System governance capabilities are gradually strengthened. A unified national medical insurance information platform has been established to enhance the application of medical insurance data. The governance of online drug prices is being advanced, with strengthened pharmaceutical price monitoring and risk management. The supervision of medical insurance funds is being strengthened, with ongoing special inspections and targeted rectification efforts, and the promotion of intelligent monitoring and the application of big data in regulation to normalize the supervision of medical insurance fund usage.

The quality and efficiency of medical insurance management services are being improved. Focusing on the difficulties and bottlenecks reported by the public, the management and services of medical insurance are being optimized. The management service system is continuously improved to make medical insurance business handling more convenient. The expansion and consolidation of direct settlement of inpatient costs across provinces is being consolidated, gradually achieving direct settlement of outpatient costs and costs related to five types of outpatient chronic diseases across provinces. A "dual channel" management mechanism for the supply of negotiated drugs is being established to improve the accessibility of negotiated drugs. Medical insurance services are being made available online and on mobile devices, actively promoting the use of medical insurance codes (electronic medical insurance vouchers), electronic prescriptions, and mobile payment applications.

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Accurately grasp the principles and requirements for deepening medical insurance reform.

Journalist: What principles and requirements should be adhered to in deepening medical insurance reform?

Zhang Ke: The "Decision" of the Third Plenary Session of the 20th Central Committee of the Party points the way for further comprehensive deepening of reforms. Next, we will adhere to the Party's leadership throughout all aspects and the entire process of medical insurance reform, and promote medical insurance reform in depth.

We must always adhere to the people-centered development philosophy, truly achieving that the public's concerns are met with responsive reforms. We will consolidate and expand the achievements of universal insurance participation, continue to leverage the tiered burden-reducing function of the three-tiered protection system, consolidate and enhance the level of inpatient and outpatient protection, safeguard the "life-saving money" and "life-saving money" of the people, and strive to provide comprehensive, full-cycle, high-quality medical insurance for the people.

We will focus on the main line of system construction, plan systematically, and promote coordinated progress to further enhance the unity, standardization, and fairness of the medical insurance system, effectively reduce the economic burden on the public for medical treatment, and contribute to the common prosperity of all people.

We will plan the timetable and roadmap for medical insurance reform with high standards and a high starting point, and actively and steadily promote reforms in key areas and key links. We will continue to deepen reforms in medical insurance payment methods, medical service prices, and fund supervision systems, focusing on breaking the bottlenecks that constrain the high-quality development of medical insurance.

We will establish a systemic thinking approach, leveraging the important role of medical insurance in the coordinated development and governance of the "three medicals" (medical insurance, medical services, and pharmaceuticals). We will make good use of policy tools such as medical insurance catalog access, bidding procurement, and payment mechanisms to further regulate the supply of medical services, standardize medical service behaviors, promote public hospital reforms, and support pharmaceutical innovation, promoting the healthy development of the pharmaceutical industry.

We will fully leverage the multiplier effect of data elements, relying on the unified national medical insurance information platform, to promote the widespread application of medical insurance big data in pharmaceutical price monitoring, medical insurance fund supervision, and medical insurance management services, achieving a transformation from "having data" and "using data" to "having good data" and "using good data".Continuously Enhancing the Sense of Access to Medical Insurance for the People

Reporter: How will the National Healthcare Security Administration implement the reform measures deployed by the plenary session?

Zhang Ke: The "Decision" of the Third Plenary Session of the 20th Central Committee of the Party comprehensively deploys significant reform tasks in the field of medical insurance and sets clear requirements. The National Healthcare Security Administration will systematically plan and promote medical insurance reforms to foster high-quality development of the medical insurance cause, thereby continuously enhancing the people's sense of access to medical insurance.

Firstly, we will improve the multi-level medical insurance system. We will promote the establishment of a "1+3+N" multi-level medical insurance system. The "1" refers to the construction of medical insurance infrastructure and service capabilities centered around a unified national medical insurance information platform and medical insurance big data. The "3" refers to the improvement of the basic medical insurance, serious illness insurance, and medical assistance, which form a three-tiered basic medical insurance system to reduce the burden. The "N" refers to guiding and supporting the role of other insurance forces such as commercial health insurance, charitable donations, medical mutual aid, and trade union worker mutual aid. We will accelerate the implementation of the long-term care insurance system and gradually include flexible employment personnel and urban and rural non-employed residents in the coverage of maternity insurance.

Secondly, we will consolidate and expand the results of universal insurance participation. We will implement mechanisms to encourage and constrain insurance participation. We will ensure that flexible employment personnel, migrant workers, and newly employed individuals participate in basic medical insurance at their place of employment, and promote out-of-town primary and secondary school students and preschool children to participate in resident medical insurance at their place of residence. We will improve the universal insurance participation database to achieve "one person, one file" management. We will expand the scope of the mutual aid of individual accounts in employee medical insurance and accelerate the realization of cross-province mutual aid use.

Thirdly, we will improve the operation and management mechanisms of medical insurance. We will fully implement the basic medical insurance at the city level and actively and steadily promote provincial-level coordination. We will explore the establishment of a long-term financing mechanism that links resident medical insurance payments to the level of economic and social development and the per capita disposable income of residents. We will scientifically and reasonably formulate fund budgets, strengthen fund operation monitoring, and risk early warning. We will strengthen the regular supervision of medical insurance funds, deepen the application of intelligent supervision systems, explore the establishment of medical insurance fund supervision credit management mechanisms and "supervision to individuals" mechanisms, and resolutely prevent the "leakage" of medical insurance funds.

Fourthly, we will coordinate and promote the "three medicals" linkage reform. We will deepen the reform of medical insurance payment methods, fully implement the reform of payment by disease group or disease type points in all coordinated areas, and empower the development of medical institutions. We will improve the dynamic adjustment mechanism of the medical insurance catalog, support the development of innovative drugs and medical devices. We will deepen the reform of medical service prices, improve the dynamic adjustment mechanism of medical service prices, and study and improve the formation mechanism of drug prices. We will promote the "expansion and improvement" of pharmaceutical centralized procurement, striving to reach more than 500 national and provincial centralized procurement drugs by the end of this year.

Fifthly, we will continue to optimize medical insurance public services. We will promote the application of digital services such as medical insurance codes (electronic medical insurance vouchers) and mobile payments, and timely include eligible village health clinics in the scope of medical insurance settlement. We will strengthen the management and service of direct settlement for medical treatment in different places, and steadily and orderly expand the scope of outpatient chronic and special disease types for direct settlement across provinces. We will steadily promote key matters in the medical insurance field of "efficiently accomplishing one thing," optimize the processes of insurance participation and payment, transfer and continuation, and provide more convenient medical insurance services for insured people, designated medical and pharmaceutical institutions, and pharmaceutical enterprises.