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【榆林】在陕西首推医保“T+1”即时结算
Shan Xi Ri Bao· 2025-05-25 22:29
Core Points - The implementation of the "T+1" instant settlement system for medical insurance in Yulin City marks a significant advancement in the efficiency of medical fund settlements, reducing the settlement cycle from a maximum of 30 days to 24 hours [1][2] - The new system alleviates the financial pressure on hospitals by ensuring timely reimbursement, with the first transaction amounting to 278,400 yuan successfully credited to a hospital account [1] - Yulin City is one of the first pilot cities for the national basic medical insurance fund instant settlement reform, establishing a comprehensive "instant settlement" system that integrates various processes [1] Summary by Sections Instant Settlement System - Yulin City's medical insurance "T+1" instant settlement system has officially launched, allowing for next-day payments instead of monthly disbursements [1] - The system aims to enhance the efficiency of medical fund settlements and reduce the financial burden on healthcare institutions [1] Financial Impact - Prior to the reform, hospitals faced an average monthly advance payment of over 10 million yuan for medical insurance funds, which has now been significantly reduced [1] - As of now, 8 medical institutions in Yulin have completed instant settlement applications for a total of 3,471 cases, with medical expenses amounting to 34.62 million yuan and actual medical insurance fund disbursements of 10.27 million yuan [2] Integration with Other Insurance Programs - Since 2023, Yulin City has achieved a "one-stop" synchronous settlement for the Shaanxi Universal Health Insurance, basic medical insurance, major illness insurance, and medical assistance [2] - By the end of April this year, 90 medical institutions at the secondary level and above in Yulin City are capable of conducting synchronous settlements for the Shaanxi Universal Health Insurance [2]
新疆兵团“医保钱包”上线 实现跨省共济
Zhong Guo Xin Wen Wang· 2025-05-08 15:06
Core Points - The Xinjiang Production and Construction Corps has launched the "Medical Insurance Wallet" to address the challenges of cross-province use of personal medical insurance accounts, providing a more convenient and efficient way for insured individuals to manage their medical funds [1][3] - The "Medical Insurance Wallet" is linked to personal medical insurance codes and allows for fund transfers among close relatives, facilitating medical expenses and personal contributions to health insurance [1][3] Group 1 - The launch of the "Medical Insurance Wallet" represents a significant breakthrough in integrating medical insurance with financial services, aimed at solving the cross-province usage issue of personal medical accounts [3] - The Agricultural Bank of China’s Xinjiang Corps branch has activated 1.13 million medical insurance electronic certificates, collaborating on various aspects such as fund payment and mobile payment solutions [3] - The "Medical Insurance Wallet" allows for flexible payments in hospitals and designated pharmacies, alleviating the burden on relatives without personal account funds during medical settlements [3]
国务院:大力推进河湖生态保护与建设,支持地方补齐环境基础设施短板,核准浙江三门三期工程等核电项目
Mei Ri Jing Ji Xin Wen· 2025-04-27 15:20
Group 1: Water Environment Protection - The State Council emphasizes the need for enhanced responsibility and mission in water pollution prevention, advocating for precise, scientific, and legal approaches to pollution control [1] - The ecological environment quality has improved significantly due to the "Blue Sky, Clear Water, and Clean Land" campaign, with a focus on addressing black and odorous water bodies and protecting water sources [1][2] - In 2024, the proportion of surface water quality in categories I to III reached 90.4%, an increase of 1.0 percentage points year-on-year, while the proportion of inferior category V water quality decreased to 0.6%, down by 0.1 percentage points [2] Group 2: Source Governance and Ecological Restoration - Future efforts will prioritize source governance over end-of-pipe treatment, integrating ecological considerations into water management, including the transformation of key industries and the recycling of water resources [3] - The meeting highlighted the importance of monitoring and managing pollution sources, particularly from industrial, domestic, and agricultural sectors, to prevent exceeding discharge standards [1][2] Group 3: Child Welfare and Medical Security - The meeting addressed the welfare of disadvantaged children, emphasizing the need for a comprehensive service system that includes basic living guarantees, medical rehabilitation, public education, and psychological support [3] - The draft of the Medical Security Law aims to enhance the medical security policy framework, protect the rights of insured individuals, and strengthen the supervision of medical insurance funds [4] Group 4: Nuclear Power Development - The meeting underscored the necessity of ensuring safety in nuclear power development, mandating adherence to the highest global safety standards in the construction and operation of nuclear power units [4]
国家医保局:开展医保影像云索引上传试点工作
news flash· 2025-04-21 02:21
(一)系统对接。国家医保局依托全国统一的医保信息平台建设医保影像云索引共享模块。试点地区医 保部门统筹指导地方影像云数据共享中心做好与当地医保影像云索引共享模块的对接、联调等工作,做 好技术支撑。 (二)数据上传。按照《影像检查数据上传服务接口文档》(附件1)要求,试点地区医保部门指导当 地医疗机构、检查检验机构将本机构放射检查类项目的原始影像数据、"医保影像云索引"及数据集及 时、准确、规范上传至地方影像云数据共享中心;指导地方影像云数据共享中心将"医保影像云索引"及 数据集上传至当地医保影像云索引共享模块。 (三)数据规范。试点地区医保部门要督导当地医疗机构、检查检验机构严格按照国家制定的《"医保 影像云索引"方案》(附件2)编制及上传"医保影像云索引",并指导地方影像云数据共享中心对机构上 传的"医保影像云索引"进行检查核验。 国家医疗保障局办公室发布关于开展医保影像云索引上传试点工作的通知。根据《放射检查类医疗服务 价格项目立项指南(试行)》中的影像资料上传和价格减收要求,征集有条件的地区开展医保影像云索 引上传试点工作。试点地区医保部门指导当地医疗机构、检查检验机构应用统一的编制方案,编制规 范、准 ...