此次活动由海南省医疗保险服务中心主办，海口市医疗保险服务中心承办，海口市美兰区海甸街道 新安社区协办。 海南日报海口12月23日讯(海南日报全媒体记者 易宗平 通讯员 梁尔格)12月23日，以"暖心医保护 航，候鸟就医无忧"为主题的海南2025年跨省异地就医直接结算集中宣传活动在海口举行。 目前，海南已开通跨省联网直接结算定点医疗机构住院364家、普通门诊738家，定点零售药店1912 家。今年前三季度，作为就医地，外省来海南异地就医结算达167.3万人次，产生医疗总费用18.5亿元， 统筹基金支付11.8亿元，群众看病就医便利度显著提升。 "今年以来，省医保服务中心聚焦群众异地看病就医的急难愁盼问题，持续推动更多定点医药机构 接入国家平台，让群众在家门口就能享受直接结算服务，切实打通异地就医服务'最后一公里'。"海南 省医疗保险服务中心副主任王三防介绍。 现场设置医保政策宣传咨询台，提供"面对面"答疑与"手把手"帮办等暖心服务。现场为外省参保人 详解异地就医线上备案途径(国家医保服务平台APP、国家异地就医备案小程序等)及办理异地就医备案 的操作流程。 ...

央视网消息：国家医保局消息，2018年—2025年，中央财政累计为医疗保障投入超3万亿元，惠及超180亿人次看病报销，居民参保 更有保障、困难群众更加安心、医保服务更加便捷。 2018年以来，各级财政、医保部门持续加大对城乡居民基本医疗保险的补助力度。2018年—2025年，中央财政累计安排城乡居民基 本医疗保险补助资金2.87万亿元，用于对参加城乡居民基本医疗保险的参保人进行补助。 2025年，城乡居民基本医疗保险人均筹资总额为1100元。其中，人均财政补助标准为700元，个人缴费标准为400元，财政补助占比 在60%以上。城乡居民基本医疗保险基金盘子更加稳固，2018年—2025年，居民累计享受医保待遇超180亿人次。 农村困难群众政策范围内报销比例超90% 各级医保部门通过医疗保障服务能力建设资金补短板、强弱项，帮助参保人就医、购药、报销更便捷、更高效。2019年—2025年， 中央财政累计安排医疗保障服务能力建设资金276亿元。 在资金支持下，全国统一的医保信息平台全面建成使用，超12亿人享受医保码便捷就医，医保信息平台日均结算量超2800万人次。 超九成的高频医保经办事项可以线上办理，九成以上乡镇（ ...

Core Insights - The article highlights the significant improvements in the cross-province medical insurance settlement process in China, making it more convenient for patients to receive medical care outside their home provinces [1][2]. Group 1: Policy Impact - The number of people utilizing cross-province direct settlement for medical expenses has surged from 5.37 million in 2020 to 238 million by 2024, representing a 44-fold increase [2]. - The direct settlement rate for cross-province hospitalization expenses has exceeded 90%, indicating a high level of efficiency in the system [2]. - The scope of cross-province direct settlement has expanded from hospitalization to include outpatient services and ten specific chronic diseases, enhancing accessibility for patients [2]. Group 2: User Experience - Patients now experience a streamlined process where they can settle medical expenses directly through the "National Medical Insurance Service Platform" app, significantly reducing the burden of upfront payments and lengthy reimbursement processes [1]. - The implementation of these policies has made accessing medical care in different provinces as convenient as receiving care in one's home province, reflecting a positive shift in public sentiment towards healthcare accessibility [1][2].

Core Insights - The article highlights the emotional impact of a child's illness on families and emphasizes the importance of health and safety for children [1] - It discusses the benefits of healthcare reform, particularly the convenience and financial relief provided by direct settlement for cross-province medical treatment [1] - The author expresses optimism about advancements in medical technology leading to better treatment options for children [1] Healthcare Reform - The article notes that families are direct beneficiaries of healthcare reforms, specifically mentioning the ease of accessing medical care through cross-province direct settlement [1] - This reform is seen as a significant factor in alleviating the economic burden on families dealing with health issues [1] Medical Technology - There is a belief that with the improvement of medical technology, patients, especially children, will receive better treatment outcomes [1]

Core Viewpoint - The implementation of cross-provincial direct settlement for medical expenses has significantly improved the healthcare experience for the public, reducing the financial burden and enhancing accessibility [1] Group 1: Policy Impact - During the "14th Five-Year Plan" period, the number of outpatient chronic special diseases eligible for cross-provincial direct settlement increased from zero to 10 [1] - The cross-provincial hospitalization direct settlement rate has reached approximately 90% [1] - Cumulatively, the cross-provincial direct settlement has reduced the upfront costs for insured individuals by 590 billion yuan [1] Group 2: Public Sentiment - The positive feedback from ordinary citizens, such as Wang Zhongyun, highlights the tangible benefits of the policy, showcasing a strong sense of satisfaction among the public [1] - The perceived value of the policy is reflected in the significant improvement in the public's healthcare experience, emphasizing the importance of addressing the needs of the people [1] Group 3: Future Focus - Looking ahead to the "15th Five-Year Plan," the focus will remain on addressing the challenges faced by the public during the medical process, with an aim to continuously improve the healthcare system [1] - The goal is to strengthen the health security of the populace through an increasingly robust medical insurance system [1]

Core Points - The Ministry of Finance has actively promoted direct settlement for cross-provincial medical treatment since the start of the 14th Five-Year Plan, benefiting 560 million people [1] - The initiative has reduced the amount of funds that individuals need to pay upfront by 590 billion yuan [1]

Core Insights - The article highlights the significant advancements in China's medical insurance system, particularly the implementation of cross-provincial direct settlement for medical expenses, benefiting 560 million people since the start of the 14th Five-Year Plan [1][3]. Group 1: Cross-Provincial Medical Insurance - The cross-provincial direct settlement for outpatient chronic diseases is expanding, with 10 types of chronic diseases now eligible for direct reimbursement [3]. - By June 2025, there will be 644,000 cross-provincial networked medical institutions across the country, ensuring at least one such institution in every county [3]. - The implementation of these services has significantly reduced the administrative burden on patients, allowing them to receive reimbursements directly in the city where they seek treatment [2][3]. Group 2: Patient Experiences - Patients like Cheng and Liu express satisfaction with the new system, noting the convenience and efficiency it brings compared to previous reimbursement processes [2][3]. - The ease of using social security cards for medical services in different provinces has improved the overall patient experience [2].

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].