近期第十一批集采工作已经启动。 国务院新闻办公室7月24日上午举行"高质量完成'十四五'规划"系列主题新闻发布会，请国家医疗保障局局 长章轲介绍"十四五"时期深化医保改革，服务经济社会发展有关情况，并答记者问。 要点如下： 全国基本医保参保率稳定在95%左右 章轲在新闻发布会上介绍，"十四五"期间，全国基本医保参保率稳定在95%左右，2024年度全国基本医保 参保人数达13.27亿人。 "十四五"以来累计402种药品进入目录 章轲在新闻发布会上介绍，"十四五"以来累计402种药品进入目录。国家医保药品目录实现全国统一，目 录内药品总数达到3159种。 十四五以来医保基金累计支出12.13万亿元，年均增速9.1% 章轲在新闻发布会上介绍，全国跨省联网定点医药机构达64.4万家，四年多来全国跨省异地就医直接结算 惠及5.6亿人次，累计减少参保群众垫资5900亿元。 全国超9600万人次享受生育保险待遇 章轲在新闻发布会上介绍，截至2025年6月，2.53亿人参加生育保险，基金累计支出4383亿元，享受待遇 9614.32万人次。31个省份和新疆生产建设兵团都将辅助生殖项目纳入医保报销。 2021年至2024年累计 ...

7月24日，国家医疗保障局有关负责人出席国新办高质量完成"十四五"规划系列主题新闻发布会。记者 从会上了解到，"十四五"期间，基本医保参保率稳定在95%左右，2024年参保人数达13.27亿人；医保基 金安全稳健运行，累计结余3.86万亿元。医保基金在减轻民众就医负担、织密健康"安全网"的同时，通 过支持创新药快速纳入医保目录、支付方式改革等方式，有力促进了医疗、医药行业高质量发展与产业 升级转型，日益发挥出作为重要经济要素的作用。 "十四五"期间，各项医保改革发展任务圆满完成。国家医疗保障局局长章轲介绍，"十四五"期间，基本 医疗保险参保率稳定在95%左右，2024年度全国基本医保参保人数达到13.27亿人。基本医保参保长效 机制不断健全完善，医疗救助每年资助参保约8000万人。职工和居民住院费用目录内基金支付比例稳定 在80%和70%左右。职工医保门诊共济保障和普通门诊费用统筹保障机制全面建立。长期护理保险制度 试点深入推进，参保覆盖达1.9亿人。 医保基金的安全网不断织密扎牢，基金运行持续稳健。章轲指出，截至2024年年底，医保统筹基金累计 结余3.86万亿元。基金运行监测不断强化。基金监管体系全面建立 ...

Group 1 - The core viewpoint of the news is the progress and achievements in China's medical insurance reform during the "14th Five-Year Plan" period, emphasizing the expansion and improvement of medical insurance coverage and services [1][2][3][4] Group 2 - The national basic medical insurance coverage rate is maintained at around 95%, with nearly 200 billion medical insurance reimbursements enjoyed by individuals from 2021 to 2024, representing a 1.6 times increase compared to 2020 [1] - By the end of 2024, 1.9 billion people are expected to participate in long-term care insurance, addressing the needs of disabled individuals [2] - A total of 402 new drugs have been added to the medical insurance catalog since the beginning of the "14th Five-Year Plan," supporting the development of innovative drugs [3] - The medical insurance system has established a multi-tiered support framework, benefiting 673 million rural low-income individuals and reducing their medical expenses by over 650 billion [4]

从解禁量来看，3家公司解禁股数超千万股。中航重机、军信股份、物产中大解禁量居前，解禁股数分 别为9371.99万股、6722.46万股、3798.07万股。从解禁市值来看，3家公司解禁股数超亿元。中航重 机、军信股份、盛景微解禁市值居前，解禁市值分别为15.84亿元、10.13亿元、3.97亿元。从解禁股数 占总股本比例来看，盛景微、军信股份、中航重机解禁比例居前，解禁比例分别为9.53%、8.52%、 5.95%。 4、5家公司披露回购进展 （原标题：今日看点｜国新办将举行新闻发布会，国家医保局介绍"十四五"时期深化医保改革，服务经 济社会发展有关情况） 7月24日重点关注的财经要闻与资本市场大事： 1、国新办将举行新闻发布会 国家医保局介绍"十四五"时期深化医保改革，服务经济社会发展有关情况 7月24日上午10时，国新办将举行"高质量完成'十四五'规划"系列主题新闻发布会，国家医疗保障局局 长章轲介绍"十四五"时期深化医保改革，服务经济社会发展有关情况，并答记者问。 2、商务部将召开7月第3次例行新闻发布会 7月24日下午3时，商务部将举行新闻发布会，新闻发言人介绍近期商务领域重点工作有关情况，并答记 者 ...

Core Insights - The meeting held on July 16 focused on reviewing the performance of the provincial medical insurance system in the first half of the year and planning for the second half [1] Group 1: Performance and Achievements - The provincial medical insurance system has made steady progress in reform, management, and service optimization, with improvements in both quality and efficiency [2] - Key reforms include the implementation of the provincial adjustment fund system, payment method reforms, and the dynamic adjustment of medical service prices [2] - Special initiatives have been effectively carried out, including the rectification of issues in medical insurance fund management and the crackdown on fraudulent activities in the pharmaceutical sector [2] Group 2: Future Focus and Strategies - The provincial medical insurance system aims to enhance the balance between development and safety, improve fund management, and expand the coverage of medical institutions [3] - There is a strong emphasis on integrating medical insurance work into broader development strategies and improving the resilience and efficiency of fund operations [3] - Long-term planning is essential, with a focus on institutional development and optimizing management practices to ensure effective service delivery [3] Group 3: Collaborative Efforts and Innovations - The meeting highlighted the importance of collaboration among various departments and the need for continuous innovation in medical insurance practices [4] - Observations were made at various local facilities to assess innovative practices and their effectiveness in improving medical insurance services [4]

医保改革：从个人账户优化到全民共享 医保改革事关每个人的切身利益，其核心在于优化个人账户，增强统筹基金的保障功能，最终目标是构建一个更加公平、可持续的医疗保障体系，让有限的 医保资金发挥最大效益，真正实现"保大病、保重病"的基本功能。这项改革并非简单地取消个人账户，而是基于对现有制度中结构性问题的深刻反思。 我国医疗保险制度建立之初，个人账户的设计主要用于解决参保人的小额医疗支出。然而，随着医疗费用的迅速增长，这种模式已难以满足当前的医疗保障 需求。中国社会保障学会副会长丁长发教授指出，个人账户资金使用效率低下，存在"小病花不完，大病不够花"的矛盾。 2024年度报告显示，全国医保个 人账户年度累计结余超过7200亿元，但实际使用率仅为42.3%。大量资金沉淀，未能充分发挥其应有的医疗保障功能。 从国际经验来看，医保改革是全球趋势。美国2024年将个人医疗账户(HSA)与高免赔额医疗计划(HDHP)相结合，以提高资金灵活性；德国则完全采用统筹 模式，取消个人账户。我国的改革路径兼顾国际经验与国情，探索出一条具有中国特色的医保发展道路。 2025年5月，国家医保局发布《关于进一步优化基本医疗保险个人账户改革的指 ...

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 ...

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 ...

Group 1 - The "Big and Beautiful" bill passed by the U.S. Congress plans to cut approximately $1 trillion in federal spending over the next 10 years and implement significant reforms to the Medicaid program, potentially resulting in 10.9 million to 12 million people losing health insurance coverage [1] - The bill extends and makes permanent the tax reform policies from 2017, while providing funding for priority projects such as defense, immigration enforcement, and border security [1] - The Congressional Budget Office (CBO) estimates that the Medicaid cuts could save about $800 billion to $1 trillion from the federal budget, with the number of people losing insurance expected to increase from 10.9 million to 11.8 million by 2034 due to adjustments in the bill [1] Group 2 - The bill includes some concessions, such as establishing a special fund for rural hospitals to alleviate healthcare pressures in certain regions, but significant partisan divisions remain within both the House and Senate [2] - The financial pressure on hospitals and other healthcare providers may lead to layoffs, reduced investment in quality improvements, and even the closure of more rural hospitals [2] - Concerns have been raised that the loss of Medicaid coverage will not only worsen health conditions for affected families but also lead to high medical costs and debt [2] Group 3 - Senator Maggie Hassan criticized the bill as one of the largest dismantling of healthcare protections in history, arguing that it is designed to prepare for tax cuts for billionaires [3]

Company Overview - Oscar Health, Inc. (OSCR) shares increased by 7.8% to close at $16.11, following a significant volume of trading, contrasting with a 14.7% loss over the previous four weeks [1] - The company is positioned to capitalize on a substantial opportunity in the healthcare market, as approximately 12% of household income is spent on employer-sponsored health plans [2] Growth Strategy - Oscar's growth strategy focuses on building sustainable and scalable operations, enhancing member experience, advancing technology, and introducing innovative offerings to expand its market presence [3] Financial Performance Expectations - The upcoming quarterly earnings report is expected to show earnings of $0.34 per share, reflecting a year-over-year increase of 70%, with revenues projected at $2.86 billion, a 29% increase from the same quarter last year [4] - However, the consensus EPS estimate has been revised 0.7% lower in the last 30 days, indicating a potential negative trend in earnings estimate revisions [5] Industry Context - Oscar Health is part of the Zacks Insurance - Multi line industry, which includes other companies like MBIA (MBI), that has seen a decline of 6.7% over the past month [6] - MBIA's EPS estimate for the upcoming report remains unchanged at -$0.08, representing a 97.2% change from the previous year [7]