智慧医保

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辽宁医保AI数字人上线
Liao Ning Ri Bao· 2025-09-17 01:23
秒问秒答,有问必答。近日,辽宁医保AI数字人——"依保儿(辽小保)"正式上线,标志着我省医 保公共服务迈入数字化、智能化的新阶段。 "依保儿(辽小保)"以逼真的仿生形象和人性化的交互方式,在线为全省参保群众提供医保政策咨 询、业务办理指引、参保信息查询等全天候、标准化服务,无论是深夜查询个人账户余额,还是节假日 咨询异地就医流程,都能随时响应,有效弥补了人工服务的时段盲区。归集全省最新的医保政策和办事 指南,能够准确理解和解答涉及参保缴费、待遇报销等各类医保问题。此外,还可以基于大数据分析用 户需求,主动推送个性化的医保服务信息。比如针对大学生群体可以及时提醒参保缴费时间,介绍特殊 优惠政策。针对老年用户可以提供语音优先、字体放大、操作简化的"适老模式"服务,推动医保服 务"智暖"升级。 目前,"依保儿(辽小保)"在"医保好问""医保好办""医保好查"等场景已落地应用。参保人可以在 支付宝搜索"辽宁医保"小程序,点击AI政策问答,或者点击悬浮窗"依保儿(辽小保)"。也可以在支付 宝搜索"医保码",点击"医保办理",进入"辽宁医保服务专区",点击"去看看",进入"依保儿(辽小 保)"问答界面,就能享受秒回秒答、 ...
【省医保局】陕西“医保影像云索引共享”功能上线
Shan Xi Ri Bao· 2025-08-21 00:23
Group 1 - The core viewpoint of the news is the launch of the "Medical Insurance Imaging Cloud Index Sharing" function in Shaanxi, which allows patients' imaging reports to be accessed across different regions in China, marking a significant advancement in smart medical insurance construction in the province [1][2] - The new function aims to reduce redundant medical examinations caused by data barriers, thereby alleviating the economic burden on patients and optimizing medical resource utilization [1] - As of now, over 1.1 million digital medical imaging data have been uploaded to the national medical insurance information platform, covering various examination types such as CT, X-ray, and MRI [1] Group 2 - The successful implementation of this initiative is attributed to Shaanxi's solid promotion of the national medical insurance imaging cloud construction, with Xianyang being the first pilot city [2] - Since the pilot program began in May, Xianyang has collected over 160,000 ultrasound and radiology imaging cases, with an average of over 700 shared recognitions per day, and is expected to save approximately 80 million yuan in medical insurance funds annually [2] - The next step involves summarizing and promoting the experiences from the Xianyang pilot to facilitate the connection of all cities in Shaanxi to the national medical insurance information platform [2]
深圳医保“一码付”上线,就医结算再快一步!
Nan Fang Du Shi Bao· 2025-08-15 15:17
Core Points - The launch of the "One Code Payment" service in Guangdong Province significantly enhances the medical experience for insured individuals by allowing them to complete medical reimbursements and out-of-pocket payments with a single scan or facial recognition, eliminating the need for multiple platforms and scans [1][2] - The "One Code Payment" integrates third-party payment channels with existing medical insurance code functionalities, streamlining the entire medical process from registration to payment [1] - The service employs advanced security measures, including facial recognition and real-name verification, to protect personal information and prevent fraudulent activities related to medical insurance [1] Industry Developments - Shenzhen's Medical Insurance Bureau has been actively promoting reforms in medical insurance services, transitioning from a "card era" to a "code era" and "face era" through the implementation of electronic medical insurance credentials and mobile payment options [2] - Over 18.98 million medical insurance codes have been activated in Shenzhen, with more than 99% of designated medical institutions supporting full-process applications of the medical insurance code [2] - The Medical Insurance Bureau aims to further develop smart medical insurance services and expand the application of "One Code Payment" and facial recognition in medical services, enhancing the overall experience for insured individuals [2]
“十四五”以来 医保基金累计支出12.13万亿元
Zheng Quan Ri Bao· 2025-08-08 07:05
Group 1 - The core viewpoint of the news is the progress and achievements of China's medical insurance reform during the "14th Five-Year Plan" period, emphasizing a people-centered approach and innovation in the healthcare system [1][2] - The basic medical insurance coverage rate remains stable at around 95%, with the number of insured individuals expected to reach 1.327 billion by 2024 [1] - The cumulative balance of the medical insurance fund is projected to be 3.86 trillion yuan by the end of 2024, with a total expenditure of 12.13 trillion yuan during the "14th Five-Year Plan" period, reflecting an annual growth rate of 9.1% [2] Group 2 - The medical insurance system has implemented various measures to enhance fund security, including a comprehensive regulatory framework and the recovery of 104.5 billion yuan in misused funds [2] - As of June 2025, 2.53 million people are enrolled in maternity insurance, with total expenditures reaching 438.3 billion yuan, benefiting over 96 million individuals [2] - The use of smart healthcare services has increased, with over 1.236 billion people using medical insurance codes for direct settlement, and the online service availability rate rising from 55% in 2020 to 92% in 2024 [3]
20cm速递 | 关注科创创新药ETF国泰(589720)低位布局机会,智慧医保与外贸韧性或重塑行业格局
Sou Hu Cai Jing· 2025-08-07 05:41
Core Viewpoint - The launch of the National Smart Medical Insurance Competition in 2025 is expected to enhance the efficiency of innovative drug research and development in the pharmaceutical and biotechnology industry, with open medical insurance data aiding companies in accurately targeting clinical needs, shortening R&D cycles, and reducing costs [1] Group 1: Industry Insights - The innovative drug sector is projected to have high growth potential and investment value in the long term, with deeper application of medical insurance data likely to improve both the quantity and quality of innovative drugs [1] - Once approved, innovative drugs can leverage clinical advantages to capture significant market share and pricing power [1] - The reactivation of the fifth set of standards for the Sci-Tech Innovation Board and the dual financing channel of Hong Kong's 18A is expected to stimulate full-cycle financing for pharmaceutical companies [1] Group 2: Regulatory Changes - New regulations on traditional Chinese medicine decoction pieces and adjustments to the Guangdong medical alliance drug policies are anticipated to impact the industry landscape [1] Group 3: Investment Opportunities - The Guotai Innovative Drug ETF (589720) tracks the Sci-Tech Innovative Drug Index (950161), which can experience daily fluctuations of up to 20% [1] - This index selects technology-driven innovative drug R&D companies from the biopharmaceutical and chemical pharmaceutical sectors, focusing on R&D investment, technological barriers, and growth potential to reflect the overall performance of related enterprises in China's pharmaceutical innovation field [1]
2025全国智慧医保大赛启动:面向创新药等十余领域
2 1 Shi Ji Jing Ji Bao Dao· 2025-08-04 07:03
Core Viewpoint - The National Healthcare Security Administration (NHSA) is leveraging healthcare data to drive innovation in the medical and health sectors, launching the "2025 National Smart Healthcare Competition" to address public welfare challenges through digital means [1][2]. Group 1: Competition Overview - The competition, initiated on August 1, 2025, is the third annual event organized by NHSA, aiming to transform innovative solutions into practical applications [1]. - This year's competition adopts a new format without specific tracks, allowing participation across over ten fields including healthcare innovation, financial insurance, and public service [2][3]. Group 2: Data Integration and Collaboration - The competition emphasizes three guiding principles: "Connecting," "Integrating," and "Opening," focusing on activating healthcare data to empower various industries [2][3]. - It will feature cross-regional integration of healthcare data from the Yangtze River Delta, providing a secure data environment for participating teams [3][6]. - NHSA aims to foster collaboration by integrating healthcare data with public data from Shanghai, enhancing the quality of data available for competition [3][5]. Group 3: Application and Future Directions - The competition will explore applications in areas such as innovative drug development, healthcare services, and intelligent fund supervision, supporting the integration of healthcare data into broader economic sectors [4][6]. - Participants will have access to real-world data, enabling them to address practical challenges in healthcare and policy adaptation [7].
“十四五”时期医保基金累计支出超十二万亿元 减轻看病负担 加强基金监管(权威发布·高质量完成“十四五”规划)
Ren Min Ri Bao· 2025-07-24 22:27
Core Insights - The article discusses the significant advancements and reforms in China's medical insurance system during the "14th Five-Year Plan" period, emphasizing the focus on improving public health and reducing medical costs for citizens [1][2]. Group 1: Medical Insurance Coverage - By 2024, the number of people covered by basic medical insurance is expected to reach 1.327 billion, with a stable participation rate of around 95% during the "14th Five-Year Plan" [1][2]. - Nearly 20 billion medical insurance reimbursements are anticipated from 2021 to 2024, with 2024 figures projected to be 1.6 times that of 2020 [2]. Group 2: Support for Specific Demographics - As of June this year, 253 million people are enrolled in maternity insurance, with cumulative expenditures reaching 438.3 billion yuan, benefiting over 96.14 million instances [2]. - The long-term care insurance system is being established, with 190 million participants expected by the end of 2024, and over 95% of village clinics included in the insurance network [2]. Group 3: Healthcare Accessibility and Efficiency - The number of designated medical institutions for insurance has reached 1.1 million, and the direct settlement rate for cross-province hospitalizations is around 90% [3][5]. - The implementation of a unified national medical insurance information platform has improved service efficiency, with over 1.236 billion people using medical insurance codes for direct settlement [4][5]. Group 4: Fund Security and Regulation - The cumulative recovery of medical insurance funds has reached 104.5 billion yuan during the "14th Five-Year Plan," with a total fund balance of 3.86 trillion yuan expected by the end of 2024 [6][7]. - The National Medical Insurance Bureau has intensified supervision and regulation, conducting inspections on 335,000 medical institutions and recovering 16.13 billion yuan in funds in the first half of this year [6][7].
青岛1994家机构实现医保“刷脸支付”
Qi Lu Wan Bao· 2025-07-22 00:29
Group 1 - The core viewpoint is that Qingdao's medical insurance bureau has implemented a "face payment" system across the city, enhancing convenience for patients in both urban and rural areas [1][2] - As of now, 2,400 "face payment" terminals have been installed, covering 1,484 medical institutions and 510 pharmacies, including 80 dual-channel pharmacies [1] - From January to June 2025, the total medical insurance settlement reached 44.0466 million transactions, with 7.5813 million transactions completed via "face payment" [1] Group 2 - The Qingdao medical insurance bureau has organized training sessions for medical institutions to improve the usage rate of the "face payment" terminals and enhance user experience [2] - The training focused on the usage of the "face payment" system, addressing common issues related to network, equipment, and operation, thereby improving the application skills of medical institutions [2] - Future plans include increasing the promotion of mobile payment functions and continuing to enhance the digital and cardless level of medical insurance services [2]
异地共享互认!济南市首批医保影像云索引数据直连国家医保信息平台
Qi Lu Wan Bao Wang· 2025-07-04 00:32
Core Insights - The first batch of medical insurance imaging cloud index data from Jinan City has been uploaded to the National Medical Insurance Information Platform, promoting cross-regional medical imaging sharing and recognition [1][3]. Group 1: Data Sharing Implementation - The Shandong Provincial Medical Insurance Information Platform launched the "Medical Insurance Imaging Cloud Index Sharing Module" on May 13, 2025, with Jinan City as a pilot city [3]. - As of June 23, 2025, over 50,800 imaging index data entries from 48 designated medical institutions in Jinan, including CT, DR, and MRI, have been successfully uploaded [3]. Group 2: Collaborative Efforts - The Shandong Provincial Medical Insurance Bureau emphasizes the importance of collaboration between provincial and municipal levels to enhance the efficiency of imaging data sharing [6]. - A dedicated transmission channel for medical imaging data has been established to ensure secure and rapid data transfer to the National Medical Insurance Information Platform [6]. Group 3: Future Developments - Plans are in place to accelerate the construction of medical insurance imaging cloud data sharing centers across all 16 cities in Shandong Province by the end of 2025 [7]. - The integration of artificial intelligence and advanced technologies is expected to enhance diagnostic accuracy and improve healthcare services through the use of imaging data [7].
新疆兵团“医保钱包”上线 实现跨省共济
Zhong Guo Xin Wen Wang· 2025-05-08 15:06
Core Points - The Xinjiang Production and Construction Corps has launched the "Medical Insurance Wallet" to address the challenges of cross-province use of personal medical insurance accounts, providing a more convenient and efficient way for insured individuals to manage their medical funds [1][3] - The "Medical Insurance Wallet" is linked to personal medical insurance codes and allows for fund transfers among close relatives, facilitating medical expenses and personal contributions to health insurance [1][3] Group 1 - The launch of the "Medical Insurance Wallet" represents a significant breakthrough in integrating medical insurance with financial services, aimed at solving the cross-province usage issue of personal medical accounts [3] - The Agricultural Bank of China’s Xinjiang Corps branch has activated 1.13 million medical insurance electronic certificates, collaborating on various aspects such as fund payment and mobile payment solutions [3] - The "Medical Insurance Wallet" allows for flexible payments in hospitals and designated pharmacies, alleviating the burden on relatives without personal account funds during medical settlements [3]