The National Health Insurance Administration interprets the “Fifteenth Five-Year Plan” for National Health Insurance. Among them, it is proposed that the “15th Five-Year Plan” period is a critical stage in improving the multi-level medical insurance system. Based on the current state of health insurance development, people's livelihood and medical insurance needs, and medium- to long-term reform tasks, we will coordinate and continue the various reform arrangements during the “14th Five-Year Plan” period. In response to the new stage and the new situation, the overall work ideas are summarized as four “more focus”. First, pay more attention to strengthening the system and making up for shortcomings. Continue to tighten the national health insurance system framework, raise the level of maternity medical expenses coverage, comprehensively establish a long-term care insurance system, optimize the multi-level medical insurance system, and narrow the coverage gap between regions and groups. Second, pay more attention to implementing reforms and promoting collaboration. Deeply push forward key reforms such as payment method reform, pharmaceutical price management, and dynamic adjustment of medical insurance catalogs to empower the development of pharmaceutical institutions and support pharmaceutical innovation. Third, pay more attention to fine management and excellent service. Regularly carry out fund flight inspections, daily inspections, and intelligent monitoring to strictly crack down on insurance fraud and ensure the safety of health insurance funds. Fourth, pay more attention to consolidating the foundation and strengthening support. Strengthen basic work such as establishing the rule of law and standardization, improve the health insurance information system, extend the reach of public health insurance services, and consolidate the hardware base and capacity support for the long-term development of the health insurance industry.
Zhitongcaijing · 2d ago
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The National Health Insurance Administration interprets the “Fifteenth Five-Year Plan” for National Health Insurance. Among them, it is proposed that the “15th Five-Year Plan” period is a critical stage in improving the multi-level medical insurance system. Based on the current state of health insurance development, people's livelihood and medical insurance needs, and medium- to long-term reform tasks, we will coordinate and continue the various reform arrangements during the “14th Five-Year Plan” period. In response to the new stage and the new situation, the overall work ideas are summarized as four “more focus”. First, pay more attention to strengthening the system and making up for shortcomings. Continue to tighten the national health insurance system framework, raise the level of maternity medical expenses coverage, comprehensively establish a long-term care insurance system, optimize the multi-level medical insurance system, and narrow the coverage gap between regions and groups. Second, pay more attention to implementing reforms and promoting collaboration. Deeply push forward key reforms such as payment method reform, pharmaceutical price management, and dynamic adjustment of medical insurance catalogs to empower the development of pharmaceutical institutions and support pharmaceutical innovation. Third, pay more attention to fine management and excellent service. Regularly carry out fund flight inspections, daily inspections, and intelligent monitoring to strictly crack down on insurance fraud and ensure the safety of health insurance funds. Fourth, pay more attention to consolidating the foundation and strengthening support. Strengthen basic work such as establishing the rule of law and standardization, improve the health insurance information system, extend the reach of public health insurance services, and consolidate the hardware base and capacity support for the long-term development of the health insurance industry.
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