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临沂市持续优化异地就医结算服务
Qi Lu Wan Bao· 2026-01-26 12:03
Core Viewpoint - The article emphasizes the importance of improving the convenience of cross-regional medical settlement services in response to the increasing mobility of the population and diverse medical needs, highlighting the efforts of Linyi City's Medical Insurance Bureau to enhance policy awareness and direct settlement ease for insured individuals [1] Group 1: Focus on Registration Services - Linyi City Medical Insurance Bureau has categorized registration services for cross-regional medical needs into two types: long-term residents and temporary medical visits, utilizing a combination of "fast registration + self-service registration" [2] - The bureau has eliminated registration procedures for temporary medical visits within the province and implemented self-service registration for cross-provincial visits, allowing for immediate access without proof of documents [2] - Multiple service channels have been established, including traditional windows, phone registrations, and online platforms such as the National Medical Insurance Service Platform APP and "Linyi Convenient Medical Insurance" [2] Group 2: Expanding Settlement Scope - The bureau is addressing the core issues of financial pressure and reimbursement hassles for insured individuals by advancing direct settlement services for cross-regional medical care [3] - Currently, Linyi City has established connections with over 80,000 designated medical institutions across 31 provinces, allowing insured individuals to settle expenses directly using activated social security cards or electronic medical insurance certificates [3] - The direct settlement scope has expanded from hospitalization to include outpatient services and ten types of chronic diseases, benefiting a larger number of insured individuals [3] Group 3: Building Service Networks - The bureau is enhancing precision services for individuals registering via phone by informing them of important considerations and policies related to cross-regional medical care during the registration process [4] - For individuals with chronic diseases seeking cross-provincial medical care, the bureau is ensuring timely updates of their medical information [4] - Various promotional activities, including the "Medical Insurance Policy Concentrated Promotion Month," are being conducted to improve policy awareness among key groups, utilizing local dialects and hands-on demonstrations for better understanding [4]
用医保温度书写“民生答卷”
Xin Lang Cai Jing· 2025-12-30 20:11
Core Insights - Chengdu's medical insurance system has significantly improved during the "14th Five-Year Plan" period, enhancing the healthcare experience for nearly 19 million insured individuals [3][4][6]. Group 1: Insurance Coverage and Policy Enhancements - The total number of basic medical insurance participants in Chengdu is approximately 18.85 million, with steady growth in both employee and urban-rural resident insurance [3][5]. - A total of 949 new drugs have been added to the medical insurance catalog, ensuring better access to medications for the public [6]. - The city has established a four-tier management system for medical insurance, with over 200 insurance workstations set up to facilitate services [3][4]. Group 2: Payment Policies and Support Mechanisms - Payment policies have been clarified, including the unification of medical consumables payment standards and the addition of 296 new medical service items to the payment scope [7]. - The medical assistance system has been improved, with 63.21 million instances of assistance provided to medical aid recipients during the "14th Five-Year Plan" period [7]. - The long-term care insurance program has benefited 215,600 individuals, reflecting the city's commitment to supporting vulnerable populations [3][12]. Group 3: Service Quality and Technological Integration - Chengdu has implemented a comprehensive electronic medical insurance system, with over 15 million users activating their medical insurance codes, achieving an activation rate of 80.96% [8][9]. - The city has established a "one-window" service model for insurance processing, ensuring efficient handling of insurance matters [9]. - The integration of technology has led to a significant increase in the convenience of medical services, with over 300 medical institutions adopting full-process applications for medical insurance codes [8][9]. Group 4: Long-term Care Insurance Development - The long-term care insurance system has expanded to cover all age groups, with a focus on providing comprehensive support for individuals with disabilities [12][13]. - By November 2025, over 19.2 million individuals are expected to be covered under the long-term care insurance program, with total fund payments reaching 6.162 billion yuan [13]. - Chengdu's long-term care insurance has become a model for national standards, enhancing the city's reputation as a leader in healthcare innovation [13].