人民财讯9月12日电，财政部部长蓝佛安9月12日在国新办"高质量完成'十四五'规划"系列主题新闻发布 会上表示，"十四五"以来，财政部积极推进跨省异地就医直接结算，惠及人次达5.6亿，减少群众垫付 资金5900亿元。 ...

央广网北京8月7日消息（记者杜希萌 河北台记者孙兰 刘茜）据中央广播电视总台中国之声《新闻 和报纸摘要》报道，"十四五"以来，我国医保码、移动支付等服务全面应用。特别策划《数说"十四 五"》，本期推出《跨省异地就医直接结算：5.6亿人的获得感》。 国家医保局局长章轲说，截至2025年6月，全国跨省联网定点医药机构达64.4万家，每个县至少有 一家联网定点医疗机构能够提供跨省直接结算服务。 与此同时，门诊慢特病跨省异地就医直接结算也在"扩围"。 在北京大学人民医院住院办理处，来自河北石家庄的程女士正在为母亲办理住院手续，她的母亲今 年67岁，因患胆囊疾病，经常要到北京的医院住院看病。 章轲：跨省直接结算门诊慢特病从无到有，目前有10种门诊慢特病能够跨省异地直接报销。四年多 来全国跨省异地就医直接结算惠及5.6亿人次。 程女士：现在我们拿着社保卡到北京这来看病。不用再备案什么的，更省事了。 2024年，在高血压、糖尿病等5种门诊慢特病的基础上，新增慢性阻塞性肺疾病、类风湿关节炎、 冠心病、病毒性肝炎和强直性脊柱炎5种门诊慢特病，可进行跨省直接结算。在河北廊坊参保的刘女士 通过门诊慢特病跨省异地就医直接结算。 刘女 ...

Core Points - The cross-provincial medical treatment direct settlement is providing significant convenience to insured individuals, with over 500 million service instances during the 14th Five-Year Plan period, reducing out-of-pocket expenses by over 550 billion yuan [1] - The robust support from the national medical insurance information system is enhancing the convenience of cross-provincial medical services, with 644,000 connected medical institutions nationwide [1] - The National Medical Insurance Service Platform APP is continuously improving its features for online registration and inquiry, facilitating access to information regarding medical institutions, service hotlines, and personal reimbursement costs [1] - The Beijing-Tianjin-Hebei region has implemented a "one card for all" system, allowing insured individuals to enjoy medical insurance reimbursement without the need for cross-provincial medical treatment registration [1] - Ongoing explorations are aimed at making medical treatment more convenient for the public, with a call for departments to continue advancing digital empowerment to provide precise and refined services that meet diverse medical insurance needs [1]

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]