异地就医费用清算周期将逐步缩短

Core Viewpoint - The National Healthcare Security Administration (NHSA) has released a three-year action plan aimed at improving the efficiency of medical insurance fund settlement, with a target to complete annual settlements by March 31 of the following year starting in 2028, and to include various funding sources in the settlement process [1][2]. Group 1: Action Plan Overview - The action plan encourages localities to explore the inclusion of critical illness insurance funds and medical assistance funds in the settlement process to shorten the reimbursement cycle for cross-regional medical expenses [1]. - By 2026, all regions are required to complete the 2025 fund settlement, with pilot areas finishing by March 31, 2026, and the settlement funds should account for approximately 5% of the annual medical insurance fund disbursement [1]. - The plan outlines a phased approach, with specific deadlines for each stage of implementation, including a focus on data preparation and comprehensive assessment [2]. Group 2: Phased Implementation - In the acceleration phase, all regions must complete the 2026 fund settlement by April 30, 2027, with pilot areas finishing by March 31, 2027, and the settlement funds should range between 3% to 5% of the fund disbursement [1]. - The comprehensive implementation phase requires all regions to complete the 2027 fund settlement by March 31, 2028, maintaining the settlement funds at around 3% of the disbursement [2]. - The plan emphasizes the importance of developing clear guidelines for the settlement process, including data preparation and financial auditing [2].