全民参保数据库“一人一档”
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【省医保局】陕西医保织密全民“一人一档”数据网
Shan Xi Ri Bao· 2025-11-12 00:16
Core Insights - The province is advancing the "one person, one file" construction of the universal insurance database, which is significant for expanding insurance coverage, providing health services throughout the life cycle, managing medical insurance funds, and promoting overall public health [1][2] Group 1: Insurance Coverage Expansion - The "one person, one file" initiative transitions from a "broad mobilization" approach to "precise policies," effectively identifying uninsured and intermittently insured individuals [1] - Dynamic monitoring and comparative analysis of insurance data help clarify the insurance base, supporting targeted policy formulation and improving insurance quality [1] - Key groups such as newborns, students, and migrant populations are prioritized to ensure comprehensive coverage [1] Group 2: Medical Insurance Fund Management - The "one person, one file" system enhances data accuracy and consistency, providing solid support for fund budgeting, operational monitoring, and risk assessment [2] - Clear personal insurance trajectories strengthen fund supervision, preventing fraud and ensuring the safety of medical funds [2] - The initiative promotes a shift in medical insurance management from a decentralized, passive, and vague approach to a centralized, proactive, and precise one, laying a foundation for a multi-tiered social security system and achieving the goal of universal health [2]