宿迁实施医保基金清算改革，将减轻医疗机构资金周转压力

Core Viewpoint - The Suqian Medical Security Bureau is implementing a reform plan for medical insurance fund settlement, aiming to enhance efficiency and improve patient experience through quarterly settlements and integration of various funds [1][3]. Group 1: Reform Overview - The reform shifts from an annual to a quarterly settlement cycle for medical insurance funds, transforming the management approach from "extensive" to "refined" [3]. - The goal is to alleviate the operational pressure on medical institutions and enhance the quality of medical services, ultimately benefiting patients with lighter burdens and better experiences [3]. Group 2: Key Features of the Implementation Plan - The plan emphasizes "efficiency" by setting strict deadlines for fund settlements: first three quarters to be completed within 60 days post-quarter, and the fourth quarter within 90 days [3]. - It aims to shorten the settlement cycle for cross-regional medical expenses and includes major illness insurance and medical assistance funds in the expedited process [3]. Group 3: Technological and Collaborative Enhancements - The plan highlights "intelligence" through the use of AI and big data for precise regulation, establishing a comprehensive monitoring system for fund safety [4]. - It focuses on "collaboration" by breaking down departmental barriers, promoting data sharing among various sectors, and enhancing the management of medical insurance funds through a coordinated approach [4].