2021-06-08

The 2020 national “medical insurance bill” is released! These numbers are of concern

By yqqlm yqqlm

Chinanews client, Beijing, June 9th (Reporter Zhang Ni) Recently, the National Medical Insurance Bureau announced the “Statistical Bulletin on the Development of National Medical Insurance in 2020”. Statistics show that the total income of the national basic medical insurance fund in 2020 will increase by 1.7% over the previous year. Affected by the epidemic, the number of medical visits in 2020 has decreased year-on-year, and the number of people participating in employee medical insurance and resident medical insurance has declined.

The 2020 national “medical insurance bill” is released! These numbers are of concern

The number of visits in 2020 compared to the same period last year Decrease in the previous year

According to the data released this time, 136.31 million people will participate in the national basic medical insurance (hereinafter referred to as basic medical insurance) in 2020, and the participation rate has stabilized at more than 95%.

In 2020, the total income of the national basic medical insurance fund (including maternity insurance) will be 2,484.6 billion yuan, an increase of 1.7% over the previous year, accounting for approximately 2.4% of the year’s GDP; the national basic medical insurance fund (including maternity insurance) The total expenditure was 213.2 billion yuan, an increase of 0.9% over the previous year, accounting for about 2.1% of GDP that year; the national basic medical insurance fund (including maternity insurance) accumulated a total of 3.150 billion yuan, of which the personal account of basic medical insurance for employees (hereinafter referred to as employee medical insurance) The accumulated balance is 10,096 billion yuan.

Affected by the epidemic, the number of consultations in 2020 has decreased compared with the previous year. Participants in employee medical insurance enjoyed treatment for 1.79 billion person-times, a decrease of 15.6% over the previous year. Among them: general outpatient and emergency department visits were 1.5 billion, a decrease of 16.7% from the previous year; outpatient clinics for chronic and special diseases were 230 million, a decrease of 8.8% from the previous year; hospitalization was 50 million, a decrease of 12.3%.

In 2020, resident medical insurance participants will receive a total of 1.99 billion person-times, a decrease of 8.4% from the previous year. Resident medical insurance per capita enjoys outpatient treatment 1.80 times, 0.15 times less than the previous year. In 2020, resident medical insurance medical expenses will be 1,408 trillion yuan, a decrease of 2.3% over the previous year.

The 2020 national “medical insurance bill” is released! These numbers are of concern(1)

119 drugs successfully negotiated The average price cut is 50.6%

After the 2020 National Medical Insurance Drug List is adjusted, a total of 119 new drugs have been added to the list, and 29 drugs in the original list have been removed from the list. In this adjustment, a total of 119 drugs were successfully negotiated, with an average price reduction of 50.6%.

The adjusted “National Basic Medical Insurance, Work Injury Insurance and Maternity Insurance Drug Catalog (2020)” contains a total of 2,800 types of Western medicines and proprietary Chinese medicines, including 1,426 types of Western medicines and 1,374 types of proprietary Chinese medicines. There are 892 kinds of Chinese herbal medicines in the catalog.

In addition, the communiqué data shows that in 2020, the total amount of online procurement orders through the provincial centralized drug procurement platform across the country is 931.2 billion yuan, a decrease of 60.1 billion yuan from 2019.

Among them, western medicine (chemical drugs and biological products) is 752.1 billion yuan, and Chinese patent medicine is 179.1 billion yuan, a decrease of 59.4 billion yuan and 700 million yuan respectively from 2019. The drugs in the medical insurance catalog accounted for 86.5% of the total online procurement orders, and the amount was 805.2 billion yuan.

In 2020, three batches of national-organized drug centralized procurement will be carried out, involving 112 varieties, and the average price will be reduced by 54%. The actual procurement volume of selected drugs will reach 2.4 times the agreed procurement volume. Carrying out the centralized procurement of coronary stents organized by the state, the selected stent dropped from an average price of about 13,000 yuan to about 700 yuan.

The 2020 national “medical insurance bill” is released! These numbers are of concern(2)

2020 year-round hospitalization The province’s remote medical treatment was 5.85 million person-times.

In the field of remote medical treatment that people care about, in 2020, 48.31 million employee medical insurance insured persons will seek medical treatment in other places, and the cost of medical treatment will be 133.8 billion yuan, of which 6.09 million will be hospitalized. , The medical expenses are 118.8 billion yuan.

Resident medical insurance participants received 34.07 million medical visits in different places, and the cost of medical treatment in other places was 262.3 billion yuan, of which 15.35 million were hospitalized for medical treatment in other places, and the medical expenses were 250.5 billion yuan.

In addition, in 2020, the number of designated medical institutions for direct settlement of hospitalization expenses across provinces and other places will be 44,413; the number of valid filings on the national platform is 7.71 million. In the whole year, 5.85 million hospitalizations were hospitalized across provinces and other places for medical treatment, of which 3.0023 million were directly settled across provinces, and medical expenses were settled directly across provinces to 74.28 billion yuan, and funds paid 43.873 billion yuan.

In 12 pilot provinces including Beijing-Tianjin-Hebei, the Yangtze River Delta and the five provinces of Southwest China, the total direct settlement of general outpatient expenses across the provinces reached 3.02 million, total medical expenses were 746 million yuan, and the medical insurance fund paid 429 million yuan .

The 2020 national “medical insurance bill” is released! These numbers are of concern(3)

Long-term care insurance participation The number of people exceeded 100 million

According to the communiqué data, in 2020, the number of people participating in long-term care insurance was 10.8533 million, and the number of people enjoying benefits was 835,000. In 2020, fund income will be 19.61 billion yuan and fund expenditure will be 13.14 billion yuan.

In addition, data shows that the number of designated nursing service institutions for long-term care insurance has reached 4,845, and the number of nursing service personnel has reached 191,000.

The 2020 national “medical insurance bill” is released! These numbers are of concern(4)

Combating fraud protection 2020 Annual recovery of funds of 22.31 billion yuan

In 2020, the National Medical Insurance Administration will continue to carry out special measures against fraudulent acquisition of medical security funds. In the whole year, medical insurance departments at all levels inspected 627,000 designated medical institutions and investigated and dealt with violations of laws, regulations, and contracts. There were 401,000 medical institutions, of which 6,008 were dismissed from medical insurance agreements, 5,457 were administrative penalties, and 286 were transferred to judicial organs. A total of 26,100 people insured in violation of laws and regulations were handled in various regions, of which 3,162 were suspended for settlement and 2,062 were transferred to judicial organs; A total of 22.31 billion yuan was recovered.

The National Medical Insurance Administration organized a total of 61 unannounced inspection teams to conduct on-site inspections in various provinces across the country. The unannounced inspection teams inspected 91 designated medical institutions (including medical and elderly care institutions) and 56 medical insurance agencies , 40 commercial insurance companies undertaking medical insurance and critical illness insurance for urban and rural residents have found a total of 540 million yuan in funds suspected of violating laws and regulations.

The 2020 national “medical insurance bill” is released! These numbers are of concern(5)

In 2018, it has helped nearly 1,000 In the field of medical assistance and poverty alleviation by medical insurance, in 2020, the national medical assistance fund will spend 54.684 billion yuan to subsidize 99.84 million people to participate in basic medical insurance, and implement outpatient and hospitalization assistance for 8404. 10,000 person-times, the national average hospitalization assistance and outpatient assistance were RMB 1,056 and RMB 93 respectively.

In 2020, the central government will invest 26 billion yuan in medical aid subsidies, an increase of 6% over last year, and another 4 billion yuan will be allocated to increase the rural poor in deeply impoverished areas such as the “three districts and three states”. For the level of medical security, a special transfer payment of 1.5 billion yuan has been arranged for medical assistance subsidies.

In 2020, the enrollment rate of the poverty-stricken people in rural areas who have registered for registration will stabilize at over 99.9%. Since 2018, various medical insurance and poverty alleviation policies have benefited a total of 530 million people from poor people seeking medical care, helping nearly 10 million families with poverty-stricken families to get rid of poverty. (End)