Group 1 - The establishment of the medical insurance data working group represents an innovative effort for the medical insurance department, focusing on building the group, utilizing data effectively, and organizing release activities [1] - By January 2025, the National Medical Insurance Administration will gather expert opinions and local experiences to develop foundational data indicators, which will include fund income and expenditure, total medical insurance amounts, payment method reforms, and service conditions of medical institutions [1] - The introduction of foundational indicators has opened the door for data release, showcasing the medical insurance department's commitment to openness, transparency, and fairness [1] Group 2 - By the end of March, most regions completed their first face-to-face data release, receiving positive social feedback, and the National Medical Insurance Administration updated the foundational indicators to form a national data release system with 47 indicators [1] - By the end of July, regions completed face-to-face data release activities, sharing data on fund operations and reform effectiveness for 2024, creating a positive cycle of reform progress, performance evaluation, and improved medical service levels [3] - By November, about two-thirds of regions achieved monthly data push for medical insurance, enriching the content and format of releases according to local conditions [3] Group 3 - Local medical insurance departments have developed unique practices in data release, such as Hefei's "first public class" and Nanjing's "medical insurance high-speed train" for rapid data updates [3] - Jiangxi's Jiujiang organizes regular experience-sharing and roundtable discussions to facilitate the exchange of data experiences between medical insurance departments and institutions [3] - Some regions, like Zhejiang and Hunan, utilize Deepseek and big data models to effectively address on-site inquiries regarding medical insurance policies [3]

3月底，绝大多数统筹地区完成了首次面对面数据发布，社会反响积极。在总结地方实践基础上，国家医保局更新完善数据底稿指标内容，初步形成了47 项指标在内的国家数据发布体系，标志着数据发布机制逐步走向形式统一、指标规范、内容丰富的成熟道路，为常态化做好数据定向发布打牢基础。 医保数据工作组对于医保部门来说是一项"从无到有"的创新工作。如何把工作组建好、如何把医保数据用好、如何把发布活动组织好，这些问题检验的是 医保部门创新担当的智慧和勇气。千里之行始于足下。推进数据工作组建设，始于一张张写满各类专业术语的"底稿指标"。 在推进医保数据工作组统筹地区全覆盖的基础上，2025年1月国家医保局听取专家意见、吸收地方经验，聚焦"钱""效""错"研究形成数据底稿指标，包含 基金收支、统筹地区医保总额、支付方式改革、医疗机构服务情况等，要求各地在数据发布中要将底稿指标作为"必选项"。底稿指标的产生打开了数据发 布的"大门"，彰显了医保部门开放、透明、公正的工作作风。 7月底，各地完成清算后的面对面数据发布活动，向定点医药机构发布2024年全年基金运行、改革成效等数据，逐步形成了晒改革进展、评两定机构绩 效、提升医疗服务水平，稳 ...