国家医保局：我国基本医保参保率巩固�% 参保人数�.3亿人

\u003cdiv class=\"rich_media_content\"\u003e\u003cdiv class=\"cms-cke-widget-quote-normal-2 cms-cke-widget-quote-tpl cms-cke-widget-quote-wrapper cms-cke-widget-tpl\" data-key=\"quote-normal-2\" data-reactroot=\"\" style=\"align-items: center; display: flex; font-size: 19px; justify-content: center; margin-bottom: 28px; margin-top: 28px; padding-top: 25px; width: 100%\"\u003e\n\u003cdiv class=\"cms-cke-widget-quote-container\" style=\"background: rgba(0,38,154,0.05); border-bottom: 1px solid #001966; border-left: 1px solid #001966; border-right: 1px solid #001966; padding: 17px 12px; position: relative; width: 100%\"\u003e\n\u003cdiv class=\"cms-cke-widget-line1\" style=\"background: #001966; height: 1px; left: 0px; position: absolute; top: 0px; width: 6px\"\u003e \u003c/div\u003e\n\u003cdiv class=\"cms-cke-widget-line2\" style=\"background: #001966; height: 1px; position: absolute; right: 0; top: 0; width: calc(100% - 50px)\"\u003e \u003c/div\u003e\n\u003csection class=\"cms-cke-widget-quote-icon\" style=\"background-image: url(https://inews.gtimg.com/om_bt/OB_e7Mg054DT_IwdGlHaao7geqoOtuWhn7RuX4XDS8qCsAA/0); background-position: center; background-repeat: no-repeat; background-size: cover; display: inline-block; height: 28px; left: 14px; position: absolute; top: -25px; width: 28px\"\u003e \u003c/section\u003e\n\u003cdiv class=\"cms-cke-widget-quote-content\" style=\"color: #212228; line-height: 27px; text-align: justify; width: 100%\"\u003e\n\u003cp\u003e国家医保�日发布《2025年医疗保障事业发展统计快报》（以下简称《快报》），《快报》显示，\u003cstrong\u003e截�年底，基本医疗保险参保人数�.14万人，同比增�万人，参保率巩固�%，\u003c/strong\u003e医保基金运行平稳。\u003c/p\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cp data-source=\"cke\"\u003e截�年底，职工医保参�.07万人，居民医保参�.08万人，参保结构更加优化。\u003c/p\u003e\n\u003cp data-source=\"cke\"\u003e2025年，基本医疗保险基金（含生育保险）总收�.11亿元，总支�.38亿元。\u003c/p\u003e\n\u003cp data-source=\"cke\"\u003e2025年享受门诊待�.15亿人次，同比增�.51%。享受住院待񚋈.78亿人次，同比减𹢭.40%。\u003c/p\u003e\n\u003cp data-source=\"cke\"\u003e农村低收入人口和脱贫人口参保率稳定�%以上。基本医疗保险、大病保险、医疗救助三重制度累计惠及农村低收入人口就�.3万人次，减轻医疗费用负�.9亿元。\u003c/p\u003e\n\u003cp data-source=\"cke\"\u003e2025年，长期护理保险参保人数�.44万人，享受待遇人�.13万人。\u003c/p\u003e\n\u003cp data-source=\"cke\"\u003e2025年，全国住院费用跨省直接结�.30万人次，基金支�.05亿元，结算人次同比增�.38%，基金支付同比增񝛸.10%；全国门诊费用跨省直接结񍏨.92亿人次，基金支�.01亿元，结算人次同比增�.17%，基金支付同比增�.21%。\u003c!--MID_AD_0--\u003e\u003c!--EOP_0--\u003e\u003c/p\u003e\u003c!--PARAGRAPH_0--\u003e\n\u003cdiv class=\"cms-cke-widget-title-normal-5 cms-cke-widget-title-tpl cms-cke-widget-title-wrapper cms-cke-widget-tpl\" data-key=\"title-normal-5\" data-reactroot=\"\" style=\"align-items: center; display: flex; font-size: 19px; font-weight: bold; justify-content: center; margin-bottom: 20px; margin-top: 28px; width: 100%\"\u003e\n\u003cdiv class=\"cms-cke-widget-title-container\" style=\"background-image: linear-gradient(to bottom, transparent 50%, rgba(0,25,102,0.1) 50%); background-repeat: repeat; background-size: 100% 26px; display: inline-block; line-height: 24px; margin-bottom: 6px; margin-left: 6px; margin-right: 6px; margin-top: 6px; padding: 0px 18px\"\u003e\n\u003cdiv class=\"cms-cke-widget-title-wrap title-normal-5-text\" style=\"box-sizing: border-box; color: #001966; display: inline-block; line-height: 26px; min-width: 20px; text-align: center; word-break: break-all\"\u003e\n\u003cp\u003e2025年生育保险参保\u003c/p\u003e\n\u003cp\u003e同比增�.23万人\u003c/p\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cp data-source=\"cke\"\u003e《快报》显示，截�年底，\u003cstrong data-source=\"cke\"\u003e生育保险参�.74万人，同比增�.23万人。\u003c/strong\u003e\u003c/p\u003e\n\u003cp data-source=\"cke\"\u003e2025年，生育保险基金待遇支�.65亿元。享受生育待�.49万人次，享受产前检�.65万人次，住院分�.13万人次，享受津�.64万人次。全国所有统筹地区基本实现生育津贴直发个人。\u003c/p\u003e\n\u003cp\u003e\u003c!--IMG_0--\u003e\u003c/p\u003e\n\u003cp data-source=\"cke\"\u003e2025𻂉񀙑日起，全国各省份均已将适宜的辅助生殖项目纳入医保支付范围，如取卵术、胚胎培养、取精术、人工授精等。30个省份将分娩镇痛项目纳入医保支付范围。2025年，全国累�.97万人次接受辅助生殖医保项目治疗，惠�.18万人。\u003c!--MID_AD_1--\u003e\u003c!--EOP_1--\u003e\u003c/p\u003e\u003c!--PARAGRAPH_1--\u003e\n\u003cdiv class=\"cms-cke-widget-title-normal-5 cms-cke-widget-title-tpl cms-cke-widget-title-wrapper cms-cke-widget-tpl\" data-key=\"title-normal-5\" data-reactroot=\"\" style=\"align-items: center; display: flex; font-size: 19px; font-weight: bold; justify-content: center; margin-bottom: 20px; margin-top: 28px; width: 100%\"\u003e\n\u003cdiv class=\"cms-cke-widget-title-container\" style=\"background-image: linear-gradient(to bottom, transparent 50%, rgba(0,25,102,0.1) 50%); background-repeat: repeat; background-size: 100% 26px; display: inline-block; line-height: 24px; margin-bottom: 6px; margin-left: 6px; margin-right: 6px; margin-top: 6px; padding: 0px 18px\"\u003e\n\u003cdiv class=\"cms-cke-widget-title-wrap title-normal-5-text\" style=\"box-sizing: border-box; color: #001966; display: inline-block; line-height: 26px; min-width: 20px; text-align: center; word-break: break-all\"\u003e\n\u003cp\u003e2025年国家医保药品目录\u003c/p\u003e\n\u003cp\u003e新�种\u003c/p\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cp data-source=\"cke\"\u003e《快报》显示，\u003cstrong data-source=\"cke\"\u003e2025年国家医保药品目录新�种药品。\u003c/strong\u003e�年国家医保局成立以来，连񏕊年开展医保药品目录动态调整，累�种药品新增纳入目录。2025年，协议期�种谈判药报销超񙷈.4亿人次。\u003c/p\u003e\n\u003cp\u003e\u003c!--IMG_1--\u003e\u003c/p\u003e\n\u003cp data-source=\"cke\"\u003e2025年，开展�批国家组织药品集采，覆�种药品；开展񌾾批国家组织高值医用耗材集采，覆盖药物涂层球囊、泌尿介𲷴大�种医用耗材。\u003c/p\u003e\n\u003cp data-source=\"cke\"\u003e2025年，全国通过省级医药集中采购平台网采订单总金�亿元。4390家企业�家医疗机构通过平台交易。在网采订单总金额中，医保目录内药品网采订单金�亿元，占全部网采订单�%。\u003c/p\u003e\n\u003cp data-source=\"cke\"\u003e国家医保局推动医疗服务价格项目全国统一，累计印�批医疗服务价格项目立项指南，绝大部分省份已完�批落地任务。密切跟踪医疗行业的创新发展动态，统一新�多项新产品新设备价格项目。\u003c/p\u003e\n\u003cdiv class=\"cms-cke-widget-title-normal-5 cms-cke-widget-title-tpl cms-cke-widget-title-wrapper cms-cke-widget-tpl\" data-key=\"title-normal-5\" data-reactroot=\"\" style=\"align-items: center; display: flex; font-size: 19px; font-weight: bold; justify-content: center; margin-bottom: 20px; margin-top: 28px; width: 100%\"\u003e\n\u003cdiv class=\"cms-cke-widget-title-container\" style=\"background-image: linear-gradient(to bottom, transparent 50%, rgba(0,25,102,0.1) 50%); background-repeat: repeat; background-size: 100% 26px; display: inline-block; line-height: 24px; margin-bottom: 6px; margin-left: 6px; margin-right: 6px; margin-top: 6px; padding: 0px 18px\"\u003e\n\u003cdiv class=\"cms-cke-widget-title-wrap title-normal-5-text\" style=\"box-sizing: border-box; color: #001966; display: inline-block; line-height: 26px; min-width: 20px; text-align: center; word-break: break-all\"\u003e\n\u003cp\u003e2025年共追回医保基�亿元\u003c/p\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cp data-source=\"cke\"\u003e\u003cstrong data-source=\"cke\"\u003e2025年，全国医保系统共追回医保基�亿元，\u003c/strong\u003e其中医保经办审核核查挽�亿元，查实欺诈骗保机�家。\u003c/p\u003e\n\u003cp\u003e\u003c!--IMG_2--\u003e\u003c/p\u003e\n\u003cp data-source=\"cke\"\u003e2025年，医保部门联合公安机关侦办医保案�起，抓获犯罪嫌疑�名。通过智能监管子系统挽回医保基金损�亿元。\u003c/p\u003e\n\u003cp data-source=\"cke\"\u003e2025年，全国共发放举报奖励�.8万元，通过举报途径追回医保基�.4亿元。\u003c/p\u003e\n\u003cp data-source=\"cke\"\u003e2025年，国家医保信息平台累计归集各地定点医药机构销售端药品耗材追溯码信�.82亿条，接�.73万家定点医药机构；依托国家医保服务平台APP及小程序上线“医保药品耗材追溯信息查询”功能，每日查询量超�万人次。\u003c!--MID_AD_2--\u003e\u003c!--EOP_2--\u003e\u003c/p\u003e\u003c!--PARAGRAPH_2--\u003e\n\u003cp\u003e\u003c!--IMG_3--\u003e\u003c/p\u003e\n\u003cp data-source=\"cke\"\u003e2025年，利用药品追溯码对倒卖“回流药”开展全链条精准打击，联合公安机关侦�起倒卖“回流药”案件，抓捕职业骗保�人。\u003c/p\u003e\n\u003cdiv class=\"cms-cke-widget-title-normal-5 cms-cke-widget-title-tpl cms-cke-widget-title-wrapper cms-cke-widget-tpl\" data-key=\"title-normal-5\" data-reactroot=\"\" style=\"align-items: center; display: flex; font-size: 19px; font-weight: bold; justify-content: center; margin-bottom: 20px; margin-top: 28px; width: 100%\"\u003e\n\u003cdiv class=\"cms-cke-widget-title-container\" style=\"background-image: linear-gradient(to bottom, transparent 50%, rgba(0,25,102,0.1) 50%); background-repeat: repeat; background-size: 100% 26px; display: inline-block; line-height: 24px; margin-bottom: 6px; margin-left: 6px; margin-right: 6px; margin-top: 6px; padding: 0px 18px\"\u003e\n\u003cdiv class=\"cms-cke-widget-title-wrap title-normal-5-text\" style=\"box-sizing: border-box; color: #001966; display: inline-block; line-height: 26px; min-width: 20px; text-align: center; word-break: break-all\"\u003e\n\u003cp\u003e2025年个人账户共济\u003c/p\u003e\n\u003cp\u003e使�.7亿元\u003c/p\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cp class=\"text_align-left\" data-source=\"cke\"\u003e“十四五”期间医保基金累计支�.66万亿元，既为广大人民群众看病就医提供了坚实保障，也为医药行业发展提供了有力支持。\u003c/p\u003e\n\u003cp\u003e\u003c!--IMG_4--\u003e\u003c/p\u003e\n\u003cp data-source=\"cke\"\u003e全国医保系统深化职工医保门诊共济保障改革，扩大个人账户家庭共济的人员范围和资金使用范围，\u003cstrong data-source=\"cke\"\u003e2025年个人账户共济使�.7亿元\u003c/strong\u003e，促进盘活存量资金，有效减轻参保人就医负担。\u003c/p\u003e\n\u003cp data-source=\"cke\"\u003e医保持续赋能医药产业，逐步扩大医保对医药企业的直接结算覆盖面，集采药品耗材平均回款时�天左右。积极稳妥推进医保影像云建设，创新推动医保影像云省级集中带量采购，大力推进医保影像云索引上传，全年归集索引数𾉏.13亿条，部署开展全国医保影像云跨省秒调阅服务。\u003c!--MID_AD_3--\u003e\u003c!--EOP_3--\u003e\u003c/p\u003e\u003c!--PARAGRAPH_3--\u003e\n\u003cp data-source=\"cke\"\u003e建立以新药为主体的医保准入和谈判续约机制，创新药从上市到纳入医保的时间大大缩短，2018年�年，医保谈判新增药品协议期内销售额超�亿元，其中医保基金支出超�亿元。制定首版商保创新药目录，共纳�种创新程度高、临床价值大、患者获益显著但超出基本医保保障范围的药品，其𰷃类新񒉟种。\u003c!--MID_AD_4--\u003e\u003c!--EOP_4--\u003e\u003c/p\u003e\u003c!--PARAGRAPH_4--\u003e\n\u003cp data-source=\"cke\"\u003e支持中国医药“走出去”。国家医保局发起建设的中国药品价格登记系��月上线运行，截�𻂊月，已�家企业开具药品价格证明，实现中国医药“价格身份证”海外版零的突破。\u003c/p\u003e\n\u003cp class=\"text_align-left\" data-source=\"cke\"\u003e（总台央视记者杨阳龙晓勤）\u003c/p\u003e\n\n\u003cp data-source=\"cke\"\u003e\u003cspan class=\"color-a4acb6\" data-source=\"cke\"\u003e\u003cspan class=\"font_size-16px\" data-source=\"cke\"\u003e©2026中央广播电视总台版权所有。未经许可，请勿转载使用。\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\n\u003cstyle\u003e.rich_media_content{--news-tabel-th-night-color: #444444;--news-font-day-color: #333;--news-font-night-color: #d9d9d9;--news-bottom-distance: 22px}.rich_media_content p:not([data-exeditor-arbitrary-box=image-box]){letter-spacing:.5px;line-height:30px;margin-bottom:var(--news-bottom-distance);word-wrap:break-word}.rich_media_content .qn-editor-copy p:not([data-exeditor-arbitrary-box=image-box]){letter-spacing:unset;line-height:unset;margin-bottom:unset;word-wrap:unset}.rich_media_content{color:var(--news-font-day-color);font-size:18px}@media(prefers-color-scheme:dark){body:not([data-weui-theme=light]):not([dark-mode-disable=true]) .rich_media_content p:not([data-exeditor-arbitrary-box=image-box]){letter-spacing:.5px;line-height:30px;margin-bottom:var(--news-bottom-distance);word-wrap:break-word}body:not([data-weui-theme=light]):not([dark-mode-disable=true]) .rich_media_content .qn-editor-copy p:not([data-exeditor-arbitrary-box=image-box]):not(.qn-editor-copy){letter-spacing:unset;line-height:unset;margin-bottom:unset;word-wrap:unset}body:not([data-weui-theme=light]):not([dark-mode-disable=true]) .rich_media_content{color:var(--news-font-night-color)}}.data_color_scheme_dark .rich_media_content p:not([data-exeditor-arbitrary-box=image-box]){letter-spacing:.5px;line-height:30px;margin-bottom:var(--news-bottom-distance);word-wrap:break-word}.data_color_scheme_dark .rich_media_content .qn-editor-copy p:not([data-exeditor-arbitrary-box=image-box]){letter-spacing:unset;line-height:unset;margin-bottom:unset;word-wrap:unset}.data_color_scheme_dark .rich_media_content{color:var(--news-font-night-color)}.data_color_scheme_dark .rich_media_content{font-size:18px}.rich_media_content p[data-exeditor-arbitrary-box=image-box]{margin-bottom:11px}.rich_media_content\u003ediv:not(.qnt-video),.rich_media_content\u003esection{margin-bottom:var(--news-bottom-distance)}.rich_media_content hr{margin-bottom:var(--news-bottom-distance)}.rich_media_content .link_list{margin:0;margin-top:20px;min-height:0!important}.rich_media_content blockquote{background:#f9f9f9;border-left:6px solid #ccc;margin:1.5em 10px;padding:.5em 10px}.rich_media_content blockquote p{margin-bottom:0!important}.data_color_scheme_dark .rich_media_content blockquote{background:#323232}@media(prefers-color-scheme:dark){body:not([data-weui-theme=light]):not([dark-mode-disable=true]) .rich_media_content blockquote{background:#323232}}.rich_media_content ol[data-ex-list]{--ol-start: 1;--ol-list-style-type: decimal;list-style-type:none;counter-reset:olCounter calc(var(--ol-start,1) - 1);position:relative}.rich_media_content ol[data-ex-list]\u003eli\u003e:first-child::before{content:counter(olCounter,var(--ol-list-style-type)) '. 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