转自：成都日报锦观 制度筑基 服务赋能 用医保温度书写"民生答卷" ——成都市医疗保障工作"十四五"发展综述 数说"十四五" ■全市基本医保参保人数约1885万人。 ■新增949种药品进入医保目录。 ■300余家定点医疗机构实现医保码就医全流程应用。 ■建成"市县镇村"四级经办体系，设立200余个医保工作站。 ■长期护理保险参保累计享受待遇21.56万人。 "十四五"期间，全市基本医保参保人数约1885万人，职工医保和城乡居民医保参保规模稳步扩大；全市1.76万家定点医药机构实现了追溯码上 传，医药机构追溯码采集接入率为100%；截至2025年11月，全市长期护理保险参保累计享受待遇21.56万人……翻阅过去五年成都医保的"民生 账单"，一份份翔实的数据折射出全市人民不断提升的医保获得感。 幸福的体现，不仅在一串串上涨的数字之间，更在一句句群众切身的话语之中——"老伴胃癌手术，报销了大半费用""带娃看病刷个医保码， 全程不用找卡片""4岁患病孙女儿有了长护险上门护理，全家有了盼头"…… 从政策体系到服务落地，"十四五"期间，成都医保的惠民温度藏在千万市民的切身感受里。作为事关群众健康福祉的重大民生工程，成都以 ...

Group 1 - The Financial Regulatory Administration is developing guidelines to enhance health insurance services, focusing on aligning supply and demand, improving industry capabilities, strengthening regulation, and optimizing the development environment for health insurance [1] - Commercial health insurance has become a significant payment method for innovative drugs, with total compensation for innovative drugs expected to reach approximately 12.4 billion in 2024, reflecting a compound annual growth rate of 103% over three years [1] - The ongoing reforms in payment methods and policies are expected to gradually resolve the challenges related to hospital admissions for insured drugs, thereby improving accessibility to innovative drugs [1] Group 2 - The Financial Regulatory Administration supports pilot reforms in commercial health insurance, encouraging local initiatives to explore solutions for data sharing, chronic disease coverage, and multi-tiered care systems [2] - Efforts are being made to promote interoperability between commercial health insurance and medical data, with a focus on one-stop settlement for medical expenses to enhance patient experience [2] - The National Medical Insurance Bureau is exploring the integration of medical insurance data to empower insurance companies and facilitate synchronized settlements between medical insurance funds and commercial insurance [2]