“十四五”期间 跨省异地就医直接结算服务超5亿人次

Group 1 - The core viewpoint of the news is the introduction of reforms in the medical insurance system during the "14th Five-Year Plan" period, focusing on optimizing services to better meet the needs of the public [1][2][3] - The National Medical Insurance Bureau emphasizes the importance of using modern technologies such as big data, cloud computing, and artificial intelligence to create a unified and efficient medical insurance information platform [1] - The initiative includes the establishment of a five-level medical insurance service network, aiming to create a "15-minute medical insurance service circle" for citizens [1][2] Group 2 - The "standardized service" approach has led to the development of 23 coding standards and 37 technical specifications, streamlining the process for maternity benefits to be completed within 10 working days [2] - The "cross-regional service" has expanded direct settlement from hospitalization to outpatient services for chronic diseases, benefiting over 500 million people and reducing out-of-pocket expenses by over 550 billion yuan [2] - The "efficient service" includes a nationwide medical insurance platform with a response time in milliseconds, handling over 14.5 million daily settlements and enabling cross-province processing for high-frequency services [2]