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青海基本医保参保扩面成效显著
Xin Lang Cai Jing· 2026-01-03 17:12
"三医"协同稳健推进,医疗医保良性互动。青海以系统改革破解深层次问题,稳步推进医疗服务价格调 整,累计执行价格项目8163项,医疗服务收入占比提升至36.64%,超过全国平均水平。医保支付方式 改革深入推进,建立激励约束机制,引导医疗机构回归公益定位、提升服务内涵。通过建立医保预付金 制度,有效缓解公立医院资金压力。改革促使全省医疗次均费用和平均住院床日较2021年显著下降,实 现了医疗机构管理水平和基金使用绩效的双提升。 便民服务智能精细,群众办事省心便捷。以"高效办成一件事"为目标,青海"智慧医保"建设提速。医保 码激活使用率在全国率先实现全覆盖,"刷脸"结算基本覆盖定点医药机构。政务服务事项线上可办率超 95%,同时依托基层组织和银行网点等,实现医保服务站点乡镇、村社全覆盖,并探索建立流动服务 队,将服务延伸到群众"门口"。异地就医直接结算拓宽至全国所有定点医药机构,"一站式"结算、跨省 协同(如与川、甘、藏等地对接)让群众切实感受到"看病不用带卡、报销不用跑腿"的便利。 待遇保障持续夯实,群众获得感实实在在。全省基本医保参保扩面成效显著,2025年参保任务完成率达 100.69%,连续三年超额完成国家 ...
国际医学:积极适应行业变革实现运营效率持续优化
Sou Hu Cai Jing· 2025-12-30 13:00
国际医学回复:您好,感谢您对公司的关注。中央经济工作会议对2026年医疗健康领域"三医协同"、药 品集采优化及医保支付方式改革的深化部署,体现了国家推动行业高质量发展的坚定决心,这对所有医 疗机构都提出了更高要求,也蕴含着新的发展机遇。面对行业政策的持续深化,公司将坚持发展战略目 标,以稳健经营为基础,强化成本管控和效率提升;以提升医疗质量和服务体验为核心,加强学科建 设,不断优化患者服务体系;以差异化策略构建竞争优势,增强服务附加值;积极适应行业变革,实现 服务规模的有序扩张、运营效率的持续优化、经营业绩的改善提升。谢谢! 以上内容为证券之星据公开信息整理,由AI算法生成(网信算备310104345710301240019号),不构成 投资建议。 证券之星消息,国际医学(000516)12月29日在投资者关系平台上答复投资者关心的问题。 投资者提问:中央经济会议已经开完了,26年针对三医协同,优化药品集中采购,深化医保支付方式改 革,贵公司明年日子可能会更苦,不知道贵司能不能撑的住? ...
医保清算提速更要“提质”
Zhong Guo Jing Ji Wang· 2025-12-22 02:35
《行动计划》明确了从起步、提速到全面实施的阶段性推进路径。这种分阶段、按步骤的推进方式,既 兼顾地方实际差异,又注重落地可操作性,确保改革稳步有序开展。尤其值得关注的是,将大病保险资 金、医疗救助基金纳入清算提速范围,更是对弱势群体、重症患者医疗资金迫切需求的精准回应,彰显 了对生命健康的切实关切。 提速更需要"提质"。根据《行动计划》,自2028年起,将实现每年3月底前完成上年度清算,清算资金 占年度医保基金拨付的3%左右,推进季度清算等创新模式。季度清算就像把"年终大考"变成"单元测 验",推动医院从事后补救转向事中控制。智能化监管、标准化流程、风险防控体系建设必须同步跟 进,防止在提速过程中出现管理漏洞。《行动计划》还强调省级医保部门要总结试点经验,巩固清算成 果,规范全省清算流程,指导改革全面推进。可以说,确保清算提速与监管协同并进,才能让好政策取 得好效果。 每一笔异地就医直接结算数据的背后,都有一个求医问药的故事。"十五五"规划建议提出,"健全医 疗、医保、医药协同发展和治理机制"。医保清算提速的"一小步",也是"三医协同"的"一大步"。脚踏 实地走好每一步,向着医保"全国漫游"前进。(中国经济网 ...
“肾小保”AI智能体构建三医协同慢病管理新生态
Zheng Quan Ri Bao Wang· 2025-12-17 06:10
据悉,老来健康作为深耕慢病管理的数字健康平台,已服务超3400万名用户,对接10个省医保门特慢病 监管服务系统,覆盖全国超2亿名老人。此次"肾小保"SaaS软件的成功研发,是老来健康在三医协同领 域的重要突破,未来公司将持续迭代技术与服务,为更多医疗机构提供合规、高效、智能的数字化管理 解决方案,助力我国慢病管理体系高质量发展。 "'肾小保'最核心的价值,在于通过SaaS架构打破了医保、医疗、患者之间的信息壁垒,构建起'政策引 导—临床实施—患者参与'的三医协同闭环。"邵阳市中心医院负责人表示,自2025年10月份项目启动以 来,该SaaS软件已成功纳管159名腹透患者,患者满意度大幅提升,医院肾脏病管理的资源配置效率和 诊疗质量实现双重突破,为慢病管理提供了可复制、可推广的实践样本。 业内人士认为,老来健康"肾小保"以SaaS模式落地三医协同,具备三大推广优势:一是轻量化部署,降 低医疗机构数字化转型成本;二是数据实时协同,实现医保、医疗、患者三方信息互通;三是模式可扩 展性强,未来可从肾脏病管理延伸至糖尿病、高血压等更多慢病领域。该模式的成功推广,将为"十五 五"期间医疗保障智能化升级提供重要支撑。 本报 ...
【每日简讯】湖北上线社科人工智能大模型 | 海南省三医大数据中心成立
Xin Lang Cai Jing· 2025-12-11 10:10
Group 1: Industrial Policy and Technological Advancements - The Ministry of Industry and Information Technology has issued a revised management approach for public service platforms in industrial technology, effective from December 5, 2025, emphasizing the need for service platforms to enhance their capabilities and optimize service quality [1][1] - Inner Mongolia Geological and Mineral Group has developed the first specialized dataset for mineral exploration using AI technology, marking a significant advancement in intelligent geological exploration [1][5] Group 2: Food Safety and Digital Innovation - Heilongjiang Province has implemented digital food labels for 105 products, enhancing consumer information accessibility and promoting food safety through interactive features [2][5] - The initiative aims to improve consumer awareness and support food enterprises through increased promotion and technical guidance [2][5] Group 3: Meteorological Data and Flood Risk Management - The Henan Meteorological Bureau has developed a dataset for typical flood events in the Yellow River basin, which has passed the national approval process, enhancing flood risk prediction and management capabilities [3][6] - This dataset integrates various data sources to improve the accuracy of flood risk assessments and extend the forecasting period [3][6] Group 4: Social Science and AI Integration - A new AI model for social sciences has been launched in Hubei, featuring a dedicated interactive robot and a team of digital social science experts, marking a significant step in integrating AI with social research [4][7] - The AI platform is designed to support data sharing and collaborative research, ensuring rigorous academic standards [4][7] Group 5: Healthcare Data Management - The establishment of the first provincial-level big data center for healthcare in Hainan aims to break down data barriers among healthcare, insurance, and pharmaceutical sectors, facilitating better service delivery [5][7] - This center is expected to enhance the efficiency of healthcare processes and support regulatory compliance in drug safety and medical practices [5][7]
健全多层次医疗保障体系 筑牢民生保障底线——访国家医保局局长章轲
Xin Hua She· 2025-12-03 14:22
新华社北京12月3日电 题:健全多层次医疗保障体系 筑牢民生保障底线——访国家医保局局长章 轲 新华社记者彭韵佳 医保,关系每个参保人的切身利益。党的二十届四中全会审议通过的《中共中央关于制定国民经济 和社会发展第十五个五年规划的建议》(以下简称《建议》),提出"健全多层次医疗保障体系""推进 基本医疗保险省级统筹"等系列部署。 如何健全多层次医疗保障体系?如何让医保改革成果更好惠及群众健康?新华社记者专访了国家医 保局局长章轲。 破解看病难、看病贵问题取得突破性进展 问:"十四五"时期,医疗保障制度改革如何提升百姓获得感? 答:党的十八大以来,全民医疗保障制度改革持续推进,参保质量明显提升,人民群众医保获得感 显著提高。 国家医保局持续推进"1+3+N"多层次医疗保障体系建设,基本医保、大病保险、医疗救助三重基本 医疗保障制度进一步巩固提升。职工医保、居民医保政策范围内住院费用报销比例分别达到80%和70% 左右,普遍开展普通门诊统筹和门诊慢性病、特殊疾病保障,减轻参保人员门诊医疗费用负担。大病保 险进一步减负,城乡居民大病保险保障水平在基本医保基础上提高10到15个百分点。健全统一规范的医 疗救助制度。 ...
国家医保局局长章轲:健全多层次医疗保障体系 筑牢民生保障底线
Xin Lang Cai Jing· 2025-12-03 08:35
原标题:贯彻落实党的二十届四中全会精神权威访谈|健全多层次医疗保障体系 筑牢民生保障底线—— 访国家医保局局长章轲 新华社北京12月3日电(新华社记者 彭韵佳)医保,关系每个参保人的切身利益。党的二十届四中全会 审议通过的《中共中央关于制定国民经济和社会发展第十五个五年规划的建议》(以下简称《建 议》),提出"健全多层次医疗保障体系""推进基本医疗保险省级统筹"等系列部署。 如何健全多层次医疗保障体系?如何让医保改革成果更好惠及群众健康?新华社记者专访了国家医保局 局长章轲。 破解看病难、看病贵问题取得突破性进展 国家医保局持续推进"1+3+N"多层次医疗保障体系建设,基本医保、大病保险、医疗救助三重基本医疗 保障制度进一步巩固提升。职工医保、居民医保政策范围内住院费用报销比例分别达到80%和70%左 右,普遍开展普通门诊统筹和门诊慢性病、特殊疾病保障,减轻参保人员门诊医疗费用负担。大病保险 进一步减负,城乡居民大病保险保障水平在基本医保基础上提高10到15个百分点。健全统一规范的医疗 救助制度。 以"减负、提质、便民"为导向,多举措强化保障实效。"十四五"期间,医保基金累计支出超13万亿元, 惠及近200亿 ...
“名医+名药”一站式护航 丰台区花乡街道第二社区卫生服务中心正式运营
Bei Jing Wan Bao· 2025-11-27 02:49
Core Points - The Beijing Tongrentang's second community health service center in Huaxiang Street officially commenced operations, enhancing local healthcare services for thousands of residents [1][2] - The center features a comprehensive service system that integrates general and specialized care with traditional Chinese medicine, aiming to provide convenient and efficient medical services [2][3] - The center's unique "famous doctors + famous medicines" dual assurance system leverages high-quality traditional Chinese medicine and expert practitioners to ensure effective healthcare delivery [3][4] Summary by Sections Service Features - The health service center includes 14 clinical departments and various medical technology support services, offering a wide range of treatments and preventive care [2][3] - Services include traditional Chinese medicine techniques such as acupuncture and cupping, alongside modern medical practices, ensuring comprehensive healthcare coverage [2][3] Community Impact - The center is positioned as a reliable "health station" for residents, providing accessible healthcare and promoting public health in the Huaxiang area [3][4] - The opening of the center is seen as a significant step towards enhancing public health capabilities in the region, contributing to the "Healthy Fengtai" initiative [2][4] Strategic Development - Beijing Tongrentang is expanding its community healthcare network, having already established services in multiple districts, serving nearly 300,000 residents [4][5] - The company is committed to integrating online and offline healthcare services, enhancing accessibility through digital platforms [4][5] Tailored Services - The center offers customized services for different demographics, including elderly care packages and home visits for those with mobility issues, ensuring comprehensive support for all community members [5] - The focus on "Chinese medicine +" highlights the company's commitment to providing culturally relevant healthcare solutions [5]
乐城医联体发布,微医控股与乐城管理局、琼海市政府达成战略合作
Sou Hu Cai Jing· 2025-11-17 10:41
Core Insights - The 13th Health Industry Hospital Management Conference was held in Hainan, where a strategic cooperation agreement was signed among the Hainan Boao Lecheng International Medical Tourism Pilot Zone Administration, Qionghai Municipal Government, and WeDoctor Holdings [1][3] Group 1: Strategic Cooperation - The three parties will collaborate on the construction of the "Lecheng International Medical Alliance" and the "Qionghai Digital Health Community," aiming to create a top-tier medical resource "super interface" that serves Hainan's free trade port and extends nationwide and globally [3][5] - The establishment of the "Lecheng International Innovative Drug and Medical Device Medical Alliance" was announced during the conference, with the first batch of 10 cooperative hospitals signing agreements on-site [3][4] Group 2: Innovative Medical Services - The Lecheng Medical Alliance will leverage telemedicine platforms to facilitate a digital closed-loop service for patients, transforming the traditional lengthy process of drug approval and patient care into a more efficient and accessible system [3][4] - A case study was presented where a patient with a chronic condition received innovative treatment recommendations through the Lecheng Medical Alliance platform, showcasing the platform's potential impact on patient care [4] Group 3: Future Developments - The Lecheng Medical Alliance aims to promote a collaborative model where patients are treated locally, with follow-ups and data sharing, enhancing the overall healthcare experience [4][5] - WeDoctor Holdings plans to utilize its advanced digital technology and platform resources to support the development of Lecheng as a "health portal" for patients across China, ensuring quicker access to global medical innovations [5][6] - The strategic cooperation will also focus on exploring reforms in medical insurance payment methods and improving the efficiency of regional medical institutions, contributing to the development of a "Healthy Qionghai" [5]
擘画“十五五”:深化医改、赋能创新,锚定医药发展新航向
Core Insights - The article discusses the strategic opportunities in China's pharmaceutical sector as it transitions from the "14th Five-Year Plan" to the "15th Five-Year Plan," emphasizing the integration of health initiatives and global biopharmaceutical competition [1][2] Industry Development - The "15th Five-Year Plan" outlines a health-first development strategy, focusing on enhancing public health capabilities, promoting hierarchical diagnosis and treatment, and supporting the development of innovative drugs and medical devices [2][3] - The plan aims to bind pharmaceutical industry upgrades with national economic structure optimization, driving high-quality industry development [2][3] Innovation in Pharmaceuticals - During the "14th Five-Year Plan," China approved 210 innovative drugs and 269 innovative medical devices, with the biopharmaceutical market becoming the second largest globally, accounting for approximately 30% of global innovative drugs in development [1][2] - The approval of innovative drugs has accelerated, with 43 drugs approved in the first half of 2024, marking a 59% year-on-year increase [5][6] Medical Device Sector - From 2014 to 2024, 315 innovative medical devices were approved, with 65 approved in 2024 alone, indicating a sustained high level of approvals [6][7] - The government has introduced measures to support the development of high-end medical devices, including optimizing approval processes and enhancing regulatory frameworks [6][7] Public Health and Disease Control - The article highlights the importance of strengthening public health capabilities and disease control systems, particularly in managing major infectious and chronic diseases [9][10] - The "15th Five-Year Plan" emphasizes the need for a comprehensive approach to disease prevention and control, integrating various health services [9][10] Challenges and Recommendations - Experts suggest increasing funding for innovative drug research and improving the investment environment for pharmaceutical companies [7][8] - The need for enhanced collaboration between healthcare, insurance, and pharmaceutical sectors is emphasized to create a more efficient healthcare delivery system [3][4]