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决胜“十四五” 打好收官战|织密医疗保障网——我国基本医保制度不断完善
Xin Hua She· 2025-08-24 12:19
新华社北京8月24日电 医保,关系着每个人的切身利益,是民生保障中的重要一环。 以解除全体人民的疾病医疗后顾之忧为根本目的,"十四五"以来,我国医保提质扩面广覆盖,进一步减 轻人民群众疾病医疗负担,守好"看病钱""救命钱"。 全民参保进入新阶段 国家医保局局长章轲介绍,"十四五"期间,全国基本医保参保率稳定在95%左右。2021年至2024年,累 计近200亿人次享受医保报销。 "居民医保是我送给孩子的第一份礼物!"山东济南刘女士产后住院时,便线上为孩子办好了医保。 新生儿凭出生证明就可以参保,参保后即可享受待遇;进一步放开放宽参保户籍限制;创新建立参保缴 费激励约束机制……我国全民参保进入新阶段。 ——扩大生育保险覆盖面。截至2025年6月,有2.53亿人参加生育保险,基金累计支出4383亿元,享受 待遇9614.32万人次。 "目前,全国有近六成统筹地区将生育津贴直接发放给参保女职工。"章轲说,我们将加快新生儿护理、 分娩镇痛等价格项目立项,促进儿科、产科优化服务,积极推动目录内生育医疗费用全报销。 ——完善大病保险、医疗救助制度。"十四五"时期各项医保帮扶政策累计惠及农村低收入人口就医达到 6.73亿人 ...
织密医疗保障网——我国基本医保制度不断完善
Xin Hua She· 2025-08-24 08:38
新华社北京8月24日电 题:织密医疗保障网——我国基本医保制度不断完善 新华社记者彭韵佳、徐鹏航 医保,关系着每个人的切身利益,是民生保障中的重要一环。 以解除全体人民的疾病医疗后顾之忧为根本目的,"十四五"以来,我国医保提质扩面广覆盖,进一步减 轻人民群众疾病医疗负担,守好"看病钱""救命钱"。 全民参保进入新阶段 国家医保局局长章轲介绍,"十四五"期间,全国基本医保参保率稳定在95%左右。2021年至2024年,累 计近200亿人次享受医保报销。 "居民医保是我送给孩子的第一份礼物!"山东济南刘女士产后住院时,便线上为孩子办好了医保。 新生儿凭出生证明就可以参保,参保后即可享受待遇;进一步放开放宽参保户籍限制;创新建立参保缴 费激励约束机制……我国全民参保进入新阶段。 ——扩大生育保险覆盖面。截至2025年6月,有2.53亿人参加生育保险,基金累计支出4383亿元,享受 待遇9614.32万人次。 "目前,全国有近六成统筹地区将生育津贴直接发放给参保女职工。"章轲说,我们将加快新生儿护理、 分娩镇痛等价格项目立项,促进儿科、产科优化服务,积极推动目录内生育医疗费用全报销。 ——完善大病保险、医疗救助制度。 ...
决胜“十四五” 打好收官战|织密医疗保障网——我国基本医保制度不断完善
Xin Hua She· 2025-08-24 07:18
全民参保进入新阶段 国家医保局局长章轲介绍,"十四五"期间,全国基本医保参保率稳定在95%左右。2021年至2024年,累 计近200亿人次享受医保报销。 "居民医保是我送给孩子的第一份礼物!"山东济南刘女士产后住院时,便线上为孩子办好了医保。 新生儿凭出生证明就可以参保,参保后即可享受待遇;进一步放开放宽参保户籍限制;创新建立参保缴 费激励约束机制……我国全民参保进入新阶段。 ——扩大生育保险覆盖面。截至2025年6月,有2.53亿人参加生育保险,基金累计支出4383亿元,享受 待遇9614.32万人次。 "目前,全国有近六成统筹地区将生育津贴直接发放给参保女职工。"章轲说,我们将加快新生儿护理、 分娩镇痛等价格项目立项,促进儿科、产科优化服务,积极推动目录内生育医疗费用全报销。 新华社北京8月24日电 题:织密医疗保障网——我国基本医保制度不断完善 新华社记者彭韵佳、徐鹏航 医保,关系着每个人的切身利益,是民生保障中的重要一环。 以解除全体人民的疾病医疗后顾之忧为根本目的,"十四五"以来,我国医保提质扩面广覆盖,进一步减 轻人民群众疾病医疗负担,守好"看病钱""救命钱"。 跨省共济,只是医保待遇保障"扩容 ...
决胜“十四五” 打好收官战丨深化养老服务改革,推动实现老有所养老有所为
Xin Hua She· 2025-08-20 14:37
新华社北京8月20日电 题:深化养老服务改革,推动实现老有所养老有所为 深化养老服务改革发展,是实施积极应对人口老龄化国家战略的迫切要求,事关百姓民生福祉、社 会和谐稳定。 新华社记者朱高祥 "十四五"以来,从制度创新到服务落地,从资源扩容到结构优化,一场惠及亿万老年人的深刻变革 稳步推进,让老年人能有一个幸福美满的晚年。 优化供给格局 健全服务体系 正午时分,浙江省海宁市硖石街道的西山爱心食堂内饭菜飘香。 67岁的刘奶奶告诉记者,她和老伴常在这里吃,既方便又便宜,一荤一素9块钱。 硖石街道有60岁以上老人2.2万余人,约占辖区总人口的三成。为解决高龄老人、空巢老人等用餐 难问题,2023年4月,爱心食堂正式运营,年助餐服务可达11.96万人次。 刘奶奶的生活变化,是我国居家社区养老服务快速发展的缩影。近年来,全国共建成约8.6万个老 年助餐点,各地在政府统筹基础上,注重发挥市场机制作用,因地制宜探索出了"社会餐饮+委托服 务""中央厨房+专业配送"等模式,不断提升老年助餐服务水平。 截至2024年底,我国60周岁及以上老年人口超3.1亿人,占总人口的22%,大部分老年人倾向于在 熟悉、就近就便的环境中安享幸 ...
医保工作年中座谈会要求:赋能医药产业创新 完善生育保险制度
Group 1: Medical Insurance Development - The National Medical Security Administration emphasizes empowering the pharmaceutical industry and implementing measures to support high-quality development of innovative drugs [1][2] - By mid-2025, significant progress is expected in medical security, including an increase in the number of people covered by maternity insurance to 253 million and maternity insurance benefit expenditures reaching 67.832 billion yuan in the first half of the year [1] - The meeting highlights the need for a comprehensive adjustment of the national medical insurance drug catalog and the establishment of a commercial health insurance innovative drug catalog [2] Group 2: Maternity Insurance and Long-term Care - The meeting encourages regions to include flexible employment workers, migrant workers, and new employment forms in maternity insurance coverage, while also exploring basic service packages for prenatal check-ups [3] - Long-term care insurance will be fully implemented, with a focus on planning and configuring designated long-term care service institutions and encouraging commercial insurance products that align with long-term care services [3] Group 3: Digital Transformation in Medical Insurance - The meeting calls for a shift in medical insurance from passive payment to active empowerment, focusing on health investment rather than disease compensation [3] - There is an emphasis on integrating medical insurance with technology to promote new medical services, AI health management, and smart elderly care [3]
进一步促进养老服务消费
Jing Ji Ri Bao· 2025-08-16 21:45
Core Viewpoint - China has entered a moderately aging society, with the population aged 65 and above expected to reach 220 million by the end of 2024, accounting for 15.6% of the total population. To better meet the service needs of the elderly, the Ministry of Civil Affairs and 24 other departments jointly issued measures to promote elderly care service consumption and improve the quality of life for seniors [1]. Group 1: Development of Elderly Care Services - The "14th Five-Year Plan" has promoted the coordinated development of elderly care services and the elderly care industry, combining responses to population aging with economic and social development [2]. - Home-based elderly care services have expanded significantly, with 441,000 family care beds constructed and 798,000 home care visits provided, addressing the needs of vulnerable elderly individuals [2]. - By the end of 2024, there will be 366,000 community elderly care service institutions and facilities across the country, with 75,000 elderly meal assistance points established [3]. Group 2: Institutional Care and Support - The total number of various elderly care institutions and facilities is projected to reach 406,000 by the end of 2024, with a total of 7.993 million beds, of which nursing beds account for 65.7% [3]. - The government has implemented consumption subsidies for elderly individuals with moderate to severe disabilities, allowing them to use electronic vouchers to offset costs for various elderly care services [4]. - A long-term care insurance system has been initiated, with over 14.6 million individuals benefiting from the program by the end of 2024 [6]. Group 3: Innovation in Elderly Care - The government has emphasized the development of "smart+" elderly care services, promoting new technologies and products to enhance elderly care [8]. - Various regions have launched platforms for elderly care service information, enabling easy access to over 400,000 elderly care institutions and community facilities [9]. - The integration of technology in elderly care is being accelerated, with significant investments in research and development of smart health products and services [10]. Group 4: Cross-Industry Integration - The government supports the integration of elderly care services with other industries such as healthcare, culture, and tourism, creating new consumption models [13]. - Cultural elderly care initiatives have been introduced, allowing seniors to engage in traditional cultural experiences, enhancing their social integration [14]. - The development of travel products tailored for seniors has gained traction, with specialized travel routes catering to their preferences [14]. Group 5: Education and Training for Seniors - There is an increasing focus on providing educational opportunities for seniors, with various programs aimed at enhancing their skills and interests [15]. - Local governments are establishing comprehensive educational systems for seniors, integrating resources to improve accessibility and participation [16]. Group 6: Challenges and Future Directions - Despite advancements, challenges remain in resource integration, talent supply, and service quality in the elderly care sector [17]. - The government aims to enhance the regulatory framework and support systems for the elderly care industry, ensuring sustainable development and improved service delivery [21].
制度试点扩面增效 长护险为失能老人撑起保障伞
Jing Ji Ri Bao· 2025-08-04 03:57
Core Insights - The increasing aging population in China has led to a growing demand for long-term care, highlighting the importance of long-term care insurance as a key innovation in the social security system [1][2] Group 1: Policy Development and Implementation - Since the pilot program began in 2016, the long-term care insurance (LTCI) system has expanded from 15 cities to 49 cities, covering nearly 190 million people and accumulating over 100 billion yuan in funds [2][3] - The 2023 government work report emphasizes accelerating the establishment of the LTCI system, indicating a shift from gradual implementation to a more urgent rollout [2] - The LTCI system has alleviated the financial and emotional burdens on families caring for disabled elderly individuals, while also stimulating the development of the elderly care service industry [2][3] Group 2: Service Innovation and Accessibility - Various regions have innovated service models to enhance convenience and precision, such as Shandong's mobile application for LTCI claims, which allows families to apply for benefits easily [3][4] - The LTCI policy has attracted approximately 60 billion yuan in social capital investment, promoting the growth of care service institutions and related industries [3][4] Group 3: Talent Development and Service Quality - The LTCI pilot has led to the emergence of the "long-term care worker" profession, with around 300,000 individuals engaged in this field, enhancing the quality of care services [4][5] - Local governments are implementing measures to improve service quality, such as concentrated care models in rural areas and partnerships with insurance companies to optimize service delivery [4][6] Group 4: Challenges and Future Directions - The LTCI system faces challenges related to service quality and funding sustainability, with many pilot cities relying heavily on a combination of medical insurance funds and government subsidies [6][7] - Experts suggest the need for a diversified funding mechanism and the establishment of a dual pillar system combining social and commercial insurance to meet the diverse care needs of the population [7][8] - The National Medical Insurance Administration has issued guidelines to standardize service provider behavior and enhance fund supervision, indicating ongoing efforts to refine the LTCI system [8]
织密织牢保障安全网
Ren Min Ri Bao· 2025-08-03 22:10
Group 1 - The core viewpoint of the articles highlights the role of Sunshine Insurance in providing long-term care insurance and supporting social stability through its services [1][2][3] - Since 2022, Sunshine Insurance has served 135,700 disabled individuals in Chongqing, with total payments reaching 140 million yuan, demonstrating its commitment to social welfare [2] - The company has developed innovative insurance products to alleviate cash flow pressures for small and medium-sized enterprises, allowing them to replace large cash deposits with insurance products [2] Group 2 - Sunshine Insurance emphasizes the importance of risk management expertise and product innovation to meet the diverse needs of its clients [3] - The company aims to deepen its outreach by expanding services to rural areas and ensuring that its products are accessible to all segments of society [3] - Future plans include maintaining a focus on core business operations and ensuring equitable access to insurance protection for families and businesses [3]
长护险为失能老人撑起保障伞
Jing Ji Ri Bao· 2025-08-03 21:53
Core Insights - The increasing aging population in China has led to a growing demand for long-term care insurance, which is seen as a crucial innovation in the social security system to address the challenges of elder care and improve public welfare [1][2] Expansion and Effectiveness of the System - Since the pilot program began in 2016 with 15 cities, the long-term care insurance (LTCI) system has expanded to 49 cities by 2020, covering nearly 190 million people and accumulating over 100 billion yuan in funds, with expenditures exceeding 85 billion yuan [2][3] - The 2023 government work report emphasizes accelerating the establishment of the LTCI system, indicating a clear signal for faster implementation compared to previous years [2] - The LTCI system has alleviated the financial and emotional burdens on families caring for disabled elderly individuals, while also stimulating the development of the elder care service industry [2][3] Service Innovation and Accessibility - Various regions have innovated service models to enhance convenience and precision, such as Shandong province's mobile application for LTCI claims, allowing families to apply easily [3][4] - The LTCI policy has attracted approximately 60 billion yuan in social capital investment, promoting the growth of care service institutions and related industries [3] Talent Development and Service Quality - The LTCI pilot has led to the emergence of the "long-term care worker" profession, with around 300,000 individuals engaged in this field nationwide [4][5] - Efforts to improve service quality include training programs and competitions to enhance the skills of caregivers [4][6] Challenges and Future Development - The LTCI system faces challenges such as varying levels of professionalism among service providers and a workforce that is aging and lacks formal education [6][7] - Experts suggest strengthening nursing education and improving compensation to attract younger talent for sustainable development of the LTCI system [6][7] Mechanism and Long-term Sustainability - The transition from pilot programs to a nationwide system requires addressing funding balance and fairness, as many pilot cities rely heavily on "medical insurance fund transfers + fiscal subsidies" without a sustainable funding mechanism [7][8] - Experts advocate for a dual-pillar system combining social insurance and commercial insurance to meet diverse care needs, with government support and commercial supplements [7][8] - The National Healthcare Security Administration has issued guidelines to standardize service provider behavior and enhance fund supervision, accelerating the integration and refinement of the LTCI system [8]
阳光保险创新产品,服务社会民生、实体经济—— 织密织牢保障安全网
Ren Min Ri Bao· 2025-08-03 21:46
Group 1 - The core viewpoint of the articles highlights the role of Sunshine Insurance in providing long-term care insurance and supporting social welfare initiatives in Chongqing, enhancing the quality of life for disabled individuals and their families [2][3]. - Since 2022, Sunshine Insurance has served 135,700 disabled individuals in Chongqing, disbursing a total of 140 million yuan in various expenses, thereby establishing a supportive safety net for the elderly [3]. - The company has expanded its services to include middle-level disabled individuals starting from March 2024, improving accessibility to long-term care insurance benefits [2]. Group 2 - Sunshine Insurance is actively involved in the development of innovative insurance products that alleviate financial burdens for small and medium-sized enterprises, such as replacing large cash deposits with insurance products [3]. - In 2024, the company’s guarantee products have served 12,000 small and medium-sized enterprises, covering 34,000 projects with a total risk coverage amounting to 7.8 billion yuan [3]. - The company emphasizes the importance of risk management expertise and product innovation to meet the diverse needs of clients, focusing on inclusive financial services [4].