2024年医保数据梳理：收入持续增长，各项政策稳步推进-20250914

Investment Rating - The industry investment rating is "Outperform the Market" [1][87]. Core Viewpoints - The medical insurance coverage rate remains high, with a stable insurance participation rate above 94%, achieving near full coverage [2][12]. - Since 2018, the medical insurance fund revenue has consistently increased from 21,384 billion to 34,913 billion by 2024, while expenditures rose from 17,822 billion to 29,764 billion [2][7]. - The growth in the number of drugs listed in the medical insurance directory continues, increasing from 2,709 in 2018 to 3,159 in 2024, providing more options for insured individuals [4][69]. Summary by Sections Part 1: Overview of Medical Insurance - Medical insurance fund revenue has shown continuous growth, with a notable increase in expenditures outpacing revenue growth in recent years [7][11]. - The insurance participation rate has remained stable at over 94%, indicating effective coverage [12]. Part 2: Employee Medical Insurance - Employee medical insurance revenue constitutes over 63% of total medical insurance revenue, with significant contributions from employed individuals [19][23]. - The number of insured employees has grown from 31,681 million in 2018 to 37,948 million in 2024, although the growth rate has slowed [23][27]. - The average hospitalization costs have decreased, attributed to the implementation of the DRG payment policy [37][41]. Part 3: Resident Medical Insurance - The number of residents participating in medical insurance has declined since 2020, dropping from 102,483 million in 2019 to 94,714 million in 2024 [48][52]. - Despite the decline in participation, the fund revenue has maintained positive growth, increasing from 6,971 billion in 2018 to 11,181 billion in 2024 [48][52]. - The cumulative surplus of resident medical insurance has continued to grow, reaching 8,183 billion by 2024 [63]. Part 4: Other Aspects - The number of drugs in the medical insurance directory has increased significantly, enhancing the choices available to insured individuals [69][75]. - Medical assistance expenditures have risen from 425 billion in 2018 to 792 billion in 2024, indicating a strengthening of the safety net function [75][80]. - The policy for cross-regional medical treatment has been continuously promoted, with the number of participants in long-term care insurance also increasing [80][83]. Part 5: Investment Recommendations - The report suggests focusing on innovative pharmaceutical companies with rich pipeline layouts, such as Heng Rui Medicine and BeiGene [4][85]. - It also recommends attention to companies with significant single-product potential and those leading in advanced technology platforms [4][85].