目次
加入者及び事業主の皆様へ ······················································· 1
第1章

全国健康保険協会の概要

1. 理念 ······································································ 2
(1) 基本使命 ································································ 2
(2) 基本コンセプト ·························································· 2
2. その他 ···································································· 2
第2章

2024年度の事業運営方針と総括

(1) 2024年度の事業運営方針 ·················································· 3
(2) 2024年度の事業運営の総括 ················································ 3
第3章

加入者数、事業所数、医療費等の動向

(1) 加入者数、事業所数等の動向 ·············································· 8
(2) 医療費の動向 ··························································· 15
(3) 現金給付の動向 ························································· 18
第4章

事業運営、活動の概況

1. 基盤的保険者機能の盤石化 ················································· 24
(1) 健全な財政運営 ························································· 24
(2) 業務改革の実践と業務品質の向上 ········································· 50
i）

業務処理体制の強化と意識改革の徹底································· 50

ii） サービス水準の向上 ················································· 50
iii） 現金給付の適正化の推進 ············································· 54
iv） レセプト点検の精度向上 ············································· 59
v）

債権管理・回収と返納金債権発生防止の強化 ·························· 68

(3) DX(デジタルトランスフォーメーション)の推進 ····························· 71
2. 戦略的保険者機能の一層の発揮 ············································· 75
(1) データ分析に基づく事業実施 ············································· 75
i）

本部・支部における医療費・健診データ等の分析結果の活用及び分析能力の
向上 ······························································ 75

ii） 外部有識者を活用した調査研究成果の活用 ···························· 76
iii） 好事例の横展開 ···················································· 94
(2)

健康づくり ···························································· 102
i）

保健事業の一層の推進 ············································· 102

ii） 特定健診実施率・事業者健診データ取得率等の向上 ··················· 107