小城医保基金“失血”压力大，安徽芜湖开“新方”

Core Viewpoint - The article discusses the challenges faced by the medical insurance fund in provinces experiencing outflow due to cross-province medical treatment, highlighting the successful strategies implemented by Wuhu City to retain patients and reduce financial pressure on local healthcare systems [1][5][6]. Summary by Sections Cross-Province Medical Treatment Challenges - The increase in cross-province medical treatment has led to financial strain on local medical insurance funds, with patients often opting for treatment in economically developed areas where costs are higher [5][6]. - Wuhu City has historically been a region with significant patient outflow, with annual medical insurance fund outflow estimated at 500 million to 600 million yuan [6][7]. Wuhu City's Strategies - Wuhu City established consultation and referral management centers in 2023 to streamline patient care and reduce the outflow of patients seeking treatment elsewhere [8][10]. - The establishment of these centers has resulted in a 35% increase in the treatment rate of patients remaining in Wuhu, with a 73.87% increase in the number of out-of-province insured patients receiving treatment in the city [10][12]. Financial and Operational Improvements - The management center has successfully reduced the financial burden on the local medical insurance fund, achieving a reduction in external fund expenditures while enhancing local medical capabilities [10][12]. - The city has implemented a subsidy system for patients who choose to stay for treatment, including waiving or reducing the initial payment for hospital admissions [12][13]. Expert Consultation Initiatives - Wuhu has begun inviting external medical experts to provide consultations and surgeries locally, which helps reduce patient costs and saves on medical insurance funds [13][14]. - The financial structure allows for shared costs between the hospital and patients, with additional subsidies provided for inviting external experts, thereby encouraging local treatment [13][14].