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聚焦精细化管理 陕西全力建设“一人一档”全民参保数据库
Zhong Guo Xin Wen Wang· 2025-11-05 08:55
Core Insights - Shaanxi Province is focusing on building a "one person, one file" national insurance database to enhance the accessibility and convenience of insurance services [1][2][3] - The province aims to transition from "mandatory participation" to "high-quality participation" in medical insurance, ensuring sustainable development of the medical insurance system [1][2] Group 1: Policy Measures - The implementation of the "Implementation Opinions on Improving the Long-term Mechanism for Basic Medical Insurance Participation" aims to consolidate and expand insurance coverage [1][2] - Policies have been introduced to eliminate household registration restrictions for insurance participation, ensuring that flexible employment workers, migrant workers, and new economy personnel can participate in employee medical insurance [1][2] - Incentives for high-cost medical insurance payments have been established for continuous participants or those with zero reimbursements, with a maximum increase of 20% over the original payment limit [1] Group 2: Digital Empowerment and Management - The "one person, one file" initiative aims to create independent and continuously updated electronic insurance records for individuals, tracking their insurance journey from birth to old age [2] - This initiative addresses issues of fragmented information and insufficient continuity in traditional insurance management models, laying the groundwork for personalized health management services [2] - The province is enhancing the user experience by integrating newborn registration services and extending insurance registration to local communities, universities, and bank branches [2] Group 3: Future Directions - Shaanxi Province will continue to improve policy measures and implement the incentive and constraint mechanisms for resident medical insurance benefits [3] - Ongoing efforts will focus on enhancing service efficiency and advancing the construction and dynamic updating of the "one person, one file" national insurance database [3]