103个统筹地区先行先试 加快推进医保基金即时结算改革

Core Viewpoint - The National Healthcare Security Administration (NHSA) has initiated reforms to promote the immediate settlement of basic medical insurance funds, aiming to enhance the efficiency of fund allocation and payment systems [1] Group 1: Policy Implementation - The NHSA issued a notice on January 9, 2025, to advance the reform of immediate settlement for basic medical insurance funds, requiring provinces to strictly implement prepayment of insurance funds [1] - Various provinces are adopting different methods to shorten the settlement cycle and increase the frequency of fund disbursement while ensuring the safety of the insurance fund [1] Group 2: Progress and Coverage - As of the end of February, 103 regions have implemented immediate settlement, representing 26% of the total regions, covering 43,700 designated medical institutions and 67,600 designated pharmacies [1] - The total amount disbursed through immediate settlement reached 38.731 billion yuan [1] Group 3: Provincial Initiatives - Provinces such as Anhui, Shandong, Guangdong, Henan, and Qinghai have taken the lead in issuing provincial-level immediate settlement documents [1] - Anhui was the first province to launch the reform, with 569 medical institutions providing immediate settlement services, serving 202,300 patients, and disbursing 472 million yuan in insurance funds [1]