The National Healthcare Security Administration (NHSA) last week held a press conference, addressing questions regarding the medical insurance operation status in 2024 and outlining the 2025 work plan. The conference provided detailed insights into the performance of the national basic medical insurance (BMI) fund and future policy directions.<\/p>\n\n\n\n
2024 Medical Insurance Fund Operations<\/strong> Long-term Care Insurance Development<\/strong> DRG\/DIP Reform and Fertility Policy<\/strong> Regarding fertility policy, 31 provinces and military units across the country have included assisted reproduction in medical insurance, benefiting over one million people by 2024.<\/p>\n\n\n\n
The total revenue of the national basic medical insurance (BMI) fund reached RMB 3.48 trillion (USD 475.7 billion), marking a 4.4% year-on-year (YOY) increase. Specifically, the employee medical insurance fund generated RMB 2.37 trillion (USD 324 billion), while the resident medical insurance fund contributed RMB 1.11 trillion (USD 151.7 billion). The total expenditure of the national medical insurance fund was RMB 2.97 trillion (USD 406 billion), up 5.5% YOY.<\/p>\n\n\n\n
Regarding long-term care insurance, the press conference highlighted that since the pilot program launched in 2016, the system has covered 180 million people. Over 2.6 million disabled insured persons have benefited, with fund expenditures exceeding RMB 80 billion (USD 109.4 billion).<\/p>\n\n\n\n
In terms of DRG\/DIP reform, the 2.0 grouping scheme was launched ahead of schedule in 116 coordinated regions by December last year, with the remaining regions switching grouping versions on time in early January this year. More than 95% of overall planning areas have established mechanisms for special case discussions, opinion collection, communication, negotiation, and data working groups.<\/p>\n\n\n\n