在服务提质方面，广阳区坚持以群众需求为导向，不断优化医保服务流程，提升服务效能；整合医保服 务资源，在各镇、街道服务大厅设立医保服务窗口，实现参保登记等3大类15项医保高频服务事项下沉 办理。同时，该区积极推进"互联网+医保服务"，群众通过手机APP、微信公众号等渠道，即可办理参 保缴费、异地就医备案、医保电子凭证激活等业务，真正实现了"让数据多跑路，群众少跑腿"。此外， 该区还加强了医保服务队伍建设，开展业务培训和技能提升活动，提升工作人员的服务意识和业务水 平，进一步提升群众对医保服务的满意度和获得感。 （来源：廊坊日报） 转自：廊坊日报 本报讯（记者 王满凤 通讯员 王峻峰）近日，记者从广阳区召开的新闻发布会上获悉，近年来，广阳区 牢牢紧扣"扩面、提质、强保障"的工作主线，推动全区基本医保参保工作取得了一系列阶段性成果。该 区基本医保参保率持续稳定在95%以上，基本实现了常住人口全覆盖。 在参保扩面方面，广阳区聚焦"应保尽保、不漏一人"的目标，构建了"政府主导、部门协同、乡镇主 抓、村组落实"的四级联动工作体系；开展"全民参保攻坚行动"，针对流动人口、灵活就业人员、困难 群体等重点人群，建立了"精准排查 ...

"十四五"期间，广东全面实现统筹区内医保基金即时结算，医保基金月度结算时长从30个工作日缩短到 17.6个工作日。在全国范围内率先实现异地就医即时结算，月度结算时限压缩到15个工作日内。 【深圳商报讯】(驻穗记者姚嘉莉通讯员粤医保)记者从广东省医保局获悉，"十四五"时期，广东医疗保 障制度更加成熟定型。到2025年10月末，广东基本医保参保人数约1.13亿人，其中，职工参保人占比 45%，居民参保人占比55%，参保结构更加优化。职工参保首次突破5000万人大关，灵活就业人员参加 职工医保达556.47万人。 为提升服务效率，让老百姓"少跑腿"和"少垫资"，粤医保、粤省事等8个线上渠道可提供约76项医保服 务；实现异地联网定点医疗机构县区全覆盖、全省二级及以上定点医疗机构异地联网全覆盖，全省异地 联网定点医疗机构7510家，参保人住院费用跨省直接结算率75.64%。医保码就医结算便捷高效，激活 人数超1.02亿人，激活率92.7%，使用率56%。7000余家定点医药机构接入移动支付，3000余家定点医 药机构接入医保电子处方中心，累计线上结算1.3亿笔。 ...

Group 1 - The core viewpoint of the news is the stable operation of the basic medical insurance fund in Hainan province, with a total income of 8.263 billion yuan and total expenditure of 6.451 billion yuan from January to May this year, resulting in a cumulative balance of 45.929 billion yuan [1] - As of June 13, the total number of insured individuals in the province reached 9.5237 million, with a comprehensive insurance rate stabilizing around 95% [1] - The province has eliminated the household registration restrictions for insurance participation and improved the incentive and constraint mechanisms for continuous insurance, focusing on specific groups such as college students and new employment forms [1] Group 2 - The province has increased the ordinary outpatient benefits for employee medical insurance, raising the annual maximum payment limit to 25,000 yuan for employed individuals and 30,000 yuan for retirees [1] - The "Hui Qiong Bao" 2025 version of the one-stop claim service has been launched, allowing simultaneous settlement of medical insurance, commercial insurance, and out-of-pocket expenses, eliminating the need for upfront payments by insured individuals [2] - The cross-provincial direct settlement for medical treatment has been actively promoted, with 366 hospitals and 744 outpatient facilities already connected for direct settlement [2]