医保
Search documents
实干开新局 合力谱新篇
Liao Ning Ri Bao· 2025-12-27 01:26
Group 1: Economic Development and Policy Implementation - The provincial government is focusing on revitalizing economic development and has outlined key tasks for the "14th Five-Year Plan" period, emphasizing the importance of improving the business environment and enhancing investment mechanisms [1][5] - The provincial development and reform commission aims to significantly improve the business environment in the short term and fundamentally over the long term, with a focus on project service mechanisms and strengthening project planning and reserve [1] - The provincial government is promoting the development of emerging industries such as artificial intelligence, low-altitude economy, marine economy, silver economy, and ice and snow economy, while also enhancing traditional pillar industries [1] Group 2: Technological Innovation and Industry Integration - The provincial science and technology department is working towards creating a nationally influential regional technology innovation center, focusing on the deep integration of technological and industrial innovation [2] - Emphasis is placed on reforming research paradigms, organizational models, and support mechanisms to enhance innovation resource coordination and organization [2] - The province plans to implement key technological breakthroughs in priority areas and support enterprises in forming systematic innovation consortia [2] Group 3: Cultural and Tourism Sector Development - The provincial culture and tourism department is focusing on expanding domestic demand and promoting consumption through four key strategies to enhance the vitality of the cultural and tourism industry [3] - Efforts will be made to cultivate core competitive and innovative cultural tourism enterprises, enrich product offerings, and optimize the business environment [3] - The department aims to boost cultural tourism consumption by innovating consumption scenarios and leveraging holiday opportunities [3] Group 4: Audit and Supervision for Economic Growth - The provincial audit office is committed to aligning its actions with the central and provincial government's economic work requirements, focusing on high-quality development and risk prevention [4] - The office emphasizes the importance of strict auditing and supervision to ensure accountability and transparency in economic activities [4] Group 5: Market Regulation and Quality Improvement - The provincial market regulation bureau is focused on enhancing the vitality of various business entities and supporting high-quality development in specific industries [5] - The bureau aims to improve market access and governance efficiency while promoting the "2211" industrial system [5] - There is a strong emphasis on quality assurance and regulatory oversight to support high-quality development [5] Group 6: Healthcare System Reform - The provincial medical insurance bureau is working to align healthcare reforms with economic development, focusing on sustainable and high-quality healthcare systems [6] - Initiatives include provincial-level coordination of basic medical insurance and the promotion of cost-reducing measures for medical supplies [6] - The bureau is also advancing payment reform and supporting the development of innovative healthcare solutions [6] Group 7: Energy Sector Development - The State Grid Shenyang Power Supply Company is focusing on high-quality development in the energy sector to support overall economic growth [7] - Key initiatives include accelerating the construction of critical power grid projects and enhancing the business environment for electricity services [7] - The company aims to align energy supply with the needs of high-end manufacturing and new materials industries while promoting modern smart distribution networks [7]
各部门贯彻落实省委经济工作会议精神——实干开新局 合力谱新篇
Xin Lang Cai Jing· 2025-12-27 00:11
Core Insights - The provincial economic work conference has set the stage for the "14th Five-Year Plan," focusing on revitalization and development strategies [1] - Various departments are actively implementing the conference's directives, emphasizing the importance of improving the business environment and fostering economic growth [1][2][3][4][5][6][7] Group 1: Economic Development Strategies - The provincial development and reform commission aims to enhance the business environment significantly in the short term and fundamentally over the long term, focusing on policy, market, and legal frameworks [1] - The emphasis is on cultivating new growth drivers while strengthening traditional industries, with a particular focus on emerging sectors such as artificial intelligence, low-altitude economy, and marine economy [1] - The provincial technology department plans to create a nationally influential regional technology innovation center, integrating technological and industrial innovation [2] Group 2: Cultural and Tourism Sector - The provincial culture and tourism department is focusing on expanding domestic demand and promoting consumption through innovative strategies and product offerings [3] - Key initiatives include enhancing core competitive capabilities of tourism businesses and optimizing the business environment to stimulate market vitality [3] Group 3: Regulatory and Oversight Measures - The provincial audit office emphasizes the need for rigorous economic supervision to support high-quality development and address key issues effectively [4] - The market regulation bureau is focused on enhancing market access and competition, while also promoting quality standards and brand development [5] Group 4: Healthcare and Social Services - The provincial healthcare bureau is working on reforms to align healthcare with economic development, ensuring sustainable and resilient healthcare systems [6][7] - Initiatives include improving medical insurance management and reducing costs for citizens and enterprises through collaborative procurement [6] Group 5: Energy and Infrastructure - The State Grid Shenyang Power Supply Company is aligning its development goals with the economic work conference, focusing on high-quality power development to support economic growth [7] - Key projects include enhancing the power grid and promoting clean energy initiatives, alongside improving the business environment for electricity services [7]
实践故事丨守好群众“看病钱”
Zhong Yang Ji Wei Guo Jia Jian Wei Wang Zhan· 2025-12-23 00:14
医保基金是人民群众的"看病钱""救命钱"。为守牢医保基金安全底线,河南省鹤壁市山城区纪委监委将 推动完善医保基金监管作为整治群众身边不正之风和腐败问题的重要抓手,以"小切口"发力破解医保基 金领域痛点难点。 "我们紧盯医保基金申请、审核拨付等关键环节,全面排查是否存在挪用侵占、骗取套取、虚报冒领医 保基金等问题。"山城区纪委监委有关负责人介绍,区纪委监委推动医保、卫健、市场监管等部门建立 数据共享、线索互移、联合研判工作机制,督促相关部门切实扛牢责任,构建医保智能监管系统,提升 监管合力,筑牢医保基金监管堤坝。 针对医保基金使用环节多、专业性强等特点,该区纪委监委成立医保基金整治工作组,制定监督清单, 建立"周调度、月通报"机制,推动区医疗保障局制定出台《山城区医疗保障局医保基金监督管理工作制 度》,督促医保部门开展医保基金监管政策培训,组织引导全区57家定点医药机构开展自查自纠。 在此基础上,该区纪委监委联合医保、卫健、市场监管等部门,深入辖区医疗机构和药店开展嵌入式监 督,重点查看医保结算明细和进销存相关资料,核查是否存在串换项目、超限用药、重复收费等违规行 为。同时,对河南省医保飞行检查发现的串换药品、 ...
国家卫健委明确:卫生财政向医保和生育支持等倾斜
Xin Lang Cai Jing· 2025-12-19 00:20
【国家卫健委明确:#卫生财政向医保和生育支持等倾斜# 】 "投资于人"是"十五五"期间激活经济发展内生动能和改善民生的一条逻辑主线。 在此背景下,未来五年,政府对医疗健康领域的投入有望持续加大,其中,针对供方补助,将回应公立 医院维持公益性运营的关切;针对需方补助,将回应老龄少子化、医疗科技发展下减轻群众看病就医自 费负担的期待,重点投向提升医保待遇、增加生育支持等方面。 【国家卫健委明确:#卫生财政向医保和生育支持等倾斜# 】 "投资于人"是"十五五"期间激活经济发展内生动能和改善民生的一条逻辑主线。 在此背景下,未来五年,政府对医疗健康领域的投入有望持续加大,其中,针对供方补助,将回应公立 医院维持公益性运营的关切;针对需方补助,将回应老龄少子化、医疗科技发展下减轻群众看病就医自 费负担的期待,重点投向提升医保待遇、增加生育支持等方面。 ...
医保基金运行月报:医保收入增长平稳,支出同比放缓-20251217
Haitong Securities International· 2025-12-17 06:12
Investment Rating - The report does not explicitly state an investment rating for the industry [2]. Core Insights - The medical insurance fund income grew steadily from January to October 2025, totaling RMB 2.35 trillion (YoY +2.0%). Urban employee fund income was RMB 1.52 trillion (+5.8%), while urban-rural resident fund income was RMB 836.90 billion (-4.3%) [10][11]. - Expenditure slowed, with total expenditure from January to October 2025 at RMB 1.90 trillion (-0.7%). Urban employee fund expenditure was RMB 1.09 trillion (+2.2%), and urban-rural resident fund expenditure was RMB 809.63 billion (-4.4%) [11][12]. - The accumulated balance from January to October 2025 was RMB 448.40 billion (balance ratio 19.1%), with urban employee fund at RMB 421.12 billion (balance ratio 27.8%) and urban-rural resident fund at RMB 27.27 billion (balance ratio 3.3%) [12]. - Fiscal expenditure grew steadily, with health spending at RMB 1.69 trillion (+2.4%) from January to October 2025 [13]. Summary by Sections Income - Total medical insurance fund income from January to October 2025 was RMB 2.35 trillion, with urban employee fund income at RMB 1.52 trillion and urban-rural resident fund income at RMB 836.90 billion [10][11]. Expenditure - Total expenditure for the same period was RMB 1.90 trillion, with urban employee fund expenditure at RMB 1.09 trillion and urban-rural resident fund expenditure at RMB 809.63 billion [11][12]. Balance - The accumulated balance was RMB 448.40 billion, with urban employee fund balance at RMB 421.12 billion and urban-rural resident fund balance at RMB 27.27 billion [12]. Fiscal Health Spending - Health spending from January to October 2025 was RMB 1.69 trillion, reflecting a growth of 2.4% [13].
国泰海通晨报-20251217
Haitong Securities· 2025-12-17 01:50
Group 1: Company Overview - The report recommends a "Buy" rating for the company, predicting revenues of 4.132 billion, 4.685 billion, and 5.354 billion RMB for 2025-2027, with growth rates of 26%, 13%, and 14% respectively [1] - The adjusted net profits are forecasted to be 556 million, 624 million, and 712 million RMB for the same period, with growth rates of 33%, 12%, and 14% respectively [1] - The company operates multiple brands, including "沪上阿姨" (Hushang Aunt), "茶瀑布" (Tea Waterfall), and "沪咖" (Hushang Coffee), targeting different consumer segments and price points [2] Group 2: Market Potential - The ready-to-drink beverage market in China has significant growth potential, with increasing consumption rates and a rising chain store penetration [2] - The company has a projected store opening potential of 18,000 for its main brand and over 5,000 for "茶瀑布" (Tea Waterfall), with international expansion into Malaysia and the USA [2] - The coffee segment is expected to enhance store efficiency as it integrates into the main brand [2] Group 3: Industry Trends - The report highlights the increasing chain store advantage over independent tea shops, suggesting a trend towards consolidation in the tea beverage industry [2] - The report notes that the ready-to-drink beverage market is experiencing a surge in demand due to the growth of delivery services [2] - The digital RMB is positioned as a key driver for the internationalization of the RMB, with a projected transaction volume of 52.8 to 223.6 trillion RMB by 2030 [7] Group 4: Financial Insights - The company is valued at a target market cap of 12.2 billion HKD, with a target price of 116.56 HKD based on a 20x PE ratio for adjusted net profit in 2025 [1] - The report indicates that the digital RMB will benefit upstream technology support, midstream system adaptation, and downstream terminal deployment, suggesting broad growth potential across the industry [8]
【光大研究每日速递】20251216
光大证券研究· 2025-12-15 23:07
点击注册小程序 查看完整报告 特别申明: 本订阅号中所涉及的证券研究信息由光大证券研究所编写,仅面向光大证券专业投资者客户,用作新媒体形势下研究 信息和研究观点的沟通交流。非光大证券专业投资者客户,请勿订阅、接收或使用本订阅号中的任何信息。本订阅号 难以设置访问权限,若给您造成不便,敬请谅解。光大证券研究所不会因关注、收到或阅读本订阅号推送内容而视相 关人员为光大证券的客户。 今 日 聚 焦 【宏观】胶着的医保谈判,不确定的政府停摆——《大国博弈》系列第九十二篇 2025年,拜登加强型医保成为两党政治博弈工具,也成为了牵动资本市场的重要线索。目前,两党仅就3个部 门的全年预算(占比11%)达成一致,剩余9个部门预算将在2026年1月30日到期。而在12月11日的医保投票 中,双方再次否决对方提案,导致圣诞节假期前解决医保的希望基本破灭。明年一季度,应对医保和政府关 门,可能有四种场景,也对应不同的资产价格表现。 (赵格格)2025-12-15 您可点击今日推送内容的第1条查看 【金工】交易信心有所提振,后市仍将震荡上行——金融工程市场跟踪周报20251215 本周A股震荡上行,市场量能有所提振。沪深300、中 ...
“十四五”期间全国各级医保部门共追回医保资金约1200亿元
Xin Jing Bao· 2025-12-13 06:31
新京报贝壳财经讯12月13日,国家医保局党组书记、局长章轲在今日举行的全国医疗保障工作会议上表 示,"十四五"期间,全国各级医保部门通过协议处理、行政处罚等方式,共追回医保资金约1200亿元, 查处太和县4家医院、无锡虹桥医院和哈尔滨4家药店骗保等大案;通过大数据模型和智能监管子系统挽 回基金损失95亿元;创新开展药品追溯码采集和监管应用,累计归集追溯码超1000亿条。 ...
医保报销不用等,2026年大部分医院将能即时结算
Sou Hu Cai Jing· 2025-12-13 04:41
医保结算速度不断提升,聚焦创新药保障与科技深度融合 文 |《财经》记者 辛颖 随着2025年冬天的第一场瑞雪落地,12月13日,全国医疗保障工作会议在北京召开。 编辑| 王小 第一,加强多层次目录管理。推动2025年版多家医保药品目录落地,动态调整医保目录药品。要深入落实《支持 创新药高质量发展若干措施》,指导各地加强部门协作,积极落地商保创新药品目录,提高创新药多元支付能 力。持续建设完善"医保药品云平台"功能。 第二,支持商业健康保险发展,健全多层次医疗保障体系。充分发挥商业健康保险在精算测算、产品设计、投资 运营、核保监管等方面的优势,支持商业健康保险与基本医保衔接互补、差异化发展。积极落地商保创新药目 录,鼓励商业健康保险将更多基本医保目录外的合理医疗费用纳入保障范围。鼓励商业健康保险机构扩大对创新 药的投资规模,促进创新药研发。在个人充分授权和确保数据安全基础上,为有需要的商业健康保险产品提供"医 保+商保"一站式清分结算服务,提高核赔效率,让数据多跑路,让群众少跑腿。 第三,优化医保支付结算机制。2026年,要全面推进医保基金即时结算,到年底,实现即时结算资金占当地月结 算资金的80%以上,开通即 ...
每日市场观-20251211
Caida Securities· 2025-12-11 05:09
Market Overview - On December 10, the market showed a rebound after hitting a low, with the Shanghai Composite Index down 0.23%, the Shenzhen Component Index up 0.29%, and the ChiNext Index down 0.02%[3] - The total trading volume in the Shanghai and Shenzhen markets was less than 1.78 trillion yuan, showing a week-on-week decrease[1] Sector Performance - The leading sectors included precious metals, real estate services, education, commercial retail, real estate development, aviation, and automotive, while sectors like power equipment, banking, photovoltaic equipment, consumer electronics, and wind power equipment saw declines[1] - A total of 2,379 stocks rose, while 2,685 stocks fell, indicating a market with more decliners than gainers[1] Monetary Policy and Market Sentiment - Year-end capital competition is suppressing risk appetite, leading to tighter liquidity in both bond and stock markets[1] - Uncertainty in overseas monetary policy is causing market disturbances, with a cautious trading sentiment prevailing in the A-share market[1] Bond Market Insights - Positive signals emerged in the bond market starting Tuesday, with prices rebounding and yields slightly declining[1] - A potential interest rate cut by the Federal Reserve could boost the domestic bond market, positively impacting stock market liquidity[1] Fund Flows - On December 10, net inflows were recorded at 2.308 billion yuan for the Shanghai Stock Exchange and 4.226 billion yuan for the Shenzhen Stock Exchange[4] - The top three sectors for net inflows were communication equipment, real estate development, and automotive parts, while the top three sectors for outflows were components, photovoltaic equipment, and consumer electronics[4] Economic Indicators - In November, the Consumer Price Index (CPI) rose by 0.7% year-on-year but fell by 0.1% month-on-month, with food prices increasing by 0.2% and non-food prices rising by 0.8%[5] - The average CPI for January to November remained flat compared to the same period last year[5] Government Bond Issuance - The Ministry of Finance successfully issued 7 billion yuan of government bonds in Hong Kong on December 10, with a subscription rate of 5.22 times[6][7] - The issuance included 20 billion yuan for 2-year bonds at an interest rate of 1.43%, 30 billion yuan for 3-year bonds at 1.45%, and 20 billion yuan for 5-year bonds at 1.65%[7] Industry Developments - The China Securities Regulatory Commission proposed to appropriately relax capital space and leverage constraints for quality institutions, potentially reviving the brokerage sector[2] - The 6G network research is progressing, with active sectors including aerospace, communication equipment, and new materials, which investors should monitor[2] Long-term Investment Trends - There has been an acceleration of medium to long-term funds entering the A-share market, enhancing market resilience and promoting value investment transformation[13] - Foreign institutional interest in Chinese assets remains strong, with over 9,000 A-share company investigations conducted this year, leading to a cumulative increase of over 340 billion yuan in northbound capital holdings by the end of Q3[14]