2024年医保基金数据点评：基金运行稳健，“三医”协同发展成效显著

Investment Rating - The report maintains a "Recommended" rating for the industry, indicating a positive outlook for the industry fundamentals and expectations for the industry index to outperform the benchmark index [4]. Core Insights - The 2024 National Medical Insurance Fund data shows a stable and secure operation, with significant achievements in the "Three Medicals" collaborative development [1][2]. - The total number of insured individuals in basic medical insurance reached 1.327 billion, maintaining a coverage rate of over 95% [2]. - Total revenue for the basic medical insurance fund (including maternity insurance) was 3.49 trillion yuan, a year-on-year increase of 4.2%, while total expenditure was 2.98 trillion yuan, a year-on-year increase of 5.5%, resulting in a spending rate of 85.3% [2][10]. - The fund's surplus for 2024 was 514.9 billion yuan, with a cumulative surplus of 5.31 trillion yuan, indicating overall stable fund operations [2]. Summary by Sections Insurance Coverage - As of the end of 2024, the number of insured individuals in employee basic medical insurance was 379 million, a year-on-year increase of 2.3%, with total revenue of 2.37 trillion yuan (up 3.5%) and total expenditure of 1.91 trillion yuan (up 7.6%) [10]. - The number of insured individuals in urban and rural resident basic medical insurance was 947 million, a year-on-year decrease of 1.6%, with total revenue of 1.12 trillion yuan (up 5.78%) and total expenditure of 1.07 trillion yuan (up 1.9%) [10]. Financial Performance - The employee medical insurance fund had a current surplus of 463 billion yuan and a cumulative surplus of 4.49 trillion yuan, while the urban and rural resident medical insurance fund had a current surplus of 519 billion yuan and a cumulative surplus of 818.3 billion yuan [10]. Market Overview - The industry consists of 466 listed companies with a total market value of 624.84 billion yuan and a circulating market value of 557.31 billion yuan [4]. - The absolute performance of the industry over 1 month, 6 months, and 12 months was 2.2%, 18.3%, and 22.4% respectively, while the relative performance was -1.7%, 13.2%, and 6.7% [6].