Workflow
跨省异地就医直接结算
icon
Search documents
前三季度外省来琼异地就医结算167万余人次
Hai Nan Ri Bao· 2025-12-24 01:48
Core Viewpoint - The event themed "Warm Medical Protection, Worry-Free Medical Treatment for Migratory Birds" highlights the progress in cross-provincial medical insurance direct settlement in Hainan, significantly improving the convenience of medical services for patients from other provinces [1] Group 1: Medical Institutions and Services - Hainan has established 364 inpatient medical institutions, 738 outpatient facilities, and 1,912 designated retail pharmacies for cross-provincial direct settlement [1] - In the first three quarters of this year, there were 1.673 million instances of medical settlement for patients from other provinces in Hainan, with a total medical expense of 1.85 billion yuan and a fund payment of 1.18 billion yuan [1] Group 2: Government Initiatives and Support - The event was organized by the Hainan Provincial Medical Insurance Service Center, with support from local medical insurance services and community organizations [1] - The Hainan Provincial Medical Insurance Service Center has focused on addressing the urgent needs of patients seeking medical care across provinces, facilitating more medical institutions to connect to the national platform for direct settlement services [1]
多维度“数”读医疗保障“成绩单” 参保人就医、购药、报销更便捷高效
Yang Shi Wang· 2025-12-17 08:17
Core Viewpoint - The Chinese government is significantly increasing its financial support for basic medical insurance, aiming to enhance healthcare accessibility and affordability for residents, particularly low-income populations, from 2018 to 2025 [1][3]. Group 1: Financial Investment and Support - From 2018 to 2025, the central government will invest over 3 trillion yuan in medical insurance, benefiting over 18 billion medical reimbursements [1]. - A total of 2.87 trillion yuan has been allocated for urban and rural residents' basic medical insurance subsidies during the same period [3]. - By 2025, the average funding for urban and rural residents' basic medical insurance will reach 1,100 yuan per person, with over 60% coming from government subsidies [5]. Group 2: Coverage and Accessibility - The cumulative number of residents enjoying medical insurance benefits will exceed 18 billion by 2025, with over 90% reimbursement for rural low-income individuals [5][7]. - In 2024, 79.16 million people will be funded to participate in basic medical insurance, with nearly 200 million benefiting from outpatient and inpatient assistance [7]. - More than 12 billion people are utilizing a convenient medical insurance code for easier access to healthcare services [8]. Group 3: Service Improvement and Efficiency - From 2019 to 2025, 27.6 billion yuan will be allocated for enhancing medical insurance service capabilities [10]. - A nationwide unified medical insurance information platform has been established, processing an average of 28 million transactions daily [12]. - Over 90% of frequently used medical insurance services can now be handled online, with more than 90% of towns providing local insurance services [14]. Group 4: Interprovincial Medical Services - The number of interprovincial medical insurance direct settlement transactions has increased by 110 times from 2019 to 2025, with the number of designated medical institutions growing from 27,600 to 80,000 [16]. - In November 2025, the Ministry of Finance and the National Medical Insurance Administration will pre-allocate 416.6 billion yuan for basic medical insurance and medical assistance funds for 2026 [18].
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].