Accelerating the settlement of medical insurance funds empowers the development of medical institutions.

In 2025, the National Medical Insurance Agency launched a three-year action plan to improve efficiency and quality of clearing. It actively optimized the clearing process and significantly shortened the clearing cycle. In 2026, all regions with unified planning nationwide completed the fund clearing for 2025 before May 27th, with 154 regions completing the clearing for the previous year before the end of March. Data shows that in 2025, a total of 2.74 trillion yuan was allocated from the medical insurance fund for medical expenses incurred by insured individuals at designated medical institutions. In terms of allocation structure, monthly settlement funds totaled 2.60 trillion yuan, accounting for 94.7% of the total allocation; annual settlement funds totaled 0.14 trillion yuan, accounting for 5.3% of the total allocation. The proportion of annual settlement funds decreased by nearly 3 percentage points compared to three years ago, with a large amount of medical insurance funds being disbursed to designated medical institutions on a daily basis, and clearing funds being in place in advance, greatly relieving the operational pressure of designated medical institutions. The medical insurance fund is both "quick to settle and quick to pay" and "strictly audited and managed." In 2025, national medical insurance agencies relied on a combination of intelligent and manual auditing to conduct a full audit of the expenses declared by designated medical institutions, with the deduction for medical insurance agency audits accounting for 1.4% of the declared amount. This mechanism has played a crucial role in controlling unreasonable medical expenses, enhancing compliance awareness on the supply side of medical services, and safeguarding the "medical treatment money, life-saving money" of the people, while also strengthening the "firewall" of fund security while accelerating clearing.