Core Viewpoint - During the "14th Five-Year Plan" period, China's medical insurance system has made significant progress in addressing urgent issues faced by the public, enhancing accessibility and affordability of medical services and medications [1][17]. Group 1: Medical Insurance Achievements - The implementation of centralized bulk purchasing and dynamic adjustments to the medical insurance drug list has enabled patients to access affordable medications and new treatments [1][5]. - The number of people benefiting from cross-provincial direct settlement of medical expenses has surged from 5.37 million in 2020 to 238 million in 2024, marking a 44-fold increase [13]. - The total expenditure of the medical insurance fund reached 12.13 trillion yuan during the "14th Five-Year Plan," with an average annual growth rate of 9.1% [15]. Group 2: Impact on Patients - The introduction of centralized procurement for high-value medical consumables, such as cochlear implants, has significantly reduced costs, with prices dropping from over 200,000 yuan to around 50,000 yuan [3][5]. - Innovative drugs, such as the newly approved treatment for rare lung cancer, have been included in the medical insurance directory, reducing patient costs from full out-of-pocket expenses to minimal payments after insurance coverage [9][11]. - The medical insurance coverage has expanded to include outpatient treatments for chronic diseases, providing greater financial relief for patients [11][13]. Group 3: Future Directions - The 11th batch of centralized procurement is underway, focusing on optimizing measures to ensure quality and affordability while promoting fair competition among pharmaceutical companies [7][9]. - The continuous improvement of the medical insurance system aims to enhance the accessibility and quality of healthcare services, ultimately contributing to the development of a healthier society [17].

Core Viewpoint - The implementation of the national centralized procurement policy will significantly enhance the quality of medication for patients and optimize the clinical medication structure, with an average price reduction exceeding 60% for the selected drugs [1][2]. Group 1: Centralized Procurement Details - The centralized procurement covers 62 types of drugs, addressing treatment areas such as hypertension, diabetes, tumors, cardiovascular diseases, infections, and mental illnesses [1]. - High-value drugs and clinically scarce drugs are included, such as Doxorubicin Liposome Injection for breast cancer and Norepinephrine Bitartrate Injection for clinical shortages [1]. - Over 50 drug varieties, including Terbutaline Sulfate Injection and Linagliptin Tablets, have price reductions exceeding 90% [1]. Group 2: Impact on Patient Care - The policy will promote the replacement of unapproved drugs with those that have passed the national quality and efficacy consistency evaluation, thereby improving medication safety and efficacy [2]. - For instance, Doxorubicin Liposome Injection significantly reduces the incidence of adverse reactions compared to traditional formulations, enhancing medication safety [2]. - The inclusion of Macitentan Tablets for pulmonary arterial hypertension provides more treatment options for rare disease patients [2]. - The promotion of combination formulations like Sitagliptin Metformin Tablets can enhance therapeutic effects and simplify medication regimens, improving patient adherence [2]. Group 3: Implementation Timeline - The procurement results for the national Chinese medicine decoction pieces will be implemented in Rizhao City starting April 21, 2025, with 45 varieties available for purchase in public medical institutions [2].