【市场数据】 截至10日收盘，上证综指涨0.48%，报3509.68点；科创50指数跌0.32%，报979.99点；深证成指涨 0.47%，报10631.13点；创业板指涨0.22%，报2189.58点。 4、据智通财经，7月10日，外交部发言人毛宁主持例行记者会。法新社记者提问，美国总统特朗普昨天 宣布将对进口的铜征收50%的关税，理由是国家安全，请问中方对此有何评论？"这个问题我们立场非 常明确。"毛宁强调，我们一贯反对泛化国家安全概念，我们也始终认为关税战、贸易战没有赢家，滥 施关税不符合任何一方的利益。 5、7月10日，据央视新闻，针对《关于在政府采购活动中对自欧盟进口的医疗器械采取相关措施的通 知》，财政部对有关方面关注的问题进行了解答。解答提到，对于4500万元人民币以上的医疗器械政府 采购项目，未分包开展采购的，非欧盟企业提供的自欧盟进口的医疗器械占比不得超过该项目合同总金 额的50%；分包开展采购的，非欧盟企业提供的自欧盟进口的医疗器械占比不得超过分包后单个采购包 合同金额的50%。采购人分包开展采购时，应当结合采购实际，按照专业类型、专业领域、规格等次 等，对采购项目合理分包。 6、据央广网 ...

Group 1 - The article highlights the ongoing efforts in Taizhou's Hailing District to ensure the safe use of medical insurance funds through a special rectification campaign aimed at preventing fraud and misuse [1] - A three-tiered supervision mechanism has been established involving the district's disciplinary inspection and supervision commission, functional departments, and medical institutions, leading to the investigation of 15 corruption and misconduct cases, with 8 individuals formally charged [1] - The campaign is part of a broader initiative to protect the integrity of medical insurance funds, which are crucial for the public's well-being [1] Group 2 - The Taizhou Fourth People's Hospital has implemented a "one-stop service" for chronic disease management, significantly reducing processing time from 5 working days to immediate completion, serving approximately 12,000 people annually [2] - A new prescription management model has been introduced, allowing for an average of over 200 prescriptions to be processed daily, covering 70% of chronic disease patients, while also preventing fraudulent prescriptions [2] - The hospital has adopted a multi-modal real-name medical system to combat the misuse of medical insurance cards, enhancing patient identification through facial recognition and ID verification [2] Group 3 - A regional testing center has been established to address the issue of repeated medical examinations, which is expected to reduce over 600 duplicate tests monthly, saving more than 200,000 yuan in medical expenses and insurance funds annually [3] - The district's disciplinary inspection and supervision commission emphasizes the dual role of safeguarding medical insurance funds while protecting the interests of the public [3] - Future efforts will focus on deepening the results of the special rectification campaign and establishing a long-term regulatory mechanism for medical insurance funds [3]

Core Insights - The launch of the first national "Medical Insurance + Commercial Insurance" clearing and settlement center marks a significant shift in the payment landscape, allowing seamless integration between medical insurance and commercial insurance, reducing the burden on patients [1][2] - The integration of medical insurance and commercial insurance is entering a fast track, with various companies leveraging their strengths to innovate and enhance payment efficiency [2][4] Group 1: Policy and Technological Developments - The National Medical Insurance Administration has expressed a commitment to exploring the collaborative development of basic medical insurance and commercial medical insurance, with the recent establishment of the clearing center being a pilot project aimed at facilitating this integration [2] - Companies like Megxin Health have pioneered concepts such as "commercial insurance identity medical treatment," introducing platforms that allow for direct payment at public hospitals, enhancing user experience by enabling "pay after treatment" [2][4] Group 2: Innovations by Key Players - Alipay has introduced the "Commercial Insurance Code," which utilizes national medical insurance data to streamline the settlement process, significantly reducing the financial burden on patients [3][4] - Ping An Good Doctor has launched "Ping An Medical Payment," a product that leverages medical insurance data to achieve seamless and rapid claims processing, creating a closed-loop payment and service model [3][4] Group 3: Industry Transformation and Future Outlook - The integration of medical insurance and commercial insurance is redefining the concept of "innovative payment," enhancing payment efficiency and improving the quality of life for patients [5][6] - The shift from simple complementarity to a data and service ecosystem is driving competition in the health insurance sector, moving away from price wars to service-oriented competition [6][8] - The anticipated full implementation of the "Medical Insurance + Commercial Insurance" one-stop settlement model is projected to unlock a trillion-level health insurance market, fostering a new ecosystem of medical, insurance, and technology integration [7][8]

记者丨贺佳雯 编辑丨钟映佳 7月10日晚，国家医保局正式发布《2025年国家基本医疗保险、生育保险和工伤保险药品目录 及商业健康保险创新药品目录调整工作方案》《2025年国家基本医疗保险、生育保险和工伤保 险药品目录及商业健康保险创新药品目录调整申报指南》《谈判药品续约规则》以及《非独家 药品竞价规则》。 21世纪经济报道记者围绕今年医保目录新政，深入分析政策设计思路，解读此次释放的政策信 号对市场的影响。 医保新政来了！二三十种创新药要进商保 相关文件甫一发布，最受市场关注的当数新增商保创新药目录。对此，一位医保业内核心专家 对记者分析， 医保部门相当于首次给了市场一份创新药支持清单，可能会有二三十种药。将 弥补基本医保目录的空白，整体提高现有保障水平 。 有别于基本医保目录谈判机制，值得注意的是，商保创新药目录更侧重协商机制。从政策设计 层面考虑，体现了强度上的差异。 事实上，此前商保公司鲜少有机会和能力，与医药企业"砍价"。"此次医保搭台，以商保公司 为主。"该专家说，具体价格怎么谈，还是看商保公司和药企协商。通过医保、保险公司和医 药企业三方协商，对创新药评估一个价格，这个价格肯定比原有市场价低。这对 ...

南方财经.21世纪经济报道记者围绕今年医保目录新政，深入分析政策设计思路，解读此次释放的政策 信号对市场的影响。商保创新药侧重协商定价 相关文件甫一发布，最受市场关注的当数新增商保创新药目录。对此，一位医保业内核心专家对记者分 析，医保部门相当于首次给了市场一份创新药支持清单，可能会有二三十种药。将弥补基本医保目录的 空白，整体提高现有保障水平。 21世纪经济报道记者贺佳雯北京报道 7月10日晚，国家医保局正式发布《2025年国家基本医疗保险、生育保险和工伤保险药品目录及商业健 康保险创新药品目录调整工作方案》《2025年国家基本医疗保险、生育保险和工伤保险药品目录及商业 健康保险创新药品目录调整申报指南》《谈判药品续约规则》以及《非独家药品竞价规则》。 有别于基本医保目录谈判机制，值得注意的是，商保创新药目录更侧重协商机制。从政策设计层面考 虑，体现了强度上的差异。 事实上，此前商保公司鲜少有机会和能力，与医药企业"砍价"。"此次医保搭台，以商保公司为主。"该 专家说，具体价格怎么谈，还是看商保公司和药企协商。通过医保、保险公司和医药企业三方协商，对 创新药评估一个价格，这个价格肯定比原有市场价低。这对商保 ...

辟谣。 近日，一篇题为《7月起医保新调整，"个人账户"将全部取消，卡内余额转哪里去?》的自媒体文章引起较 多关注。文中宣称"从医保局内部人士处获悉，全国医保个人账户改革已进入关键阶段""自2025年7月1日 起，全国范围内分步推进医保个人账户改革，最终目标是取消现行个人账户模式"。 对此，中国互联网联合辟谣平台向有关部门查证得知，相关文章中"个人账户将全部取消""全国范围内全面 取消个人账户，所有医保缴费全部进入统筹基金，建立全国统一的医疗保障积分系统"等内容纯属谣言。 事实上，按照中央"改革职工基本医疗保险个人账户，建立健全门诊共济保障机制"部署和《关于建立健全 职工基本医疗保险门诊共济保障机制的指导意见》（国办发【2021】14号）要求，目前医保改革正顺利 推进，多数地区已顺利完成相关工作。此次改革是在不增加社会和个人额外负担的前提下，建立职工医保 普通门诊统筹，不存在"取消职工个人账户"。 值得注意的是，此类谣言并非首次出现。 早在2023年10月，国家医疗保障局办公室和中国互联网联合辟 谣平台就曾针对"取消职工医保个人账户"的谣言进行过专门辟谣。然而，时隔一年多，类似虚假信息再次 出现。谣言故意歪曲医 ...

完善制度设计，才能让消费者不被"拿捏"。今年1月，国家医保局发布通知，提出推进医保与定点医药 机构即时结算，向定点医药机构运行持续注入流动资金。这一举措有望从"疏"的角度堵上漏洞。此外， 医保部门还应强化定点零售药店的日常管理，在审核结算数据时，可采用技术手段识别药价虚高的情 形，同时对违规的药店加大处罚力度。 无论是严格执法、还是优化结算效率，抑或是提升公众监督意识，药店"一药两价"的现象不能再继续下 去了。对于医保定点药店要再说一句，如今，受网络售药、同行竞争等冲击，越来越多的消费者因为价 格等原因，正在远离线下药店。如果这些药店总是把精力放在"算计"消费者身上，距离被市场淘汰，还 会远吗？ 近日，有媒体报道一位消费者在药店用医保卡购买药品，价格却比线上平台贵出不少。如此尴尬现象， 引来不少网友关注。 对于消费者而言，很难理解这种差价现象。毕竟，医保卡里的钱"也不是大风刮来的"。按照一些人的解 释，这个"锅"得甩给医保支付：由于结算周期更长，即消费者支付后，会先进入医保经办系统，再由医 保部门和药店进行结算。药店不能做亏本买卖吧？消费者只能默默承担了所有。 人人都有麦克风的时代，这口气不能轻易咽下去。即便 ...

-2025 下半年医药产业政策展望 摘要: 2025.07.10 保基本、强创新 慧博投研",请勿外传! 产业研究中心 | CR | 丁丹(分析师) | | --- | --- | | 8 | 021-38676666 | | 登记编号 | S0880514030001 | | ર | 贺文斌(分析师) | | 8 | 021-38676666 | | 登记编号 | S0880525040034 | | S | 张拓(分析师) | | 2 | 021-38676666 | | 登记编号 | S0880523090003 | 请务必阅读正文之后的免责条款部分 1 of 21 o 政策主线为保基本和强创新。从近期顶层设计政策和地方、部委具体文件 发布、政策实施看,整体沿着"保基本、强创新"两条主线。1)保基本一 一保障人民群众基本的医疗需求,通过医保目录等措施提升医疗产品和服 务的可及性,通过集采降价等措施匹配可支付性,同时通过纠风整顿等措 施规范医疗市场、保障政策实施效果。2)强创新 -- 加强创新,从产品评 审、医保准入、多元支付、国际推广、融资等全链条支持创新,获取产业 升级和满足更多未被满足临床需求的经济 ...

近日，一篇题为《7月起医保新调整，"个人账户"将全部取消，卡内余额转哪里去？》的自媒体文章 引起较多关注。 对此，中国互联网联合辟谣平台向有关部门查证得知， 相关文章中 "'个人账户'将全部取 消""全国范围内全面取消个人账户，所有医保缴费全部进入统筹基金，建立全国统一的医疗保 障积分系统"等内容纯属谣言。 事实上，按照中央"改革职工基本医疗保险个人账户，建立健全门诊共济保障机制"部署和《关 于建立健全职工基本医疗保险门诊共济保障机制的指导意见》（国办发 〔2021〕 14号）要 求，目前医保改革正顺利推进，多数地区已顺利完成相关工作。此次改革是在不增加社会和个 人额外负担的前提下，建立职工医保普通门诊统筹，并通过调减单位缴费和统筹基金划入个人 账户的比例，为普通门诊统筹报销提供支持，不存在"取消职工个人账户"。 改革后，职工医保个人账户有三项权益保持不变： 一是 个人账户结余的归属不变， 改革前的历史结余和改革后新划入形成的结余仍然归个人所 有，都可以结转使用和继承。 文中宣称"从医保局内部人士处获悉，全国医保个人账户改革已进入关键阶段。2024年12 月，国家医保局联合财政部发布《关于深化医疗保障制度改革 ...

Core Viewpoint - Recent rumors regarding the cancellation of personal medical accounts in China's healthcare system have been debunked, clarifying that reforms are aimed at optimizing the system without eliminating personal accounts [1][5]. Group 1: Reform Details - The reform of the employee basic medical insurance personal accounts is progressing smoothly, with most regions having completed related work [4]. - The reform aims to establish a common outpatient insurance mechanism without increasing the financial burden on society or individuals [4]. - The rights associated with personal medical accounts remain unchanged, including the ownership of historical balances and new contributions [4][7]. Group 2: Rumor Background - This is not the first instance of such rumors; similar misinformation was addressed in October 2023 [5]. - The rumors misinterpret the true nature of the healthcare reform, misleading the public regarding policy changes [5]. - Personal accounts are designed as exclusive funds for insured individuals, with contributions coming from both personal and employer payments [5][6]. Group 3: Usage Regulations - Funds in personal accounts are part of the basic medical insurance fund and must adhere to regulations, prohibiting their use for non-medical expenses [6]. - The contributions from employees will continue to be fully allocated to personal accounts, while employer contributions will shift entirely to the pooling fund starting January 2024 [5][7].