医院回款再提速，医保即时结算年底前全国推开

Core Viewpoint - The National Healthcare Security Administration (NHSA) is accelerating the reform of instant settlement for medical insurance funds, aiming for over 80% of designated medical institutions to adopt this system by the end of 2026, which will improve cash flow for medical institutions [1][2]. Group 1: Reform Objectives - By the end of 2025, all regions in the country are required to implement instant settlement, with over 80% of designated medical institutions covered by the end of 2026 [1]. - The instant settlement will cover employee medical insurance funds (including maternity insurance) and urban-rural resident medical insurance funds, with potential inclusion of major illness insurance funds and medical assistance funds in certain areas [1][2]. Group 2: Impact on Medical Institutions - The instant settlement reform addresses the long-standing issue of slow payment in the medical field, where it typically takes 40 to 60 days for medical institutions to receive payments after patient discharge [2][3]. - By shortening the payment cycle, the reform alleviates cash flow pressure on medical institutions, allowing them to invest more in equipment upgrades and talent development, ultimately enhancing patient care [2][3]. Group 3: Implementation and Management - The NHSA has initiated pilot programs for instant settlement and has rapidly expanded them nationwide over the past eight months [3]. - The reform includes optimizing the settlement process through smart auditing and aims to complete fund disbursement within 20 working days after expense declaration [3]. - The NHSA emphasizes the need for a standardized fund disbursement mechanism and enhanced risk management to ensure the safety of the funds [3].