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进口药医保不报销?国家医保局回应公众关切
Zhong Guo Jing Ji Wang· 2025-09-29 06:35
Core Viewpoint - The National Healthcare Security Administration (NHSA) emphasizes the continuous improvement of medical insurance coverage since its establishment in 2018, with a total of 3,159 drugs included in the medical insurance catalog, significantly enhancing the coverage for major diseases like cancer [1] Group 1: Misconceptions about Medical Insurance - Misconception 1: Only 2% of drugs are reimbursed by insurance. The NHSA clarifies that this claim misrepresents data by comparing different statistical methods without proper conversion, leading to an incorrect conclusion about the proportion of drugs in the catalog [1] - Misconception 2: Imported drugs are not reimbursed. The NHSA states that reimbursement does not differentiate between manufacturers, as long as the drug is included in the insurance catalog [3] - Misconception 3: Only cheap, old drugs are reimbursed. The NHSA refutes this by highlighting that many new and effective drugs, including cancer treatments, are regularly added to the reimbursement list, often within a year of approval [4] Group 2: Drug Statistics and Approval - The NHSA explains that the total number of drugs in the insurance catalog is based on active ingredients, which counts drugs with the same active ingredient as one, leading to 3,159 drugs in the catalog [1] - An alternative method counts the number of drug approval numbers, resulting in over 150,000 approved drugs in China, with more than 110,000 having sales records. The NHSA indicates that if the approval numbers for the 3,159 drugs in the catalog are calculated, it would exceed 70,000, representing about 63% of the market [2]
方盛制药(603998) - 方盛制药2025年半年度经营数据公告
2025-08-28 10:37
湖南方盛制药股份有限公司 HUNANFANGSHENG PHARMACEUTICAL CO., LTD. 湖南方盛制药股份有限公司 HUNANFANGSHENG PHARMACEUTICAL CO., LTD. 说明: 1、主营业务分行业情况中,"医疗业务及其他"为子公司永州方盛天鸿肿瘤医院 有限公司医疗服务业务收入、子公司重庆筱熊猫药业股份有限公司和湖南方盛锐新药业 有限公司(分别于 2024 年 4 月、6 月后不再纳入合并范围)医药销售业务收入、子公司 广东暨大基因药物工程研究中心有限公司的医药技术服务收入、子公司云南芙雅生物科 技有限公司植物提取产品收入; 证券代码:603998 证券简称:方盛制药 公告编号:2025-077 湖南方盛制药股份有限公司 2025年半年度经营数据公告 本公司董事会及全体董事保证本公告内容不存在任何虚假记载、误导性陈述 或者重大遗漏,并对其内容的真实性、准确性和完整性承担法律责任。 根据《上市公司行业信息披露指引第六号——医药制造》的 相关规定,湖南方盛制药股份有限公司(以下简称"公司")现 将 2025 年上半年度主要经营数据披露如下(单位:元,人民币): | | | ...
2024年全国“医保账单”出炉 这几个关键数据均增长!
Zhong Guo Xin Wen Wang· 2025-07-15 02:40
Core Insights - The National Healthcare Security Administration released the "2024 National Medical Security Development Statistical Bulletin," highlighting key data on healthcare insurance in China [1] Group 1: Healthcare Insurance Participation and Financials - As of the end of 2024, the number of participants in the basic medical insurance scheme reached 1.32662 billion, maintaining a coverage rate of 95% [2] - Total revenue for the basic medical insurance fund (including maternity insurance) was 3.491337 trillion yuan, while total expenditures were 2.976403 trillion yuan, resulting in a surplus of 463.917 billion yuan for the year [2] Group 2: Employee Insurance and Maternity Benefits - The number of participants in employee medical insurance reached 379.4834 million, an increase of 8.537 million or 2.3% from the previous year, with over 104.575 million retirees covered [5] - The number of individuals enjoying maternity insurance benefits increased by 3.9638 million, a growth of 1.6%, with 36.908 million instances of benefits claimed, marking a 30.2% increase [6] Group 3: Fraud Prevention and Recovery - The healthcare system recovered 27.5 billion yuan in fraud cases, with 2,008 institutions confirmed for fraud, and 10,741 suspects arrested [8] Group 4: Drug Inclusion and Procurement - A total of 3,159 drugs are included in the 2024 National Basic Medical Insurance Drug List, with 91 new drugs added this year [9][10] - Since the establishment of the National Healthcare Security Administration in 2018, 835 drugs have been added to the insurance list, with 2.8 billion instances of drug reimbursement in 2024 [10] Group 5: Long-term Care Insurance - Participation in long-term care insurance reached 187.8634 million in 49 pilot cities, with the number of beneficiaries increasing from 835,000 in 2020 to 1.4625 million in 2024 [11] Group 6: Cross-Region Medical Services - In 2024, there were 397 million instances of cross-region medical services, with total costs amounting to 786.774 billion yuan [13]