全国医保预付规模破700亿元

Core Viewpoint - The implementation of the instant settlement reform for medical insurance funds in China is set to significantly improve the financial operations of hospitals, enhance patient experiences, and promote the collaborative development of the healthcare, medical insurance, and pharmaceutical sectors. Group 1: Reform Overview - In 2024, a unified and improved prepayment system for medical insurance funds will be established at the national level, with a total prepayment scale of 72.3 billion yuan in the first quarter of 2025, addressing the funding pressure faced by hospitals [1] - The instant settlement reform aims to shift from a "post-payment" model to a timely payment system, alleviating the financial burden on hospitals and patients [1][2] - The National Medical Insurance Administration has set a goal for 80% of coordinated regions to achieve instant settlement by 2025, with full coverage expected by 2026 [2] Group 2: Implementation and Impact - As of March 2025, 24 provinces have implemented instant settlement, covering 246,700 designated medical institutions with a total payment amount of 165.7 billion yuan, effectively easing operational pressures on hospitals [2] - Innovative mechanisms in provinces like Anhui and Shandong have significantly reduced payment timelines, enhancing cash flow for medical institutions and improving the overall efficiency of the pharmaceutical industry [3] - The reform allows patients to avoid upfront payments for medical expenses, reducing the time and effort spent on reimbursement processes, thereby improving the overall healthcare experience [3]