390,000 pharmacies issued by the country

The National Medical Insurance Administration issued the "Statistical Bulletin on the Development of National Medical Security Undertakings in 2020", and the national employee medical insurance fund expenditure increased by 1.

In 2020, 1.

According to the report, the number of people participating in national medical insurance in 2020 is 1.

Employee medical insurance fund expenditures increased by 1.

In 2020, the income of the employee medical insurance fund (including maternity insurance) will be 1573.

It can be seen that there will be a decline in the income of the employee medical insurance fund in 2020, and the expenditure has only increased by 1.

According to the report on the number of employees participating in medical insurance for 2020, among the 344.

Participants in employee medical insurance in 2020 (unit: ten thousand people)

The structure of employees participating in medical insurance from 2012 to 2020 (unit: ten thousand people)

(Image source: National Medical Insurance Administration)

In 2020, the total medical expenses of employees covered by medical insurance will be 1,335.

In addition, in 2020, employee medical insurance personal account income was 658.

It is worth mentioning that in April 2021, the General Office of the State Council issued a document stating that it is necessary to improve the accounting method for employees’ medical insurance personal accounts.

Regarding the reform of personal medical insurance accounts, Xie Zilong, chairman of the common people’s pharmacy, once said that the current medical insurance funds are relatively surplus, but under the general trend of personal medical insurance account reform, pharmacy sales will be greatly fluctuated, and the entire industry has a buffer of two to three years.

The number of adult urban and rural residents participating in the insurance decreased by 2.

It is worth noting that in 2020, the number of adults with the largest proportion of urban and rural residents' medical insurance has shown a negative increase in the number of insured persons.

In 2020, the income of the medical insurance fund for urban and rural residents was 911.
5 billion yuan, an increase of 6.
3% over the previous year, and the expenditure was 816.
5 billion yuan, a decrease of 0.
3% from the previous year; the current balance of the medical insurance fund for urban and rural residents was 94.
9 billion yuan, and the cumulative balance was 607.
7 billion yuan.
The average capital raised is 833 yuan per capita
.

2012-2020 Urban and Rural Residents' Medical Insurance Fund Revenue and Expenditure (Unit: 100 million yuan)

(Image source: National Medical Insurance Administration)

As early as June 2019, the National Medical Insurance Administration issued the "Notice on Doing a Good Job in Basic Medical Security for Urban and Rural Residents in 2019", stating that the implementation of individual (family) accounts should be cancelled before the end of 2020, and the smooth transition to outpatient coordination should be implemented.
This will not reduce the residents' medical insurance benefits
.

The average price of medicines in the medical insurance catalogue is 50.
6%

In terms of the medical insurance drug catalogue and drug procurement, after the 2020 National Medical Insurance Drug Catalogue was adjusted, a total of 119 new drugs were added to the catalog, and 29 drugs in the original catalog were removed from the catalog
.
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, an increase of 91 types from last year
.
Among them, there are 1,426 kinds of western medicines, 56 kinds more than last year; 1,374 kinds of Chinese patent medicines, 35 kinds more than last year; 892 kinds of Chinese herbal medicine pieces in the catalog, which are the same as last year
.

In 2020, the total amount of online procurement orders nationwide through the provincial centralized drug procurement platform was 931.
2 billion yuan, a decrease of 60.
1 billion yuan from 2019
.
In the three batches of national centralized procurement, 112 varieties were involved, and the average price was reduced by 54%.
The actual procurement volume of selected drugs reached 2.
4 times the agreed procurement volume
.

627,000 designated medical institutions, more than half defaulted

In terms of medical insurance fund supervision, a total of 22.
31 billion yuan was recovered in 2020
.
In 2020, medical insurance departments at all levels inspected 627,000 designated medical institutions, investigated and dealt with 401,000 medical institutions that violated laws and regulations, among which 6,008 medical insurance agreements were lifted, 5457 were administrative penalized, and 286 were transferred to judicial organs
.

In terms of personnel accountability, in 2020, a total of 26,100 people insured who violated laws and regulations were handled in various places, of which 3,162 were suspended for settlement and 2,062 were transferred to judicial organs
.

It is worth mentioning that the "Regulations on the Supervision and Administration of the Use of the Medical Security Fund" have been formally implemented on May 1 this year
.
Shi Zihai, deputy director of the National Medical Insurance Administration, publicly stated that more than half of the designated medical institutions have problems with the use of medical insurance funds to varying degrees.
The Regulations on the Supervision and Administration of the Use of Medical Security Funds have increased penalties for illegal use of medical insurance funds and increased the deterrence of the law.
In addition, the corresponding legal responsibilities have been detailed for the illegal activities of medical insurance agencies, designated medical institutions, and insured individuals, and severe penalties have been imposed on fraudulent insurance fraud
.

Since the implementation of the Regulations on the Supervision and Administration of the Use of Medical Security Funds, many pharmacies across the country have frequently exposed cases of violations, and the medical insurance department has become increasingly strict in the management and supervision of designated pharmacies
.

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