国家医保局:“十四五”时期跨省异地就医直接结算超6亿人次
Mei Ri Jing Ji Xin Wen·2025-12-13 04:17

Core Viewpoint - The National Medical Insurance Administration emphasizes the importance of digital empowerment in medical insurance management and services during the 14th Five-Year Plan period [1] Group 1: Digital Empowerment in Medical Insurance - The meeting highlighted the goal of advancing digital capabilities in medical insurance to enhance management and service levels [1] - A total of 28 high-frequency medical insurance handling matters will be unified, with 90% expected to be processed online [1] Group 2: Cross-Province Medical Services - Over the past five years, more than 600 million instances of direct settlement for cross-province medical services have occurred, reducing out-of-pocket expenses for the public by 660 billion yuan [1] Group 3: Unified Medical Insurance Information Platform - A nationwide unified medical insurance information platform has been established, processing an average of 28 million settlements daily [1] - A total of 1.25 billion medical insurance codes have been activated, allowing for code scanning in medical treatment and medication purchases [1] Group 4: Medical Imaging Cloud - The construction of a medical imaging cloud has been initiated, with nearly 200 million data entries uploaded from 20 provinces [1]