1.16亿次报销里的民生温度

Core Viewpoint - Guizhou Province has been continuously deepening its medical insurance system reform, focusing on people's health and creating a multi-layered medical security network that covers all citizens, reduces out-of-pocket expenses, and enhances access to healthcare services [4][6]. Group 1: Medical Insurance Reform - The implementation of family pooling for personal medical insurance accounts allows family members, including extended relatives, to share medical expenses, improving the efficiency of insurance fund usage [5]. - The establishment of a comprehensive database for universal insurance coverage has maintained over 41 million insured individuals, with reimbursement rates for inpatient care at approximately 83% for employee insurance and 73% for resident insurance [6]. Group 2: Accessibility and Convenience - The introduction of a "mobile medical insurance station" service model allows village doctors to visit patients at home, facilitating immediate medical insurance settlements [5]. - The integration of artificial cochlear implants into the medical insurance reimbursement system has significantly reduced the cost of the devices from nearly 300,000 yuan to under 50,000 yuan, making them more accessible for families of hearing-impaired children [7]. Group 3: Efficiency in Medical Services - The province has implemented a "one person, one file" system for insurance registration, enhancing the quality and coverage of insurance [6]. - The transition to a prepayment and immediate settlement model for basic medical insurance has reduced the reimbursement processing time from 30 working days to just 1 working day [8]. Group 4: Digital Transformation - The development of a multi-channel, integrated service system for medical insurance has enabled 39.6 million people to activate their insurance codes, with over 10,925 medical institutions offering "face-scan payment" options [10]. - The implementation of a drug traceability system, where each medication has a unique traceability code, has improved transaction efficiency and customer satisfaction in pharmacies [9]. Group 5: Future Directions - The Guizhou medical insurance department plans to continue deepening reforms, enhance the multi-layered insurance system, and promote provincial-level coordination of basic medical insurance to improve the public's sense of security and satisfaction with medical insurance services [10].