北京普惠健康保

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北京大学第三医院:以高质量服务为导向 提升患者就医体验
Ren Min Wang· 2025-07-08 06:31
Core Viewpoint - The development of public hospitals is crucial for the healthcare system in China, focusing on quality improvement and innovative management practices [1] Group 1: High-Quality Development of Public Hospitals - Public hospitals are the mainstay of China's healthcare service system and play a vital role in promoting the Healthy China initiative [1] - High-quality development involves three shifts: from scale expansion to quality enhancement, from rough management to refined management, and from material resource allocation to a focus on talent and technology [1] - The goals include improving efficiency, quality, and the treatment of medical staff, as well as establishing a new system and culture for high-quality development [1] Group 2: Patient Experience and Innovative Practices - Patient experience is a key indicator of healthcare service quality, with the introduction of an AI-based patient communication platform to enhance service delivery [2] - The hospital has implemented specialized management based on patient needs, including time-slot appointments and multidisciplinary treatment (MDT) clinics, serving over 3,000 patients annually [2] - Innovations in lymphoma treatment include comprehensive care for elderly patients and the establishment of an efficient clinical research platform, reducing new drug trial approval times to one month [2] Group 3: Integration of Insurance and Healthcare Services - The hospital has responded to the "Beijing Universal Health Insurance" initiative by implementing a doctor workstation pop-up feature to improve patient access to care [3] - The integration of basic medical insurance and supplementary health insurance enhances the clarity of treatment options for patients, particularly regarding high-cost medications [3] - This complementary insurance model not only benefits insured individuals but also promotes a sustainable healthcare system by increasing insurance participation and funding [4]
“党旗红”引领“人保红”——以高质量党建赋能企业高质量发展
Xin Jing Bao· 2025-07-01 04:12
Group 1 - The core viewpoint emphasizes the integration of high-quality party building with innovation development as a strategic choice for sustainable enterprise growth [1] - The company implements a "two quantification, two special personnel" mechanism to enhance grassroots party organization functions and ensure effective policy implementation [2] - The company focuses on the integration of party building and business operations, leveraging political guidance to support the construction of Beijing's "Four Centers" [3] Group 2 - The company prioritizes serving the people's welfare by ensuring that its insurance products and services address the urgent needs of the public [4] - The company has achieved significant growth in insurance coverage, with over 105 million people covered by new citizen exclusive products and risk protection exceeding 2.35 trillion yuan [5] - The company actively promotes disaster prevention and reduction through innovative insurance models and partnerships with local governments [6] Group 3 - The company is committed to enhancing the quality and effectiveness of party building to support the modernization of Beijing [7]
广覆盖、低保费,普惠保险如何更好保障民生、健康发展?
Xin Hua She· 2025-06-13 03:38
Core Viewpoint - The insurance industry is actively participating in government-led inclusive insurance projects to provide affordable and accessible insurance services to the public, addressing health and pension needs, thereby enhancing the well-being of the population [1] Group 1: Accessibility of Inclusive Insurance - The "Sui Suikang" insurance in Guangzhou provided nearly 1 million yuan in compensation for a patient with lymphoma, highlighting the importance of affordable insurance options [2] - Inclusive insurance products, such as "惠民保," are characterized by low entry barriers, low premiums, and high coverage, ensuring that more people can access insurance [2] - The focus is on serving previously excluded groups, including the elderly and those with pre-existing conditions, by offering products without restrictions on age or medical history [2][3] Group 2: Affordability of Premiums - Many inclusive insurance products have annual premiums around 200 yuan, with some targeted plans costing less than 50 yuan [4] - Government-backed insurance initiatives further reduce the financial burden on citizens, expanding coverage [4] - The "银龄安康" project in Jiangmen has covered over 128,000 elderly individuals, with total compensation exceeding 116 million yuan since its inception [4] Group 3: Sustainable Operations - The challenge of sustainable development in inclusive insurance arises from the potential exit of healthy individuals, leading to a higher proportion of high-claim policyholders [8] - Strategies to attract and retain healthy policyholders include offering additional services like cancer screenings, which can help reduce overall claims costs [8][9] - Insurance companies are encouraged to enhance their pricing strategies and conduct long-term assessments to ensure the sustainable development of inclusive insurance [9]
2025年度“北京普惠健康保”特药清单升级至121种
Zheng Quan Ri Bao· 2025-06-10 05:43
Group 1 - The "Beijing Universal Health Insurance" project will upgrade its special drug list from 106 to 121 drugs in 2025, allowing for reimbursement of more special drugs [1] - The new special drug list will be effective from June 10, 2025, and retroactive compensation will be available for eligible claims from January 1 to June 9, 2025 [1] - The updated list retains drugs already included in the medical insurance directory, such as six drugs including Vitekai, and five drugs with certain indications that have been added to the medical insurance directory [1] Group 2 - The new special drug list will add 15 new drugs, focusing on high-incidence cancer medications and covering the entire treatment cycle and target drug types [2] - The list will expand the indications for ten drugs, including Cuirida, based on the new medication guidelines, allowing for a broader range of reimbursable indications [2] - The list will replace drugs that have no claims, such as Hejie Kang, with newly listed non-medical insurance drugs like Yihe Lai, enabling more patients to access effective medications [2]
数据多跑路、群众少跑腿,北京普惠健康保快赔占比近九成
Bei Jing Ri Bao Ke Hu Duan· 2025-05-28 05:57
Group 1 - The "Beijing Inclusive Health Insurance" project reported that as of April 2025, 88% of claims will be processed quickly, with payments made as soon as the second working day after submission of payout information [1] - During the operation of the project, a total of 375,600 claims were processed, benefiting 195,800 individuals, with the highest single payout amounting to 690,000 yuan [1] - The project aims to simplify the claims process by proactively notifying insured individuals through SMS or phone calls about their eligibility for claims, eliminating the need for them to provide medical receipts in most cases [1] Group 2 - The project also supports dual-channel claims service for those not eligible for quick claims, allowing them to apply online through the WeChat public account by submitting relevant information and claim materials [1] - The initiative targets urban employees and residents covered by medical insurance in Beijing, ensuring that both insured individuals and new residents can access the claims process [1]