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医疗保障服务能力建设
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筑牢民生保障网 明年4166亿元医保补助及建设资金提前下达
Core Insights - The National Healthcare Security Administration announced a total of 4,166 billion yuan in subsidies for basic medical insurance and medical assistance funds for urban and rural residents, aimed at supporting the development of the healthcare system by November 2025 [1] - Since 2018, the central government has invested over 3 trillion yuan in medical security, with a cumulative allocation of 2.87 trillion yuan for urban and rural residents' basic medical insurance subsidies from 2018 to 2025 [1] - The per capita funding for basic medical insurance in 2025 is projected to be 1,100 yuan, with over 60% of this amount coming from government subsidies [1] Group 1: Financial Support and Investment - The central government has cumulatively allocated 2.87 trillion yuan for urban and rural residents' basic medical insurance subsidies from 2018 to 2025, benefiting over 180 billion medical treatment instances [1] - A total of 2,375 billion yuan has been allocated for urban medical assistance from 2018 to 2025, with nearly 200 million instances of outpatient and inpatient assistance in 2024 [1] Group 2: Improvement in Medical Service Capabilities - From 2019 to 2025, the central government has allocated 276 billion yuan for enhancing medical security service capabilities, leading to the establishment of a unified medical insurance information platform [2] - The daily settlement volume on the medical insurance information platform exceeds 28 million, with an average response time of only 0.8 seconds for inpatient fee settlements [2] - Over 90% of high-frequency medical insurance transactions can now be processed online, and more than 90% of townships can provide local medical insurance services [2] - The number of cross-province direct settlement cases has increased by 110 times from 2019 to 2025, with the number of designated medical institutions for cross-province inpatient fee settlements growing from 27,600 to 80,000 [2]
多维度“数”读医疗保障“成绩单” 参保人就医、购药、报销更便捷高效
Yang Shi Wang· 2025-12-17 08:17
央视网消息:国家医保局消息,2018年—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,居民参保 更有保障、困难群众更加安心、医保服务更加便捷。 2018年以来,各级财政、医保部门持续加大对城乡居民基本医疗保险的补助力度。2018年—2025年,中央财政累计安排城乡居民基 本医疗保险补助资金2.87万亿元,用于对参加城乡居民基本医疗保险的参保人进行补助。 2025年,城乡居民基本医疗保险人均筹资总额为1100元。其中,人均财政补助标准为700元,个人缴费标准为400元,财政补助占比 在60%以上。城乡居民基本医疗保险基金盘子更加稳固,2018年—2025年,居民累计享受医保待遇超180亿人次。 农村困难群众政策范围内报销比例超90% 各级医保部门通过医疗保障服务能力建设资金补短板、强弱项,帮助参保人就医、购药、报销更便捷、更高效。2019年—2025年, 中央财政累计安排医疗保障服务能力建设资金276亿元。 在资金支持下,全国统一的医保信息平台全面建成使用,超12亿人享受医保码便捷就医,医保信息平台日均结算量超2800万人次。 超九成的高频医保经办事项可以线上办理,九成以上乡镇( ...