国家医保局党组书记、局长章轲在会上表示，2026年要积极适应人口发展战略，推动生育保险和长期护 理保险发展。推动将灵活就业人员、农民工、新就业形态人员纳入生育保险覆盖范围。合理提升产前检 查医疗费用保障水平，力争全国基本实现政策范围内分娩个人"无自付"。将适宜的分娩镇痛项目按程序 纳入基金支付范围。 来源：智通财经 责编：刘珺宇 校对：杨立林 章轲表示，近年来，我国全面提升住院分娩医疗费用保障水平，积极推动政策范围内生育医疗费用全额 保障，吉林、江苏、山东等7个省份已率先实现生娃基本不花钱。"要做到让孕产妇从大肚子进医院到抱 娃出医院，住院分娩过程中产生的、属于医保目录范围内的费用，参保人个人基本不花钱。" 国家医保局提出，要全面实现生育津贴按程序直接发放给参保人。全面推进长期护理保险制度，优化长 护服务供给。鼓励商保机构开发商业长期护理保险产品。 此外，章轲提到，2026年要优化医保支付结算机制，促进医疗事业健康发展。发布按病种付费3.0版分 组方案。全面推行按季或按月特例单议评审，支持新药耗新技术临床使用和疑难重症救治。支持基层医 疗卫生机构健康发展，促进分级诊疗。加大医保基金预付力度，全面推进医保基金即 ...

国家医保局提出，要全面实现生育津贴按程序直接发放给参保人。全面推进长期护理保险制度，优化长护 服务供给。鼓励商保机构开发商业长期护理保险产品。 违法和不良信息举报电话：0755-83514034 邮箱：bwb@stcn.com 券中社 × 券商中国 券 中 社 扫码下载券中社APP 扫码关注券商中国公众号 quanshangcn qzs.stcn.com 舞中 券中社APP 券 商 中 国 是 证 券 市 场 权 威 媒 体 《 证 券 时 报 》 旗 下 新 媒 体 , 券 商 中 国 对 该 平 台 所 刊 载 的 原 创 内 容 享 有 著 作 权 , 此外，章轲提到，2026年要优化医保支付结算机制，促进医疗事业健康发展。发布按病种付费3.0版分组方 案。全面推行按季或按月特例单议评审，支持新药耗新技术临床使用和疑难重症救治。支持基层医疗卫生 机构健康发展，促进分级诊疗。加大医保基金预付力度，全面推进医保基金即时结算，探索按季度清算。 全面完成40批立项指南编制工作，实现医疗服务价格项目全国基本统一。 来源：澎湃新闻 责编：刘珺宇 校对：杨立林 百万用户都在看 杀疯了！半小时500亿元！刚刚，重磅利好 ...

（文章来源：21世纪经济报道） 12月13日，全国医疗保障工作会议在京召开。会议做出最新部署，要积极适应人口发展战略，推动生育 保险和长期护理保险发展。推动将灵活就业人员、农民工、新就业形态人员纳入生育保险覆盖范围。合 理提升产前检查医疗费用保障水平，力争全国基本实现政策范围内分娩个人"无自付"。将适宜的分娩镇 痛项目按程序纳入基金支付范围。全面实现生育津贴按程序直接发放给参保人。全面推进长期护理保险 制度，优化长护服务供给。鼓励商保机构开发商业长期护理保险产品。近年来，我国全面提升住院分娩 医疗费用保障水平，积极推动政策范围内生育医疗费用全额保障。吉林、江苏、山东等7个省份已率先 实现生娃基本不花钱。 ...

2025年，31个省（区、市）及新疆生产建设兵团均已将符合条件的辅助生殖项目纳入医保，7个省 份实现政策范围内住院分娩医疗费用全额保障，95%的统筹区将生育津贴直接发放给参保人。 2025.12. 13 本文字数：631，阅读时长大约1分钟 作者 | 第一财经 郭晋晖 12月13日，全国医疗保障工作会议在北京召开。国家医保局做出最新部署，力争明年全国基本实现 政策范围内分娩个人"无自付"。 近年来，我国全面提升住院分娩医疗费用保障水平，积极推动政策范围内生育医疗费用全额保障，吉 林、江苏、山东等7个省份已率先实现生娃基本不花钱。 近年来，国家医保局加快建立全周期的生育保障体系，助力"怀得上、孕得优、生得安、育得好"。 （注：我们会对线索进行核实。您的隐私将严格保密。） 推荐阅读 史上最大的IPO要来了？ "积极适应人口发展战略，推动生育保险和长期护理保险发展"是明年国家医保局的八项重点工作之 一。 国家医保局要求，完善生育保险制度。大力推动将灵活就业人员、农民工、新就业形态人员纳入生育 保险覆盖范围，并积极探索将城乡非就业人员纳入覆盖范围的可行性。根据医保基金可承受能力，合 理提升产前检查医疗费用保障水平，探 ...

每经AI快讯，据国家医保局消息，12月13日，全国医疗保障工作会议在北京召开。会议要求，2026年 各级医保部门要深入推进医保改革，积极推进科技创新。积极适应人口发展战略，推动生育保险和长期 护理保险发展。推动将灵活就业人员、农民工、新就业形态人员纳入生育保险覆盖范围。合理提升产前 检查医疗费用保障水平，力争全国基本实现政策范围内分娩个人"无自付"。将适宜的分娩镇痛项目按程 序纳入基金支付范围。全面实现生育津贴按程序直接发放给参保人。全面推进长期护理保险制度，优化 长护服务供给。鼓励商保机构开发商业长期护理保险产品。 ...

去年12月国家医保局同国家卫健委印发《关于完善医药集中带量采购和执行工作机制的通知》。今年7 月国家医保局发布第11批药品集采规则，明确稳临床、保质量、防围标、反内卷原则。该行认为随着多 项政策出台，药品集采有望步入新阶段，长期将推动医药企业稳定生产，推动临床用药在价格可及与质 量可靠之间达成可持续平衡。 深化医保支付方式改革，"双目录"机制形成清晰分工 智通财经APP获悉，中金发布研报称，中央经济工作会议提出"优化药品集中采购，深化医保支付方式 改革。实施康复护理扩容提升工程，推行长期护理保险制度"等相关内容。该行认为上述政策有望推动 医药行业内需稳中有升，目前中国药企正进入高质量发展时代，国产创新药已渐从跟随走向FIC/BIC创 新;展望明年器械出海与商保破局也有望带来新的投资机会。 中金主要观点如下： 优化药品集中采购，践行"反内卷"原则 今年9月国家医保局印发《国家长期护理保险服务项目目录(试行)》的通知。该行认为建立国家统一长 护险目录有助于规范长护服务行为，提升服务质量，稳定保障长护险享受人员权益，更好保障长护险基 金平稳运行。 风险 新产品研发不及预期，政策推进进度不及预期。 根据医保局官网，基 ...

Core Insights - The first long-term care nurse vocational skills assessment in Shaanxi Province took place in Hanzhong, with 50 candidates passing both theoretical and practical evaluations, marking a significant step towards professionalization and standardization of the long-term care service system in the province [1][2] Group 1: Examination Details - The examination utilized a national unified question bank, focusing on service standards and legal regulations in the theoretical section, while the practical assessment simulated real care scenarios, requiring candidates to complete eight tasks within 45 minutes [1] - Candidates ranged in age from 20 to 60 years, primarily from long-term care service institutions and integrated medical-care facilities in Hanzhong, showcasing a diverse educational background and experience level [1] Group 2: Long-term Care Insurance Impact - Hanzhong City, as a pilot city for long-term care insurance since 2021, has seen 403,900 insured individuals, with 3,938 receiving benefits and a total fund expenditure of 69 million yuan, improving the quality of life for disabled individuals and alleviating family care burdens [2] - The strict practical assessment aims to ensure that long-term care nurses can provide professional services to disabled individuals, with ongoing training and evaluation mechanisms being established to support the profession's development [2]

Core Insights - The article highlights the advancements in smart caregiving technology, particularly focusing on the introduction of intelligent nursing robots that assist in the care of disabled elderly individuals, thereby improving their quality of life and dignity [1][3][4]. Group 1: Technological Innovations - The intelligent nursing robot, designed to assist with the toileting needs of disabled individuals, operates autonomously upon detecting urine, significantly reducing the physical and emotional burden on caregivers [1][3]. - The integration of real-time monitoring systems in the next generation of nursing robots will allow caregivers to track vital health data such as heart rate and blood oxygen levels via mobile devices, enhancing the precision and convenience of care [3][5]. Group 2: Market Opportunities - The aging population in China, with over 40 million disabled or semi-disabled elderly individuals, presents a significant market opportunity for the caregiving industry [3][6]. - The implementation of long-term care insurance (LTCI) across various cities, including Nantong, is expected to increase accessibility to smart caregiving products, with price reductions exceeding 30% for certain technologies [3][4]. Group 3: Industry Trends - The convergence of technology and caregiving is seen as a response to the challenges posed by an aging population, leading to an evolution in the caregiving sector that emphasizes dignity and quality of life for the elderly [5][6]. - The ongoing development of various smart caregiving devices, such as exoskeleton robots and AI-assisted feeding systems, indicates a trend towards more sophisticated and precise caregiving solutions [5][6].

Core Viewpoint - The article explores the evolving concept of aging among DINK (Double Income, No Kids) couples in China, highlighting their quest for dignified aging without traditional family structures and the importance of adequate material resources [1][30]. Group 1: Demographic Trends - The DINK demographic has been growing in China since the 1980s, characterized by higher socio-economic status and education levels [1][5]. - As the first generation of DINK couples enters old age, discussions around their retirement and inheritance are becoming increasingly prevalent on social media [1][5]. Group 2: Changing Attitudes Towards Family and Aging - Traditional beliefs such as "raising children for old age" are being challenged by younger generations who are more cautious about marriage and childbirth [5][18]. - DINK couples emphasize that aging is a systemic issue that relies on financial stability, healthcare systems, and social policies rather than solely on having children [18][22]. Group 3: Personal Stories and Choices - Vicky and Andy, a DINK couple, chose not to have children due to their disinterest in parenting and a desire to live independently from traditional family expectations [8][13]. - Another couple, Yang Shu and Dong Li, view their DINK status as a means to explore life freely, focusing on personal growth rather than societal norms [15][18]. Group 4: Retirement Planning and Resources - DINK couples are planning for retirement with a focus on financial security and access to quality healthcare, with many opting for high-end retirement communities that offer comprehensive services [23][25]. - In Shanghai, the aging population is significant, with 37.6% of the registered population being over 60 years old, indicating a growing need for suitable retirement solutions [20][22]. Group 5: Social Support and Community - The concept of "co-housing" or "group aging" is emerging among DINK couples, where they consider living arrangements that allow mutual support among peers [29][30]. - The role of partners in navigating the challenges of aging is highlighted, with couples finding solace and support in each other during difficult times [30][32].

Core Insights - The recent "14th Five-Year Plan" emphasizes the implementation of long-term care insurance to enhance the care system for elderly individuals with disabilities and dementia [1][6] - Various regions are actively promoting pilot programs for long-term care insurance, leveraging artificial intelligence to improve the professionalism and standardization of care services [1][3] Group 1: Long-term Care Insurance Implementation - Long-term care insurance is recognized as the "sixth insurance" following pension, medical, work-related injury, unemployment, and maternity insurances [6] - The insurance aims to cover individuals with severe disabilities, with some regions allowing those assessed before the pilot to receive benefits without premium payments [8][11] Group 2: Coverage and Costs - In Taizhou, the annual fee for long-term care insurance is set at 90 yuan, with different contributions from employees and government funds based on insurance type [10] - The program has expanded to cover nearly 190 million people across 49 cities, with expenditures exceeding 85 billion yuan, primarily for basic living care and medical expenses for long-term disabled individuals [12] Group 3: Service Quality and Monitoring - The care service includes a comprehensive quality control system, utilizing AI for real-time data collection and remote monitoring to ensure service quality and risk management [4][5] - The insurance allows for dynamic assessment of care needs, ensuring that resources are allocated based on the latest evaluations of disability levels [24] Group 4: Innovations and Future Developments - From September 2025, Zhejiang province will implement inter-city services for long-term care insurance, allowing insured individuals to access services while residing in different cities within the province [15] - The introduction of community home care subsidies for family caregivers highlights the adaptability of the long-term care insurance model to meet specific care needs [22]