跨省异地就医直接结算，正在给越来越多的参保人带来实实在在的便利。国家医保局数据显示，目前全 国跨省联网定点医药机构达64.4万家，"十四五"期间，跨省异地就医直接结算服务超5亿人次，减少群 众垫付超5500亿元。跨省异地就医直接结算越来越便捷的背后，是强大的医保信息系统支撑。当前，国 家医保服务平台APP异地备案和线上查询等功能不断完善，支持线上查询异地联网定点医药机构、医保 服务热线、个人报销费用等信息；京津冀实现"一卡通行"，无需办理异地就医备案手续，即可享受医保 报销待遇……更多探索正在进行，让老百姓异地就医更方便。接下来，相关部门应继续推进数智赋能， 更好提供精准化、精细化服务，满足群众多元化的医疗保障需求。 （文章来源：经济日报） ...

Core Insights - The National Medical Insurance Administration reported that the nationwide cross-province direct settlement for medical services has benefited 560 million people [1] - Over the past four years, the number of cross-province designated medical institutions has reached 644,000 [1] - The initiative has cumulatively reduced the out-of-pocket expenses for insured individuals by 590 billion yuan [1]

Core Viewpoint - The cross-provincial medical treatment direct settlement policy has significantly improved the reimbursement process for patients, reducing the financial burden and streamlining the healthcare experience [2][4][11]. Group 1: Policy Impact - As of the first quarter of 2025, the cross-provincial direct settlement system has benefited 70.75 million insured individuals, reducing out-of-pocket expenses by 46.992 billion yuan, marking increases of 37.97% and 11.44% respectively compared to the same period in 2024 [2][7]. - The number of cross-provincial designated medical institutions reached 651,600, an increase of 0.77 million or 1.19% from the end of 2024 [7][8]. - The direct settlement for inpatient services accounted for 3.6389 million cases, reducing personal payments by 36.537 billion yuan, with growth rates of 11.92% and 5.68% respectively [7][8]. Group 2: Technological Advancements - The establishment of a unified national medical insurance information platform has facilitated seamless cross-provincial medical treatment settlements, ending the previous fragmented system [3][8]. - Patients can now complete the reimbursement process using electronic medical insurance credentials or social security cards, significantly reducing the need for physical paperwork and in-person visits [8][9]. Group 3: Regional Innovations - Various provinces have implemented innovative service models, such as automatic registration and immediate settlement for cross-provincial medical treatment, enhancing accessibility for patients [9][10]. - In Yunnan, the "Medical Insurance Market Day" initiative has improved access to services in remote areas, leading to a more than 40% increase in cross-provincial outpatient settlements in the first quarter of 2025 [10]. Group 4: Future Implications - The reforms in cross-provincial medical treatment not only alleviate financial burdens but also promote the free movement of labor and resources across regions, supporting the construction of a unified national market [11].

Core Insights - The National Healthcare Security Administration reported that in the first quarter of 2025, cross-province medical treatment direct settlement benefited 70.75 million insured individuals, reducing out-of-pocket expenses by 46.99 billion yuan [1] Summary by Categories Hospitalization - Cross-province direct settlement for hospitalization reached 3.64 million cases, reducing personal out-of-pocket expenses by 36.54 billion yuan [1] Outpatient Services - Cross-province direct settlement for ordinary outpatient services accounted for 45.16 million cases, leading to a reduction in personal out-of-pocket expenses by 5.63 billion yuan [1] Chronic and Special Diseases - Cross-province direct settlement for outpatient chronic and special diseases involved 3.08 million cases, resulting in a decrease in personal out-of-pocket expenses by 2.79 billion yuan [1] Pharmacy Purchases - Cross-province direct settlement for pharmacy purchases reached 18.87 million cases, with the fund covering 2.04 billion yuan [1]