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广州以医保信息化筑牢 民生保障“数字屏障”
Yang Shi Wang· 2025-12-11 14:54
Core Insights - Guangzhou's healthcare system is enhancing transparency and efficiency through the implementation of a drug traceability code system, which allows citizens to track the source and flow of medications, thereby ensuring clarity in the use of medical insurance funds [1][2] Group 1: Drug Traceability System - The drug traceability code serves as an "electronic ID" for medications and is a crucial component of Guangzhou's healthcare information system, reflecting the city's commitment to improving public welfare through digital reforms [1][2] - As of early December, over 1.2 billion traceability codes have been uploaded, with a daily average of 5 million uploads, showcasing the effectiveness of the system in managing healthcare services [2] Group 2: Systematic Approach to Healthcare Reform - Guangzhou's healthcare reform follows a "step-by-step" approach, starting with retail pharmacies and gradually expanding to more complex medical institutions, ensuring a smooth transition and high-quality implementation [2] - The traceability data is not just numbers; it represents tangible improvements in healthcare services, providing a digital and transparent flow of medication from production to sale [2] Group 3: Data-Driven Healthcare Management - The integration of traceability data with the healthcare settlement system marks a shift from manual verification to a data-driven approach, significantly enhancing service efficiency and accuracy [3][5] - The "data-driven" model allows for real-time verification of traceability codes during medication purchases, streamlining the process for insured individuals [3] Group 4: Collaborative Governance and Public Engagement - Guangzhou's healthcare system promotes a collaborative governance model, involving multiple departments and the public in ensuring the safety of healthcare funds through the traceability system [6] - The system allows citizens to easily access information about their medications, empowering them to act as supervisors of healthcare fund usage [6] Group 5: Future Directions - Guangzhou plans to deepen the integration of drug traceability with healthcare fund supervision and enhance the use of artificial intelligence for risk assessment and trend analysis [6] - The focus remains on improving public health and ensuring the safety of healthcare funds while enhancing the overall experience for citizens in accessing medical services [6]
国家医保局:医保影像云索引上传已过亿
Ren Min Wang· 2025-11-14 06:51
Core Insights - The National Medical Insurance Administration reported that as of November 12, 2025, 24 provinces and the Xinjiang Production and Construction Corps have completed the deployment of medical insurance imaging cloud software, enabling data upload and cross-province access capabilities [1] Summary by Categories Deployment and Capabilities - 24 provinces and the Xinjiang Production and Construction Corps have completed the deployment of medical insurance imaging cloud software [1] - The system now supports the uploading of imaging cloud index data and cross-province retrieval of imaging data at the provincial platform level [1] Data Statistics - The total number of medical insurance imaging cloud index data uploaded has reached 140 million entries [1] - Provinces with over 10 million uploads include: - Henan: 24.776 million entries - Guangdong: 24.531 million entries - Jiangsu: 12.947 million entries - Shandong: 12.359 million entries - Gansu: 12.184 million entries - Shanghai: 10.412 million entries - Anhui: 10.111 million entries [1] - Provinces with over 1 million uploads include: - Fujian: 7.103 million entries - Jiangxi: 7.101 million entries - Sichuan: 5.976 million entries - Hubei: 3.291 million entries - Shaanxi: 2.795 million entries - Shanxi: 1.950 million entries - Hebei: 1.585 million entries - Xinjiang: 1.331 million entries [1] - Provinces with over 100,000 uploads include: - Guizhou: 754,000 entries - Inner Mongolia: 623,000 entries - Yunnan: 615,000 entries - Ningxia: 537,000 entries [1]
医疗保障领域的首项国家标准发布 2026年1月1日起实施
Xin Hua Cai Jing· 2025-08-09 04:51
Core Points - The National Medical Insurance Administration has developed the first national standard for medical insurance, titled "Technical Specifications for Convenient Services of Medical Insurance Information Platform," which will be implemented on January 1, 2026 [1] - This standard marks a significant milestone in the standardization of medical insurance in China, ensuring scientific, practical, and universal applicability across various institutions [1] Group 1 - The standard includes requirements for medical insurance codes, mobile payments, electronic prescriptions, and personal medical insurance information queries, detailing access methods, functional requirements, performance, and security [1] - The development of medical insurance information technology has significantly enhanced convenient services, allowing users to easily manage various medical processes through mobile verification or facial recognition [2] - As of July this year, over 930,000 designated medical institutions have connected to the medical insurance code, with more than 120 billion transactions processed [2] Group 2 - The number of institutions connected to medical insurance mobile payments has reached 47,000, while over 350,000 institutions are linked to electronic prescriptions, with more than 63 million prescriptions issued [2] - The National Medical Insurance Administration and the State Administration for Market Regulation will jointly promote the standard's implementation to enhance the efficiency and convenience of medical insurance services [2]