医保基金即时结算服务

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河北医保基金即时结算超20亿元
news flash· 2025-05-18 01:28
Core Viewpoint - The implementation of instant settlement for medical insurance funds in Hebei Province is a significant reform aimed at improving the efficiency of healthcare financing and ensuring timely payments to medical institutions [1] Group 1: Medical Insurance Fund - The medical insurance fund is described as "life-saving money" for the public, serving as a crucial source of funding for medical services and pharmaceutical products [1] - As of May 8, a total of 20.17 billion yuan has been allocated to 18,413 designated medical institutions [1] Group 2: Instant Settlement Reform - The instant settlement reform is highlighted as an important initiative in this year's medical insurance reform efforts [1] - The reform allows for daily reimbursement of medical expenses to designated medical institutions, enhancing cash flow and operational efficiency [1]
103个统筹地区先行先试 加快推进医保基金即时结算改革
Zheng Quan Shi Bao Wang· 2025-03-11 09:37
Core Viewpoint - The National Healthcare Security Administration (NHSA) has initiated reforms to promote the immediate settlement of basic medical insurance funds, aiming to enhance the efficiency of fund allocation and payment systems [1] Group 1: Policy Implementation - The NHSA issued a notice on January 9, 2025, to advance the reform of immediate settlement for basic medical insurance funds, requiring provinces to strictly implement prepayment of insurance funds [1] - Various provinces are adopting different methods to shorten the settlement cycle and increase the frequency of fund disbursement while ensuring the safety of the insurance fund [1] Group 2: Progress and Coverage - As of the end of February, 103 regions have implemented immediate settlement, representing 26% of the total regions, covering 43,700 designated medical institutions and 67,600 designated pharmacies [1] - The total amount disbursed through immediate settlement reached 38.731 billion yuan [1] Group 3: Provincial Initiatives - Provinces such as Anhui, Shandong, Guangdong, Henan, and Qinghai have taken the lead in issuing provincial-level immediate settlement documents [1] - Anhui was the first province to launch the reform, with 569 medical institutions providing immediate settlement services, serving 202,300 patients, and disbursing 472 million yuan in insurance funds [1]