医保清算提速

Core Viewpoint - The National Healthcare Security Administration has released a three-year action plan aimed at improving the efficiency of medical insurance fund settlement, encouraging localities to explore the inclusion of major illness insurance funds and medical assistance funds in the expedited settlement process [2] Group 1: Policy Initiatives - The plan aims to gradually shorten the settlement cycle for cross-regional medical expenses, which is expected to empower the development of medical institutions sustainably [2] - The initiative emphasizes the need for meticulous management and comprehensive oversight by relevant departments, focusing on key areas such as program formulation, data preparation, comprehensive assessment, amount calculation, and payment approval [2] Group 2: Institutional Changes - Medical institutions are encouraged to shift from "passive settlement" to "active management," establishing a regular communication mechanism with relevant departments to address clinical issues through collaborative channels [2] - The foundation of data and technical support must be solidified, leveraging a unified national medical insurance information platform to translate top-level design into tangible benefits for medical institutions and patients [2]