As of the end of 2019, the number of people participating in full-caliber basic medical insurance has reached 135.436 million, of which 329.26 million people have participated in basic medical insurance for employees, and 1025.1 million people have participated in basic medical insurance for urban and rural residents. The national participation rate has reached about 97%.
my country has built the world’s largest medical security system, benefiting the Chinese people who account for approximately 19% of the global population
News from our newspaper (Reporter Sun Leqi) Yesterday, the Chinese Society of Social Security and the Social Science Literature Publishing House jointly released the "Medical Security Blue Book: China Medical Security Development Report (2020)".
The Blue Book reveals that as of the end of 2019, the national participation rate has reached about 97%, and the goal of "all insured" for universal medical insurance is close to being achieved.
The Blue Book pointed out that in the past two years, a new situation in China's medical security reform and system construction has opened rapidly: through the rapid advancement of medical insurance informatization and standardization, a solid foundation for the standardized and orderly operation of the national medical insurance system; and effective actions against medical insurance fraud Begin to build a long-term mechanism to maintain the security of the medical insurance fund; through measures such as drug purchases, effectively curbing the trend of inflated drug prices; by canceling the personal medical insurance accounts of residents, it has sent a clear signal to enhance the mutual aid function of the medical insurance system; Through the adjustment of the medical insurance drug catalogue and other measures, the medical insurance function of the medical insurance system has been continuously strengthened; through the continuous improvement of the reimbursement level within the medical insurance policy, the people's worries about diseases and medical care continue to alleviate.
According to data from the National Medical Security Administration, in terms of medical insurance coverage, as of the end of 2019, the number of people participating in full-caliber basic medical insurance reached 1,354.36 million, of which 329.26 million people participated in basic medical insurance for employees and 102,510 people participated in basic medical insurance for urban and rural residents. Ten thousand people; among the employees participating in the basic medical insurance for employees, there are 242.31 million employees and 86.95 million retirees.
The nationwide participation rate has reached about 97%, and the goal of "all insured" for universal medical insurance is close to being achieved.
my country has built the world's largest medical security system, benefiting the Chinese people, who account for about 19% of the global population.
In terms of protection benefits, in recent years, the coverage of medical insurance has gradually extended from major hospitalizations to minor outpatients, and some chronic and special diseases with high medical costs such as hypertension, diabetes, and kidney dialysis have been included in the coverage of medical insurance funds.
The level of medical security has been further improved. The hospitalization expense reimbursement rate within the scope of the resident medical insurance policy has reached more than 60%, and the employee medical insurance reimbursement rate has reached more than 80%. The burden continues to lighten, and the settlement method for medical treatment in different places provides more adequate protection for insured persons to seek medical treatment in different places.
In terms of medical insurance financing, the minimum subsidy standard for resident medical insurance at all levels in 2017 was 450 yuan, and it increased to 520 yuan in 2019. The new financial subsidy funds are mainly inclined to the poor and serious illness insurance; the basic medical insurance premiums for employees are collected stable.
In 2019, the total income and total expenditure of the basic medical insurance fund were 2.333487 billion yuan and 1994.573 billion yuan respectively. At the end of the year, the cumulative balance of medical insurance funds reached 2691.211 billion yuan.
The Blue Book introduced that after the outbreak of the new crown pneumonia, the National Medical Security Administration issued a policy in a timely manner to include the diagnosis and treatment costs of patients and suspected patients in medical insurance and implement new policies such as first treatment and settlement for patients in different places, which provides a strong guarantee for the fight against the epidemic. The phased reduction and exemption of basic medical insurance premiums for corporate employees has helped companies resume production and work, which fully demonstrates that my country’s medical insurance system has strong financial security capabilities.
Reporter Sun Leqi