Core Insights - The article emphasizes the importance of medical insurance standardization in enhancing public healthcare services and ensuring the sustainability of the medical insurance fund [1][2][3][4][6]. Group 1: Importance of Medical Insurance Standardization - Medical insurance standardization is crucial for meeting the growing public demand for healthcare services, ensuring that services are regulated and accessible [2][3]. - It is essential for refined management, ensuring effective use of healthcare funds and improving public service quality [3][4]. - Standardization facilitates better coordination among the three medical sectors: medical insurance, healthcare, and pharmaceuticals, addressing information asymmetry and promoting reforms [3][4]. Group 2: Implementation and Achievements - The National Medical Insurance Bureau has made significant progress in standardization, establishing a unified coding system to enhance data sharing and interoperability across the country [10][11]. - A dynamic maintenance platform has been created to ensure real-time updates and data consistency, effectively ending the previous issues of data silos [11][12]. - The release of various technical standards and management norms has laid a solid foundation for high-quality development in medical insurance management [12][13]. Group 3: Future Considerations - The current phase presents an opportunity to further integrate standardization with information technology, enhancing management services and supporting ongoing reforms [14][15]. - There is a need to address existing gaps in the standardization framework, focusing on quality, coverage, and the speed of updates [14][15]. - The implementation of standards must be practical and effective, ensuring that they are operational and beneficial for all stakeholders involved [16][17].

Core Insights - The National Medical Insurance Administration held a mid-year meeting on August 15 to summarize the work of medical insurance in the first half of 2025 and to outline key tasks moving forward [1] Group 1: Key Objectives - Empower the development of medical institutions [1] - Foster innovation in the pharmaceutical industry [1] - Ensure the health of the population [1] - Consolidate and expand the basic medical insurance coverage [1] - Improve the maternity insurance system [1] - Fully implement long-term care insurance [1] - Promote standardization in medical insurance [1] - Advance the digitalization of medical insurance [1] - Enhance the scientific approach to medical insurance [1]