[
  {
    "id": "P01",
    "date": "1998-12-14",
    "date_basis": "成文日期",
    "title": "建立城镇职工基本医疗保险制度",
    "track": "制度覆盖",
    "document_number": "国发〔1998〕44号",
    "description": "建立社会统筹与个人账户相结合的职工基本医保框架。",
    "implementation": "文件要求从 1999 年初启动；各地实施方案另核。",
    "url": "https://www.nhsa.gov.cn/art/1998/12/14/art_53_1190.html",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P02",
    "date": "2003-01-16",
    "date_basis": "成文日期",
    "title": "建立新型农村合作医疗制度",
    "track": "制度覆盖",
    "document_number": "国办发〔2003〕3号",
    "description": "通过政府组织、农民自愿参加与多方筹资，推进农村基本医疗保障试点。",
    "implementation": "2003 年开始试点；试点地区和扩围年份不同。",
    "url": "https://www.nhc.gov.cn/jws/s6476/200804/b056c0924f364d0892042c584d4ca8c4.shtml",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P03",
    "date": "2007-07-10",
    "date_basis": "成文日期",
    "title": "城镇居民基本医保试点",
    "track": "制度覆盖",
    "document_number": "国发〔2007〕20号",
    "description": "将城镇非从业居民等人群纳入基本医保制度建设。",
    "implementation": "2007 年启动试点，按地方方案逐步扩大。",
    "url": "https://www.nhsa.gov.cn/art/2007/7/10/art_53_1186.html",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P04",
    "date": "2009-04-06",
    "date_basis": "公开发布日",
    "title": "新一轮医药卫生体制改革",
    "track": "制度建设",
    "document_number": "中发〔2009〕6号",
    "description": "提出基本医疗卫生制度建设，将医保、服务、公共卫生和药品保障纳入改革框架。",
    "implementation": "近期重点实施方案覆盖 2009—2011 年。",
    "url": "https://www.ndrc.gov.cn/fggz/jyysr/jysrsbxf/200904/t20090429_1127798.html",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P05",
    "date": "2010-10-28",
    "date_basis": "法律通过日",
    "title": "社会保险法通过",
    "track": "基金与法治",
    "document_number": "主席令第三十五号",
    "description": "基本医疗保险纳入社会保险法律体系，明确参保、待遇与管理基础。",
    "implementation": "2011-07-01 施行；现行文本及后续修改另核。",
    "url": "https://www.mohrss.gov.cn/fgs/syshehuibaoxianfa/201202/t20120217_28562.html",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P06",
    "date": "2015-07-28",
    "date_basis": "成文日期",
    "title": "全面实施城乡居民大病保险",
    "track": "待遇保障",
    "document_number": "国办发〔2015〕57号",
    "description": "在基本医保基础上，为个人负担的高额合规医疗费用提供进一步保障。",
    "implementation": "文件要求 2015 年底前覆盖城乡居民基本医保参保人群。",
    "url": "https://www.nhc.gov.cn/tigs/c100053/201508/151924c6526e4703abe109045c74124e.shtml",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P07",
    "date": "2016-01-03",
    "date_basis": "成文日期",
    "title": "整合城乡居民基本医疗保险",
    "track": "制度覆盖",
    "document_number": "国发〔2016〕3号",
    "description": "整合城镇居民医保与新农合，统一覆盖、筹资、待遇、目录、定点和基金管理。",
    "implementation": "地方整合方案与实际待遇统一日期需分别记录。",
    "url": "https://www.nhsa.gov.cn/art/2016/1/3/art_37_1171.html",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P08",
    "date": "2017-06-28",
    "date_basis": "网页发布日期",
    "title": "深化基本医保支付方式改革",
    "track": "支付与价格",
    "document_number": "国办发〔2017〕55号",
    "description": "推进以按病种付费为主的多元复合式医保支付方式，强化预算管理。",
    "implementation": "国家指导文件不等于所有地区同日实施。",
    "url": "https://www.gov.cn/zhengce/zhengceku/2017-06/28/content_5206315.htm",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P09",
    "date": "2018-05-31",
    "date_basis": "机构揭牌日",
    "title": "国家医疗保障局揭牌",
    "track": "制度建设",
    "document_number": "机构改革节点",
    "description": "医保管理进入新的组织架构阶段，关联医保、价格招采和医疗救助等职责整合。",
    "implementation": "此日期是揭牌日，不是某项支付改革的生效日。",
    "url": "https://www.nhsa.gov.cn/art/2018/5/31/art_14_1019.html",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P10",
    "date": "2019-01-17",
    "date_basis": "网页发布日期",
    "title": "国家组织药品集中采购和使用试点",
    "track": "支付与价格",
    "document_number": "国办发〔2019〕2号",
    "description": "以国家组织、联盟采购、平台操作推进药品集中采购与使用。",
    "implementation": "试点落地时间按地区、批次和品种核对。",
    "url": "https://www.nhsa.gov.cn/art/2019/1/17/art_104_6444.html",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P11",
    "date": "2020-03-05",
    "date_basis": "公开发布日期",
    "title": "深化医疗保障制度改革意见",
    "track": "制度建设",
    "document_number": "中共中央、国务院意见",
    "description": "将待遇保障、筹资运行、医保支付与基金监管等机制置于多层次医疗保障体系中。",
    "implementation": "阶段目标不等于目标已经实现；实施依后续配套文件。",
    "url": "https://www.gov.cn/gongbao/content/2020/content_5496762.htm",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P12",
    "date": "2021-01-15",
    "date_basis": "公布日期",
    "title": "医保基金使用监督管理条例",
    "track": "基金与法治",
    "document_number": "国务院令第735号",
    "description": "以行政法规规范基金使用和监督管理，明确相关主体责任。",
    "implementation": "2021-05-01 施行。",
    "url": "https://app.www.gov.cn/govdata/gov/202102/19/468490/article.html",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P13",
    "date": "2021-04-22",
    "date_basis": "公开发布日期",
    "title": "职工医保门诊共济保障机制",
    "track": "待遇保障",
    "document_number": "国办发〔2021〕14号",
    "description": "将普通门诊保障与个人账户改革联系起来，增强门诊费用互助共济。",
    "implementation": "省级及统筹地区方案分步落实，不能直接当作全国统一处理时点。",
    "url": "https://app.www.gov.cn/govdata/gov/202104/22/470627/article.html",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P14",
    "date": "2021-11-26",
    "date_basis": "网页发布日期",
    "title": "DRG/DIP 支付方式改革三年行动计划",
    "track": "支付与价格",
    "document_number": "医保发〔2021〕48号",
    "description": "推动按病组和病种分值付费扩围，建设配套预算、结算和协商机制。",
    "implementation": "区分 2022—2024 年行动安排与 2025 年覆盖目标。",
    "url": "https://www.nhsa.gov.cn/art/2021/11/26/art_37_7406.html",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P15",
    "date": "2022-07-26",
    "date_basis": "网页发布日期",
    "title": "跨省异地就医直接结算政策完善",
    "track": "经办服务",
    "document_number": "医保发〔2022〕22号",
    "description": "统一跨省异地就医相关管理与经办流程，便利参保人结算。",
    "implementation": "文件成文日为 2022-06-30；相关衔接安排见原文。",
    "url": "https://www.nhsa.gov.cn/art/2022/7/26/art_104_8629.html",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P16",
    "date": "2024-07-23",
    "date_basis": "网页发布日期",
    "title": "DRG/DIP 2.0 版分组方案",
    "track": "支付与价格",
    "document_number": "医保办发〔2024〕9号",
    "description": "发布更新的病组与病种库方案，并提出衔接实施要求。",
    "implementation": "按地区切换方案和实际结算日期确认改革暴露。",
    "url": "https://www.nhsa.gov.cn/art/2024/7/23/art_104_13313.html",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P17",
    "date": "2024-08-01",
    "date_basis": "公开发布日期",
    "title": "健全基本医保参保长效机制",
    "track": "制度覆盖",
    "document_number": "国办发〔2024〕38号",
    "description": "围绕连续参保、断保约束和服务改进，完善参保激励及个人账户共济范围。",
    "implementation": "部分连续参保激励与等待期安排自 2025 年起实施；地方细则另核。",
    "url": "https://www.nhsa.gov.cn/art/2024/8/1/art_104_13427.html",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P18",
    "date": "2025-08-15",
    "date_basis": "网页发布日期",
    "title": "按病种付费管理暂行办法",
    "track": "支付与价格",
    "document_number": "医保发〔2025〕18号",
    "description": "形成按病种付费的管理制度文件；将分组、支付与经办管理纳入规范。",
    "implementation": "具体施行条款以官网附件为准；不推断为网页发布当日。",
    "url": "https://www.nhsa.gov.cn/art/2025/8/15/art_104_17573.html",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P19",
    "date": "2026-02-13",
    "date_basis": "公布日期",
    "title": "基金使用监督管理条例实施细则",
    "track": "基金与法治",
    "document_number": "国家医疗保障局规章",
    "description": "进一步细化基金使用监督管理的相关要求。",
    "implementation": "2026-04-01 施行。",
    "url": "https://www.nhsa.gov.cn/art/2026/2/13/art_173_19681.html",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P20",
    "date": "2026-08-19",
    "date_basis": "官方解读发布日期",
    "title": "全民医疗保障“十五五”规划",
    "track": "制度建设",
    "document_number": "官方规划解读",
    "description": "围绕多层次保障、长期护理、医药服务改革、基金管理和公共服务部署任务。",
    "implementation": "这里记录官方解读日；规划目标不作既成成效。",
    "url": "https://www.nhsa.gov.cn/art/2026/8/19/art_105_21829.html",
    "status": "历史政策节点",
    "verified_on": "2026-10-23"
  },
  {
    "id": "P21",
    "date": "2026-08-28",
    "date_basis": "法律通过及公布日",
    "title": "医疗保障法公布",
    "track": "基金与法治",
    "document_number": "主席令第八十号",
    "description": "为医疗保障体系、基金、服务、监督管理与法律责任提供专门法律依据。",
    "implementation": "2027-01-01 起施行；截至 2026-10-23 尚未施行。",
    "url": "https://www.court.gov.cn/xinshidai/xiangqing/509971.html",
    "status": "已公布，待施行",
    "verified_on": "2026-10-23"
  }
]