurance based on central policies and local practices [5]. Group 3: Adaptation to New Conditions - The healthcare security system must adapt to new conditions such as accelerated population mobility and diverse employment forms by addressing three dimensions: 1. Breaking down barriers through an inclusive insurance mechanism to achieve fairness and unity in the system [6]. 2. Constructing a cross-regional public service coordination mechanism to facilitate seamless medical service connections [6]. 3. Utilizing health cloud platforms to integrate data across healthcare, medical insurance, and pharmaceuticals, providing comprehensive health security services [6].
展望:促进医疗、医保、医药协同发展和综合治理
Xin Lang Cai Jing·2026-01-01 14:38