China Medical Insurance Revenue Outpaces Spending for First Time in Years

China’s state medical insurance fund saw its income grow faster than its expenditures for the first time in several years in 2025, according to a newly released government report.

The National Healthcare Security Administration disclosed on March 16 that the basic medical insurance system covered about 1.331 billion people in 2025, an increase of 4.06 million from the previous year. The fund reported total revenue of 3.587 trillion yuan ($521 billion) and total expenditures of 3.001 trillion yuan. Among the enrollees, 388.56 million were enrolled in the employee insurance program and 942.12 million in the resident insurance program.