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“十四五”时期各项医保帮扶政策累计惠及农村低收入人口就医达6.73亿人次
Yang Shi Wang· 2025-07-24 02:43
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]
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
Jing Ji Guan Cha Bao· 2025-07-24 01:02
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 ...
【省医保局】全省医保重点工作现场推进会议在榆林召开
Shan Xi Ri Bao· 2025-07-18 00:25
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]
医保迎来大变革?7月起个人账户取消?那卡内余额去哪了?
Sou Hu Cai Jing· 2025-07-15 06:15
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 ...
医保个人账户将全部取消?官方辟谣
证券时报· 2025-07-10 11:47
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 ...
“医保‘个人账户’将全部取消?”官方:纯属谣言
财联社· 2025-07-10 05:14
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 ...
美国至多将有1200万人失去医保
Guo Ji Jin Rong Bao· 2025-07-04 09:43
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]
Oscar Health (OSCR) Soars 7.8%: Is Further Upside Left in the Stock?
ZACKS· 2025-06-18 14:16
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]
管培:商业健康险的破局与未来
清华金融评论· 2025-06-13 11:01
Core Viewpoint - The insurance industry must adapt to the evolving landscape shaped by healthcare reforms, focusing on commercial health insurance as a complementary role to basic medical insurance, while enhancing service integration and social responsibility [5][6]. Group 1: Market Dynamics - The current healthcare reform is reshaping China's multi-tiered medical security system, with commercial health insurance expected to play a supplementary role to the basic medical insurance system, which covers 1.35 billion people, achieving a coverage rate of 95% [5]. - The recent reforms in medical payment and catalog have created opportunities for commercial insurance to fill gaps left by basic insurance, indicating a shift towards a multi-layered structure where commercial insurance becomes a co-builder of the system [5]. Group 2: Product Development - Life insurance companies possess a natural advantage in long-term and holistic solutions, but face challenges in designing products for high-risk groups, such as those with pre-existing conditions, due to the complexity of risk assessment and market acceptance [6]. - The industry needs to develop more inclusive risk identification models and underwriting standards, as well as promote data sharing and policy collaboration to ensure the sustainability of commercial health insurance [6]. Group 3: Service Innovation - There is a growing demand for health insurance services tailored for expatriates, particularly those from state-owned enterprises stationed overseas, which includes not only basic medical coverage but also emergency transport and family visit services [7]. - The establishment of effective service mechanisms for expatriates faces challenges such as complex risk assessments and high dependency on qualified rescue service providers, which can increase costs [7]. - The industry aims to enhance overall underwriting capacity and service levels through collaborative platforms that facilitate data sharing and capability integration [8].
康缘药业业绩说明会:热毒宁拖累一季度营收,新冠药散寒化湿颗粒销量成谜?
Zheng Quan Zhi Xing· 2025-05-30 02:59
Core Insights - In 2024, the company expects a decline in both revenue and net profit, with projected figures of 3.898 billion and 392 million respectively, representing year-on-year decreases of 19.86% and 15.58% [1] - The first quarter of 2024 continues to show pressure on performance, with revenue of 878 million, down 35.38% year-on-year, and net profit of 83.41 million, down 38.37% [1] - The decline in first-quarter revenue is primarily attributed to a decrease in sales of the core injection product, Heat Toxicity Ning Injection [1][2] Product Performance - The core injection products have historically driven high growth, with Heat Toxicity Ning Injection sales exceeding 1 billion in 2013, but experiencing significant fluctuations due to policy changes [2] - The 2023 National Medical Insurance Directory allowed for increased sales of Heat Toxicity Ning Injection, reaching 6.077 million units, but sales fell to 4.195 million units in 2024, with inventory levels increasing by 759.11% [2] - Ginkgo Biloba Diterpene Amine Injection has also contributed to revenue growth, but its price dropped significantly after negotiations, limiting its growth potential [3] - The company’s oral liquid product, Jin Zhen Oral Liquid, has shown inconsistent sales performance, with year-on-year changes of 74.81%, -22.67%, and 5.13% from 2022 to 2024 [3] Financial Overview - In the first quarter, the injection product category generated approximately 340 million in revenue, down 36.86% year-on-year [4] - The overall revenue for the company in the first quarter was 867.22 million, with a total revenue decline of 35.79% [7] - The company reported a significant decline in operating cash flow, down 59.9% to 77 million in the first quarter, raising concerns about balancing cash flow health with long-term investments [9] New Product Developments - The company has received approvals for several new traditional Chinese medicine products, but their contribution to overall revenue remains limited, with a 10.34% decline in revenue from granules and powders in 2024 [6] - The company has not disclosed sales figures for the "Scattering Cold and Dampness Granules," a product related to COVID-19 treatment, despite investor inquiries [8]