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医保服务水平提升
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我国下达2026年医保财政补助及建设资金4166亿元
Xin Hua Wang· 2025-12-17 04:52
Core Insights - The National Healthcare Security Administration announced that the Ministry of Finance and the National Healthcare Security Administration have allocated 416.6 billion yuan in advance for the 2026 urban and rural residents' basic medical insurance subsidy, medical assistance subsidy, and medical security service capacity construction funds [1] Group 1: Financial Support for Medical Insurance - From 2018 to 2025, the central government will invest over 3 trillion yuan in medical security [1] - A total of 2.87 trillion yuan has been allocated for urban and rural residents' basic medical insurance subsidies, benefiting over 18 billion instances of medical treatment [1] - By 2025, the average total funding for urban and rural residents' basic medical insurance will be 1,100 yuan, with a fiscal subsidy standard of 700 yuan, accounting for over 60% [1] Group 2: Medical Assistance and Coverage - From 2018 to 2025, 237.5 billion yuan has been allocated for urban medical assistance, with 79.16 million people receiving basic medical insurance support in 2024 [1] - Nearly 200 million instances of outpatient and inpatient assistance have been provided, with over 90% reimbursement for rural low-income and poverty-stricken populations [1] Group 3: Improvement of Medical Service Capabilities - From 2019 to 2025, 27.6 billion yuan has been allocated for enhancing medical security service capabilities [2] - A nationwide unified medical insurance information platform has been established, serving over 1.2 billion people, with an average daily settlement of over 28 million cases [2] - The number of cross-provincial direct settlement cases has increased by 110 times, with the number of designated medical institutions for cross-provincial hospitalization rising from 27,600 to 80,000 [2]
2018~2025年中央财政累计为医疗保障投入超3万亿元,惠及超180亿人次看病报销
Mei Ri Jing Ji Xin Wen· 2025-12-17 02:17
Core Viewpoint - The Chinese government has significantly increased financial investment in the healthcare insurance sector since 2018, with a total of over 3 trillion yuan allocated to enhance residents' health insurance coverage and improve service accessibility [1] Group 1: Financial Support for Resident Health Insurance - The central government has allocated a total of 2.87 trillion yuan for urban and rural residents' basic medical insurance from 2018 to 2025, ensuring that participants receive substantial subsidies [2] - By 2025, the average total funding for urban and rural residents' basic medical insurance is projected to reach 1,100 yuan per person, with a fiscal subsidy standard of 700 yuan, accounting for over 60% of the total [2] - Over 18 billion instances of medical insurance benefits have been enjoyed by residents from 2018 to 2025 [2] Group 2: Medical Assistance for Low-Income Populations - A total of 237.5 billion yuan has been allocated for urban and rural medical assistance from 2018 to 2025, with local governments also contributing funds [3] - In 2024, 79.16 million people will be funded to participate in basic medical insurance, with nearly 200 million instances of outpatient and inpatient assistance provided [3] - The insurance coverage rate for rural low-income and poverty-stricken populations remains stable at over 99%, with reimbursement rates exceeding 90% for eligible rural residents [3] Group 3: Improvement of Medical Insurance Service Levels - From 2019 to 2025, a total of 27.6 billion yuan has been allocated for enhancing medical insurance service capabilities [4] - A nationwide unified medical insurance information platform has been established, benefiting over 1.2 billion people, with an average daily settlement volume exceeding 28 million cases [4] - The number of cross-provincial direct settlement cases has increased by 110 times from 2019 to 2025, with the number of designated medical institutions for cross-provincial hospitalization rising from 27,600 to 80,000 [4] - In November 2025, the Ministry of Finance and the National Healthcare Security Administration will pre-allocate 416.6 billion yuan for basic medical insurance subsidies, medical assistance, and service capability enhancement [4]