科技赋能医保

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全国超12亿人可刷码刷脸进行医保结算
Ke Ji Ri Bao· 2025-07-25 01:01
Core Insights - The national medical insurance system in China is leveraging technology to enhance management and service delivery, with over 1.236 billion people using the medical insurance code for transactions [1][2] - The number of cross-province direct settlement visits for medical insurance has surged from 5.37 million in 2020 to 238 million in 2024, marking a 44-fold increase [1] - Cumulatively, the medical insurance fund has spent 12.13 trillion yuan since the start of the 14th Five-Year Plan, with an annual growth rate of 9.1% [2] Group 1: Technological Advancements - The establishment of a unified national medical insurance information platform is underway, aiming for standardized coding across the country [1] - The intelligent supervision system has recovered 330 million yuan in medical insurance funds through enhanced data analysis and monitoring of irregularities [1] - The "one person, one file" database for insured individuals is being developed to dynamically update insurance status and enhance health management [1] Group 2: Support for Pharmaceutical Innovation - Expenditure on innovative drugs has significantly increased, with 2024 spending projected to be 3.9 times that of 2020, reflecting an annual growth rate of 40% [2] - A total of 402 new drugs have been added to the medical insurance drug list since the beginning of the 14th Five-Year Plan [2] - The establishment of a commercial health insurance directory for innovative drugs has seen over 100 drugs submitted for inclusion, further supporting pharmaceutical innovation [2] Group 3: Industry Development - The medical insurance fund is actively supporting the development of the pharmaceutical industry and technological advancements, including artificial hearts and brain-machine interfaces [2] - Cloud storage and computing technologies are becoming more prevalent in the medical field, enhancing the efficiency of medical services [2] - The promotion of air medical transport applications is contributing to the growth of the low-altitude economy, providing practical service scenarios [2]