中国医保惠民生 积跬步、至长远（十一）：医保数据工作组

Group 1 - The establishment of the medical insurance data working group represents an innovative effort for the medical insurance department, focusing on building the group, utilizing data effectively, and organizing release activities [1] - By January 2025, the National Medical Insurance Administration will gather expert opinions and local experiences to develop foundational data indicators, which will include fund income and expenditure, total medical insurance amounts, payment method reforms, and service conditions of medical institutions [1] - The introduction of foundational indicators has opened the door for data release, showcasing the medical insurance department's commitment to openness, transparency, and fairness [1] Group 2 - By the end of March, most regions completed their first face-to-face data release, receiving positive social feedback, and the National Medical Insurance Administration updated the foundational indicators to form a national data release system with 47 indicators [1] - By the end of July, regions completed face-to-face data release activities, sharing data on fund operations and reform effectiveness for 2024, creating a positive cycle of reform progress, performance evaluation, and improved medical service levels [3] - By November, about two-thirds of regions achieved monthly data push for medical insurance, enriching the content and format of releases according to local conditions [3] Group 3 - Local medical insurance departments have developed unique practices in data release, such as Hefei's "first public class" and Nanjing's "medical insurance high-speed train" for rapid data updates [3] - Jiangxi's Jiujiang organizes regular experience-sharing and roundtable discussions to facilitate the exchange of data experiences between medical insurance departments and institutions [3] - Some regions, like Zhejiang and Hunan, utilize Deepseek and big data models to effectively address on-site inquiries regarding medical insurance policies [3]