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On July 16, the National Health Insurance Administration issued the “2025 National Statistical Bulletin on the Development of Medical Insurance Services”. According to the communiqué, in 2025, the national health insurance system recovered a total of 34.219 billion yuan of health insurance funds, of which 27.799 billion yuan was recovered from the fund's losses, 1,626 fraudulent insurance agencies were investigated, 471,700 designated medical institutions were dealt with through agreements, and 3776 health insurance cases were investigated with the public security authorities, and 10,357 criminal suspects were arrested. A total of 7 batches of intelligent supervision rules were issued, with a total of 15,500 knowledge points. 124 million people were reminded in advance, the reminder amount was 18.126 billion yuan, and 2,279 billion dollars were refused in the event. A total of 595 reporting rewards were distributed nationwide, with a reward amount of 1,565,800 yuan. The medical insurance payment eligibility management system for relevant personnel in designated medical institutions was fully implemented. A total of 163,600 visits were scored throughout the year, of which 2,313 were suspended and 1,245 were terminated, and the implementation of “supervision to people” was accelerated. During the “14th Five-Year Plan” period, the national health insurance system recovered a total of 118.198 billion yuan of health insurance funds, of which the health insurance management recovery fund lost 92.5 billion yuan, and agreements were made to deal with 1.879,600 designated medical institutions. Intelligent health insurance supervision reminded 249 million people in advance. The reminder amount was 41,938 billion yuan, and 8.268 billion yuan was denied in the event. By the end of 2025, the nationwide advance reminder access rate reached 43.38%. A total of 4,637 reporting rewards were distributed nationwide, with a reward amount of 8.5981 million yuan.

Zhitongcaijing·07/16/2026 01:25:06
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On July 16, the National Health Insurance Administration issued the “2025 National Statistical Bulletin on the Development of Medical Insurance Services”. According to the communiqué, in 2025, the national health insurance system recovered a total of 34.219 billion yuan of health insurance funds, of which 27.799 billion yuan was recovered from the fund's losses, 1,626 fraudulent insurance agencies were investigated, 471,700 designated medical institutions were dealt with through agreements, and 3776 health insurance cases were investigated with the public security authorities, and 10,357 criminal suspects were arrested. A total of 7 batches of intelligent supervision rules were issued, with a total of 15,500 knowledge points. 124 million people were reminded in advance, the reminder amount was 18.126 billion yuan, and 2,279 billion dollars were refused in the event. A total of 595 reporting rewards were distributed nationwide, with a reward amount of 1,565,800 yuan. The medical insurance payment eligibility management system for relevant personnel in designated medical institutions was fully implemented. A total of 163,600 visits were scored throughout the year, of which 2,313 were suspended and 1,245 were terminated, and the implementation of “supervision to people” was accelerated. During the “14th Five-Year Plan” period, the national health insurance system recovered a total of 118.198 billion yuan of health insurance funds, of which the health insurance management recovery fund lost 92.5 billion yuan, and agreements were made to deal with 1.879,600 designated medical institutions. Intelligent health insurance supervision reminded 249 million people in advance. The reminder amount was 41,938 billion yuan, and 8.268 billion yuan was denied in the event. By the end of 2025, the nationwide advance reminder access rate reached 43.38%. A total of 4,637 reporting rewards were distributed nationwide, with a reward amount of 8.5981 million yuan.