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 implementation of instant settlement for medical insurance funds, aiming for nationwide coverage by the end of this year and over 80% of designated medical institutions by the end of next year, which will improve cash flow for medical institutions [1][2]. Group 1: Policy Implementation - The NHSA has issued a notice to promote the instant settlement reform, with a focus on expanding the coverage of regions, funds, and designated medical institutions [1][3]. - By the end of 2025, all regions are required to implement instant settlement, and by the end of 2026, 80% of local medical insurance fund monthly settlement funds should be covered by instant settlement [1][3]. Group 2: Impact on Medical Institutions - The reform aims to alleviate the long-standing issue of slow payment to medical institutions, which typically experience a 40 to 60-day wait for funds after patient discharge [2][3]. - Instant settlement will shorten the payment cycle, allowing medical institutions to have smoother cash flow and invest more in equipment upgrades and talent development, ultimately enhancing patient care [2][3]. Group 3: Operational Efficiency - The NHSA has initiated pilot programs for instant settlement, optimizing processes such as fund settlement list uploads and intelligent reviews to improve efficiency [3]. - The notice emphasizes the need for a standardized fund disbursement mechanism, requiring medical institutions to submit expense claims by the 10th of the following month, with funds disbursed within 20 working days [3].