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The basic medical insurance participation rate remains stable at over 95%

2025-07-15   

The National Healthcare Security Administration recently released the "Statistical Bulletin on the Development of National Medical Security in 2024", which shows that in 2024, the Chinese characteristic medical security system will continue to improve, the treatment of the masses will be consolidated and improved, the fund operation will be safe and stable, and the management services will be improved in quality and efficiency. According to the report, as of the end of last year, about 1.327 billion people had participated in the national basic medical insurance, with a participation rate stable at over 95%. Last year, the total revenue of the National Basic Medical Insurance Fund was 349.1337 billion yuan, and the total expenditure of the fund was 2976.403 billion yuan. As of the end of last year, 379.4834 million employees were covered by employee medical insurance, and 947.1373 million urban and rural residents were covered by basic medical insurance. In terms of benefits, last year, the number of insured employees who enjoyed benefits was 5.308 billion, a year-on-year increase of 9.9%; The average hospitalization cost per insured person under employee medical insurance is 11707 yuan, with a fund payment ratio of 84.8% listed in the catalog. Last year, the medical expenses of residents participating in medical insurance amounted to 203.1216 billion yuan, a year-on-year increase of 3.7%; Resident medical insurance personnel enjoyed treatment for 3.035 billion people, a year-on-year increase of 14.9%. According to the bulletin, the proportion of paid discharge by disease exceeds 90%, and the Catalogue of Drugs for National Basic Medical Insurance, Work Injury Insurance and Maternity Insurance (2024) contains 3159 kinds of western medicine and traditional Chinese patent medicines and simple preparations. Last year, 91 new drugs were included, and 280 million drug reimbursements were negotiated during the agreement period. As of the end of last year, the basic coverage of regions and eligible medical institutions that pay according to disease types has been achieved. The proportion of discharged patients who pay according to disease types exceeds 90%, and the fund that pays according to disease types accounts for about 80% of all eligible hospitalization medical insurance fund expenditures. Since the establishment of the National Medical Insurance Administration, the accumulated expenditure of the medical insurance fund has reached 16.48 trillion yuan, with an average annual growth rate of 11%. From 2018 to 2024, the sales revenue of newly added drug agreements in medical insurance negotiations exceeded 540 billion yuan, of which medical insurance fund expenditures exceeded 370 billion yuan. About 253 million people participated in the maternity insurance bulletin, indicating that the maternity insurance system continues to play a protective role. Last year, about 253 million people nationwide participated in maternity insurance, a year-on-year increase of 1.6%; The expenditure of the maternity insurance fund was 140.293 billion yuan, a year-on-year increase of 19.2%. As of the end of last year, 31 provinces and the Xinjiang Production and Construction Corps have included assisted reproduction in their medical insurance. The pilot program for long-term care insurance is steadily advancing. Last year, 187.8634 million people participated in long-term care insurance in 49 pilot cities, and 1.4625 million people enjoyed benefits; There are 8837 designated service institutions for long-term care insurance, with 292800 nursing service personnel. According to the announcement, last year there were 397 million visits to general outpatient and emergency departments, outpatient departments for chronic and special diseases, and hospitalization in different places nationwide, with medical expenses of 786.774 billion yuan. Last year, the national medical insurance system recovered a total of 27.5 billion yuan from the medical insurance fund and recovered 3.1 billion yuan in losses through the intelligent supervision subsystem. The National Medical Insurance Administration organized 64 flight inspections and inspected 506 designated medical institutions. A total of 754 reported rewards were distributed nationwide, with a reward amount of 1.866 million yuan. (New Society)

Edit:Wang Minhui Responsible editor:Du Hui

Source:People.com.cn

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