China has fundamentally transformed its healthcare accessibility through a massive 3 trillion yuan ($425.8 billion) investment program initiated since 2018, creating one of the world’s most comprehensive medical security systems. According to the National Healthcare Security Administration’s Wednesday announcement, this unprecedented funding has facilitated over 18 billion medical expense reimbursements across the nation.
The substantial financial commitment has primarily bolstered the basic medical insurance scheme for urban and rural residents, with 2.87 trillion yuan allocated to ensure widespread coverage. The current per capita funding standard reaches 1,100 yuan annually, with government subsidies covering approximately 64% (700 yuan) of the total cost, significantly reducing out-of-pocket expenses for individuals.
A critical component of this healthcare transformation involves the 237.5 billion yuan directed toward medical assistance for vulnerable populations. In 2024 alone, this support enabled nearly 80 million economically disadvantaged citizens to obtain basic medical insurance coverage while providing approximately 200 million instances of medical aid for both outpatient and inpatient services.
The administration reported remarkable success in safeguarding low-income groups, maintaining insurance participation rates above 99% among formerly impoverished rural residents. The system achieves exceptional financial protection, with reimbursement rates exceeding 90% for policy-covered medical expenses within this demographic.
Technological advancement has been central to this healthcare evolution. Since 2019, 27.6 billion yuan has established a unified national healthcare security information platform that serves over 1.2 billion people through digital access codes. This sophisticated system processes an average of 28 million settlement transactions daily with remarkable efficiency, delivering inpatient expense settlements in just 0.8 seconds.
The digital transformation has made over 90% of frequently used healthcare security procedures available online, while physical accessibility has similarly improved with more than 90% of townships and subdistricts offering localized healthcare insurance services.
Cross-province medical expense settlements have witnessed extraordinary growth, expanding 110-fold since 2019, with the network of designated healthcare institutions capable of processing such claims tripling from 27,600 to 80,000 facilities.
Looking forward, the administration has already pre-allocated 416.6 billion yuan in collaboration with the Ministry of Finance for 2026 healthcare security subsidies and capacity-building programs, ensuring the system’s continued development and sustainability.