State Health Insurance Administration: Strengthen the management of cross-provincial medical treatment, explore innovative service methods such as mobile payment, credit payment, and artificial intelligence processing.

On November 9-10, 2025, Zhang Ke, Secretary of the Party Group and Director of the National Healthcare Security Administration, went to Shanxi Province to conduct research on healthcare security work. In combination with studying and promoting the spirit of the Fourth Plenary Session of the 20th Central Committee of the Communist Party of China, he conducted on-site inspections of the First Affiliated Hospital of Shanxi Medical University, Xiaojingyu Community Health Service Center, and Taiyuan City Medical Insurance Management Service Center. He learned about universal coverage, centralized procurement of pharmaceuticals, medical insurance handling services, and the construction of medical insurance image clouds, and engaged in in-depth exchanges with medical staff, community residents, and colleagues in the medical insurance department. Zhao Hongyan, member of the Standing Committee of the Shanxi Provincial Party Committee, Minister of the United Front Work Department, and Vice Governor, participated in the research. Zhang Ke pointed out the need to comprehensively implement long-term participation mechanisms, strengthen participation promotion and mobilization, promote the construction of a comprehensive database for universal participation, explore new ways for flexible and new forms of employment personnel to participate in contributions, and continue to consolidate and expand participation coverage. They should also prepare for the landing of a new batch of centrally-procured drugs and negotiate new drugs, solidly promote the "three progressions" of centralized procurement of drugs, accelerate the construction of a medical insurance "cloud pharmacy," and encourage medical institutions and medical staff to equip and use more new and good drugs with "real money and solid measures" at the provincial and municipal levels. They should deepen drug price governance, make good use of tools such as online price lists, price comparison indices, and price comparison mini programs, actively guide the rational formation of drug prices in designated medical institutions and retail pharmacies. They should optimize medical insurance handling services, strengthen cross-provincial management of out-of-province medical treatment, explore innovative services such as mobile payments, credit payments, and artificial intelligence handling, accelerate the integration of medical insurance drug, imaging data, and other health data, fully leverage the advantages of medical insurance big data, enrich the application scenarios in the field of medical insurance, plan for a provincial medical insurance personal health cloud, and make contributions to accelerating the cultivation and development of new quality productivity and promoting high-quality economic and social development through medical insurance.