长护险制度
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【新春走基层】春节坚守的“居家护理员”
Xin Lang Cai Jing· 2026-02-13 20:37
晨光微露,上海市宝山区逸乐护理站吴淞站站长赵听听开始了一天的工作。她面前的服务名单上,详细 记录着1130位失能老人的信息。 【新春走基层】 光明日报记者 孟歆迪 颜维琦 "今年我还是不能回来了……"电话那头,远嫁在外的陈爷爷女儿声音里带着愧疚。81岁的陈爷爷因脑梗 卧床3年,属于六级重度失能,吃喝拉撒全靠专人照料。 "过年对我们来说,是过关。"赵听听说。她所在的吴淞站一共78名护理员,几乎需要每天照护的中重度 失能老人则有237名。 《光明日报》(2026年02月14日 02版) [ 责编:任子薇 ] 春节对长护险从业者而言,不是假期,而是一场大考:返乡潮带来的人手缺口、老人照护的刚性需求、 寒冬里陡增的健康风险……每一道都是难题。今年是她在上海的第十年,也将是她放弃团圆、留守岗位 的第六个除夕。 为此,赵听听早早筹划:先梳理站内轻度失能老人服务清单,与护理员逐一沟通,敲定春节期间护理方 案;再根据片区中重度失能老人的住址分布、照护难度,结合站内护理员的专业特长、服务半径,制定 详细的顶岗支援排班表。她自己则主动承接片区内几位认知障碍严重、护理难度大、病情特殊老人的照 护任务。"我们守在这里,就是为了让失能 ...
程智涛:参保人数再创新高,基金累计结余近67亿元
Nan Fang Du Shi Bao· 2026-02-11 06:31
Core Viewpoint - The Zhuhai government is focusing on the development goals for the "15th Five-Year Plan" period, building on the achievements of the "14th Five-Year Plan" and emphasizing key areas such as the Guangdong-Hong Kong-Macao Greater Bay Area construction, new productivity development, and integrated education and technology talent development [1] Group 1: Healthcare Insurance Achievements - The number of basic medical insurance participants in Zhuhai has exceeded 2.6 million, surpassing the provincial target of 2.52 million, marking a historical high [2] - The medical insurance fund's income reached 8.6 billion yuan, with expenditures of 7.5 billion yuan, resulting in a cumulative surplus of 6.688 billion yuan, indicating stable operations [2] - The annual reimbursement for hospitalization reached 299,000 cases, and outpatient reimbursements totaled 12.13 million cases, with 1.23 million cases of direct settlement for cross-regional medical treatment [2] Group 2: Enhanced Medical Benefits - The annual maximum payment limit for medical insurance has been raised to 1.5 million yuan for employees and 800,000 yuan for residents, with significant improvements in maternity support, including full reimbursement for prenatal and delivery costs [3] - Over 190,000 flexible employment individuals have joined the medical insurance scheme, ensuring coverage for gig economy workers such as delivery personnel [3] - Medical assistance has been provided to 6,365 individuals, with instant settlement for 66,000 cases, amounting to 8.153 million yuan in aid [3] Group 3: Cost Reduction in Medical Services - The average hospitalization cost has decreased from 12,900 yuan to 11,100 yuan, reflecting efficient fund utilization and reduced expenses for patients [4] - A total of 3.706 billion yuan was saved through centralized procurement of drugs and medical supplies, benefiting the public with lower prices [4] - 30 enterprises in Zhuhai have had 86 types of drugs and medical supplies included in national procurement lists, promoting high-quality development for local businesses [4] Group 4: Improved Healthcare Accessibility - The establishment of 757 service points across towns, streets, and banks facilitates easier access for residents to handle medical insurance matters [4] - The introduction of intelligent customer service for medical insurance allows for one-stop processing of insurance issues [4] - The goal is to enhance the medical security level for all insured individuals through various initiatives [6]
从养老服务到灾后重建 北京政协委员建言加大民生保障
Xin Lang Cai Jing· 2026-01-23 13:44
政协北京市第十四届委员会第四次会议将于1月24日开幕。1月23日举行的"我是委员"集体采访上,多位 委员分享履职经历与感悟。中新社记者 富田 摄 中新网北京1月23日电(记者 徐婧 杜燕)政协北京市第十四届委员会第四次会议将于24日开幕。23日举行 的"我是委员"集体采访上,多位委员围绕增进民生福祉,分享在养老服务、灾后重建等工作中的履职经 历与感悟。 长护险是为了积极应对人口老龄化、破解"一人失能,全家失衡"难题的社保"第六险"。来自民革界别的 委员,北京市石景山区医疗保障局局长李凤芹介绍,2020年9月,石景山正式成为国家扩大长护险制度 试点区,也是北京市唯一的试点。这些年来,石景山区每年参保人数稳定在42万左右。从初期的摸索起 步、体系待建,到如今制度框架日益完善、服务网络不断健全,这项政策为众多重度失能老人及其家庭 送去了真切可感的服务。 2025年7月23日到29日,北京遭遇极端强降雨。怀柔区政协紧紧依托"京华议事厅",主动联合区有关部 门,及时梳理救灾重点和民众诉求,仅用2天就筛选、确定"安置点保障""农田清淤"等第一批议题,实 现了"当天协商议事、当天形成建议、当天报送区领导、当天批转落实"。 ...
长护险托底,让生活更有尊严
Xin Lang Cai Jing· 2026-01-18 21:30
(来源:新华日报) □ 本报记者 唐 悦 一人失能,全家失衡。对于无数失能人员家庭来说,长期护理保险不仅是一份保障,更是压在肩头重担 的一次松绑,是让生活重拾尊严的一缕光亮。 江苏作为全国人口老龄化程度最高的地区之一,正以一项覆盖全省的制度探索,回应"老有所护"的民生 关切。记者近日从省医保局获悉,江苏长护险参保人数已突破6600万,居全国第一;2025年,全省有 37.4万人获得保障,基金累计支付超过148亿元。数字背后,是数十万家庭实实在在的减负与安心。 床边守护,体面生活温暖传递 "几年了,我儿子都没有正经洗过一次澡,每次只能打点热水擦擦。随着我年龄越来越大,做这些事也 力不从心了。"家住镇江市京口区的78岁虞阿姨因照顾脑出血卧床7年的儿子和中风不起的老伴,艰辛不 言而喻。镇江市长护险服务中心在社区宣传中得知情况后,主动上门评估,认定其儿子为"重度失能", 每月可免费获得3次专业上门助浴服务。 每次两名护理人员和一名医护人员上门,服务不少于两小时。"洗完澡,他都要给照护师竖个大拇 指。"虞阿姨泪光闪烁,"照护师上门,可算解决了我多年来想给失能儿子好好洗澡的大难题!" 据介绍,徐州全市已有38家基层医疗机 ...
2026:26个关键词里的未来(三)
Di Yi Cai Jing· 2025-12-30 13:14
Group 1: State-Owned Enterprise Reform - The central economic work conference emphasized the need to deepen state-owned enterprise (SOE) reform, focusing on optimizing the layout of state-owned economy, improving modern enterprise systems, and enhancing state asset supervision efficiency [1][2] - Key areas of reform include functional, structural, and institutional reforms, with a focus on better utilizing market forces to fulfill national strategic missions and improving the evaluation system for SOEs [2][3] Group 2: Urban and Rural Resident Income Increase Plan - The central economic work conference proposed a new income increase plan for urban and rural residents, transitioning from a focus on low-income groups to a broader approach covering all residents [3][4] - The plan aims to enhance consumer spending and stabilize the middle-income group while addressing income disparities and illegal income [3][4] Group 3: Investment Stabilization - The conference highlighted the need to stabilize investment, suggesting an increase in central budget investment and optimizing the use of local government special bonds [6][7] - Investment growth has been declining due to various factors, including real estate market adjustments and competition, with fixed asset investment down by 2.6% year-on-year [6][7] Group 4: Education Resource Allocation - The "14th Five-Year Plan" suggests improving education resource allocation in response to demographic changes, particularly by expanding ordinary high school enrollment to address the shortage of high school places [8][9] - The number of ordinary high school enrollments is set to exceed 10 million in 2024, with a recorded admission rate of over 60% [8][9] Group 5: Long-Term Care Insurance Implementation - Long-term care insurance (LTCI) is set to be implemented nationwide in 2026 after a decade of trials, aiming to cover nearly 3 billion people and provide equal protection for all disabled individuals [16][17] - The LTCI is expected to inject significant funds into the market, potentially exceeding 100 billion annually, thus stimulating the long-term care service industry [17] Group 6: Birth Policy Optimization - The central economic work conference stressed the need for a comprehensive optimization of birth policies to stabilize the declining birth rate, with a focus on financial support and service system improvements [18][19] - New measures include expanding maternity insurance coverage to flexible workers and enhancing public services for early childhood care [19][20]
阳光人寿重庆分公司:长护服务温暖山城,让“民有所护”照进现实
Qi Lu Wan Bao· 2025-08-14 23:27
Core Viewpoint - The article highlights the proactive efforts of Sunshine Life Insurance's Chongqing branch in implementing long-term care insurance (LTCI) services, emphasizing the positive impact on families in need and the accessibility of care for the elderly [1][2][3][4][5][6] Group 1: Implementation of Long-Term Care Insurance - Since 2022, Sunshine Life Insurance has been actively providing LTCI services in four districts of Chongqing, transforming national policies into tangible support for families [1] - The LTCI service team has been described as "sowers" and "guardians" of policy, ensuring that the benefits reach those in need [1][6] - The team engages in community outreach, identifying families in distress and offering assistance through home visits and support [2][3] Group 2: Case Studies of Impact - A case study of an elderly teacher, Mr. Zhu, illustrates how proactive outreach led to timely assistance, alleviating his family's burdens through LTCI support [2] - Another example features Mr. Qin, who receives regular home care services, showcasing the program's commitment to reaching remote areas and providing necessary care [3] - The article also highlights the case of Mr. Fu, who benefited from cross-city evaluation processes, allowing him to receive care funds without the need for travel [4] Group 3: Expansion of Coverage - In 2023, the LTCI program expanded its coverage to include individuals with moderate disabilities, reflecting a broader commitment to support more families [5] - The case of Mr. Xia demonstrates the positive effects of this policy change, as his family received professional care services that significantly improved their quality of life [5] Group 4: Overall Impact and Future Commitment - Over the past three years, Sunshine Life Insurance has effectively implemented LTCI services across various regions, ensuring that support reaches the most vulnerable families [6] - The company aims to continue enhancing its services, reinforcing the social safety net and ensuring that the warmth of policy benefits reaches every corner in need [6]