More than 1.236 billion people nationwide have opened and used medical insurance codes, enabling scanning and facial recognition settlement for medical treatment and medication purchases; The number of direct settlement for cross provincial medical treatment has increased from 5.37 million in 2020 to 238 million in 2024, a 44 fold increase... At a press conference held by the State Council Information Office on July 28, Zhang Ke, Director of the National Medical Security Administration, stated that during the 14th Five Year Plan period, the national medical security system will actively promote technological empowerment, comprehensively build a national unified medical insurance information platform, achieve national standardization of medical insurance business coding, and significantly improve the level of intelligent management of medical insurance. Since the beginning of this year, we have used the intelligent supervision subsystem to refuse payment and recover 330 million yuan from the medical insurance fund. ”Huang Huabo, Deputy Director of the National Healthcare Security Administration, stated that by strengthening the application of big data technology and constructing big data analysis models such as "abnormal hospitalization", "medical insurance drug reselling", and "key drug monitoring", illegal and irregular behaviors can be accurately identified, and the accuracy and intensity of medical insurance fund supervision and inspection have been greatly improved. The intelligent supervision system for medical insurance enables early detection, early warning, and early disposal of illegal and irregular use of medical insurance funds. Huang Huabo stated that the National Medical Security Administration will further promote the construction of a "one person, one file" national insurance database, dynamically update changes in the insurance status of insured persons, tap into the potential of data, and empower insured persons' health management. With the comprehensive application of information methods such as medical insurance codes, drug traceability codes, mobile payments, and electronic prescriptions, it has become more convenient for the public to seek medical treatment and purchase drugs. The medical insurance fund also provides strong support for the development of the pharmaceutical industry, technological progress, and industrial transformation and upgrading through the purchase of real money and silver. Since the 14th Five Year Plan, the cumulative expenditure of the medical insurance fund has reached 1.213 trillion yuan, with an average annual growth rate of 9.1%. Among them, the medical insurance fund has significantly increased its expenditure on innovative drugs, with expenditure in 2024 being 3.9 times that of 2020, with an average annual growth rate of 40%. We have formulated several measures to support the high-quality development of innovative drugs, adhere to the dynamic adjustment of the medical insurance drug catalog, and promote more new and good drugs to be included in the medical insurance drug catalog as soon as possible. ”Zhang Ke introduced that since the 14th Five Year Plan, a total of 402 drugs have been included in the medical insurance drug catalog. The newly established commercial health insurance innovative drug catalog is also one of the measures taken by medical insurance to support pharmaceutical innovation. Currently, more than 100 drugs have applied for the catalog. The National Healthcare Security Administration not only manages and makes good use of the medical insurance fund, but also continues to support the development of new quality productivity. Through the establishment of medical service pricing projects, medical "black technologies" such as artificial hearts and brain computer interfaces are moving from clinical trials to large-scale applications; By guiding medical imaging data to be uploaded to the cloud, cloud storage and computing technologies are becoming more popular in the medical field; By promoting the application of "aviation medical transportation", the acceleration of low altitude economy takeoff has achieved tangible service scenarios. Zhang Ke stated that accelerating the clinical use of innovative achievements and services will continue to inject strong momentum into the development of various related industries, including the pharmaceutical industry. (New Society)
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Source:digitalpaper.stdaily.com
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