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跨省异地就医直接结算
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十四五·十四物“系列报道之十一 一张”异地结算单“铺就便捷就医路
Ren Min Wang· 2025-11-01 12:28
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].
好政策让人心里温暖
Ren Min Ri Bao· 2025-10-20 00:43
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]
群众的评价是褒奖也是鞭策(编辑手记)
Ren Min Ri Bao· 2025-10-20 00:43
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]
蓝佛安:“十四五”以来跨省异地就医直接结算惠及5.6亿人次
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]
数说十四五丨跨省异地就医直接结算:5.6亿人的获得感
Yang Guang Wang· 2025-08-07 00:55
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].
异地就医惠及亿万人
Jing Ji Ri Bao· 2025-08-05 22:13
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]
全国跨省异地就医直接结算惠及5.6亿人次
news flash· 2025-07-24 02:12
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]
全国医保“一盘棋”:异地就医免垫付首季减负469亿元
Hua Xia Shi Bao· 2025-06-12 08:58
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].
一季度跨省异地就医为群众减少垫付469.92亿元
news flash· 2025-06-09 07:32
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]