程智涛:参保人数再创新高,基金累计结余近67亿元
Nan Fang Du Shi Bao·2026-02-11 06:31

Core Viewpoint - The Zhuhai government is focusing on the development goals for the "15th Five-Year Plan" period, building on the achievements of the "14th Five-Year Plan" and emphasizing key areas such as the Guangdong-Hong Kong-Macao Greater Bay Area construction, new productivity development, and integrated education and technology talent development [1] Group 1: Healthcare Insurance Achievements - The number of basic medical insurance participants in Zhuhai has exceeded 2.6 million, surpassing the provincial target of 2.52 million, marking a historical high [2] - The medical insurance fund's income reached 8.6 billion yuan, with expenditures of 7.5 billion yuan, resulting in a cumulative surplus of 6.688 billion yuan, indicating stable operations [2] - The annual reimbursement for hospitalization reached 299,000 cases, and outpatient reimbursements totaled 12.13 million cases, with 1.23 million cases of direct settlement for cross-regional medical treatment [2] Group 2: Enhanced Medical Benefits - The annual maximum payment limit for medical insurance has been raised to 1.5 million yuan for employees and 800,000 yuan for residents, with significant improvements in maternity support, including full reimbursement for prenatal and delivery costs [3] - Over 190,000 flexible employment individuals have joined the medical insurance scheme, ensuring coverage for gig economy workers such as delivery personnel [3] - Medical assistance has been provided to 6,365 individuals, with instant settlement for 66,000 cases, amounting to 8.153 million yuan in aid [3] Group 3: Cost Reduction in Medical Services - The average hospitalization cost has decreased from 12,900 yuan to 11,100 yuan, reflecting efficient fund utilization and reduced expenses for patients [4] - A total of 3.706 billion yuan was saved through centralized procurement of drugs and medical supplies, benefiting the public with lower prices [4] - 30 enterprises in Zhuhai have had 86 types of drugs and medical supplies included in national procurement lists, promoting high-quality development for local businesses [4] Group 4: Improved Healthcare Accessibility - The establishment of 757 service points across towns, streets, and banks facilitates easier access for residents to handle medical insurance matters [4] - The introduction of intelligent customer service for medical insurance allows for one-stop processing of insurance issues [4] - The goal is to enhance the medical security level for all insured individuals through various initiatives [6]