China.org.cn | October 11, 2024
CCTV:
As we know, China's unified national health care insurance platform has been built and put into use. How do the health care insurance departments use this platform to provide people with more convenient and efficient services? Thank you.
Zhang Ke:
I'd like to invite Ms. Li to answer this question.
Li Tao:
Thank you for your question. Health care insurance settlement has become more convenient thanks to the use of this platform, which has seen daily volume exceeding 28 million settlements and the average response time of the hospitalization expenses settlement system being only 0.8 second, effectively reducing the time people spend waiting in line at hospitals. The application of medical insurance code has also become more popular. A total of 1.17 billion people in China have activated the code, ushering in a "code era" for medical insurance services. People can use their cellphones or other electronic devices to activate medical insurance codes for medical services as well as reimbursement of medical costs without carrying physical cards.
The unified national health care insurance platform has made services even more optimized. We have continued to improve the NHSA's website and app and set up family accounts, providing the public with convenient health care insurance services online or in short distances. At present, the real-name users of the NHSA's website and app have exceeded 400 million, with the number of users of family accounts exceeding 158 million, greatly improving the efficiency of health care insurance transactions. We have started to provide inter-provincial health care insurance services, enabling people to register online for receiving medical services outside of home jurisdiction, sometimes even in different provinces, and realizing on-the-spot settlements of related medical bills. Other medical insurance services such as information changes, inquiries, and account transfers and continuations are also available across provinces.
The unified national health care insurance platform has provided stronger guarantees. The platform can unify and sort different policies in various regions and each coordination area, and meet the needs of medical insurance settlement and reimbursement in each coordination area. It can carry out intelligent approval of funds, using big data monitoring and analysis to conduct fund approval and reimbursement, and timely identify abnormal situations, so as to accurately crack down on fraudulent practices and insurance swindle. It can also promote the standardized coding of medicines and medical consumables, realize "bidding, procurement and settlement with one code," and enable mutual recognition, circulation and sharing of health care insurance data nationwide, so that information on national medical insurance settlements and prices of medicines and medical consumables can be interconnected and more transparent.
The unified national health care insurance platform has also brought our services closer to the public. We promoted the digitalization of the entire process of medical insurance handling services, saved people's legwork through data sharing, made more medical insurance related administrative services available online, built 15-minute health care insurance service circles, and enabled the public to enjoy high frequency services, such as health care insurance information inquiries and registration for receiving medical services outside of home jurisdiction, nearby in their towns (sub-districts), villages and communities. Thank you.