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In April, the National Health Insurance Administration announced 3 good news about medical insurance, and there will be a "big move" at the same time

With the continuous improvement of the medical security system in mainland China, the National Health Insurance Administration announced a series of new measures and data updates in April, which will undoubtedly have a profound impact on the majority of insured people. In this article, we'll take a closer look at these good health care news and the policy trends behind them.

Among the recent announcements of the National Health Insurance Administration, the most striking are three key medical insurance good news, as well as an upcoming "big move". These measures aim to further strengthen the health insurance fund, improve access to medicines, and strengthen the supervision of the health insurance fund.

First, let's take a look at the financial situation of the Medicare Fund. In 2023, the current balance of the medical insurance pooling fund will reach 500 billion, and the cumulative balance will be as high as 3.4 trillion. This solid financial performance provides a solid guarantee for the medical insurance benefits of retirees. The cumulative balance of the employee medical insurance pooling fund is 2.6 trillion yuan, accounting for more than 70%, ensuring that retirees can enjoy lifelong medical insurance treatment, and at the same time have a personal medical insurance account and obtain medical insurance rebates.

We are concerned about changes to the NRDL. Since 2017, the number of Western and proprietary Chinese medicines included in the catalogue has increased from 2,535 to 3,088, an expansion that has significantly improved access to medicines. In addition, through negotiation and other measures, the prices of drugs in the catalogue have been rationalized, which has effectively reduced the financial burden of the insured.

For patients with chronic diseases who need to seek medical treatment in other places, the good news this year is that 3 to 5 outpatient chronic diseases will be added to the scope of direct billing. In addition, the direct billing service for cross-provincial and remote medical treatment will also be improved, which will greatly reduce the economic and time cost of patients.

Despite the healthy operation of the medical insurance fund, some retirees still express concern about the decrease in medical insurance rebates. The official response said that the reduction in rebates was not large, and that retirees actually benefited more because of the higher probability of seeing a doctor. By increasing the number of outpatient clinics and expanding the use of personal accounts, retirees will receive more comprehensive protection.

The "big move" of the National Health Insurance Bureau is to cooperate with the Supreme People's Court and other departments to carry out special rectification work on violations of laws and regulations of the medical insurance fund from April. This action will severely crack down on fraudulent insurance behaviors such as false drug purchases, false diagnosis and treatment, and reselling medical insurance drugs, and ensure the safety of the medical insurance fund through dynamic monitoring of the use of the fund.

Looking ahead, the NHSA will continue to work to improve the level of medical insurance benefits, ensure the rational use of medical insurance funds, and protect the interests of insured personnel. At the same time, we also call on the majority of insured personnel to be vigilant, jointly maintain the safety of the medical insurance fund, and resist any form of fraud.