Group 1 - The National Medical Insurance Administration aims to adapt to population development strategies by promoting maternity insurance and long-term care insurance by 2026 [1] - The initiative includes expanding maternity insurance coverage to flexible employment workers, migrant workers, and new employment forms, with a goal of achieving "no out-of-pocket" expenses for childbirth within the policy scope [1] - Seven provinces, including Jilin, Jiangsu, and Shandong, have already achieved a model where childbirth incurs no costs for insured individuals [1] Group 2 - The administration plans to optimize the medical insurance payment settlement mechanism by 2026, promoting healthy development in the medical sector [2] - A new version of the disease-based payment grouping scheme will be released, supporting the clinical use of new drugs and technologies [2] - The initiative includes enhancing the prepayment of medical insurance funds and exploring quarterly settlements to streamline the payment process [2]

Group 1 - The core viewpoint of the article emphasizes the development of maternity and long-term care insurance in China, aiming for comprehensive coverage and financial support for childbirth by 2026 [1] - The National Medical Insurance Administration plans to include flexible employment workers, migrant workers, and new employment forms in maternity insurance coverage, with a goal of achieving "no out-of-pocket" expenses for childbirth within the policy scope [1] - Recent improvements in hospitalization costs for childbirth have been noted, with provinces like Jilin, Jiangsu, and Shandong leading the way in making childbirth financially accessible [1] Group 2 - By 2026, the optimization of the medical insurance payment settlement mechanism is set to promote healthy development in the medical sector, including the release of a new version of the disease-based payment grouping plan [2] - The administration will implement quarterly or monthly special case reviews to support the clinical use of new drugs and technologies, as well as the treatment of complex severe cases [2] - There will be an emphasis on supporting grassroots medical institutions and promoting tiered diagnosis and treatment, alongside increasing prepayment of medical insurance funds and exploring quarterly settlements [2]