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    Home > Medical News > Latest Medical News > National Medical Insurance Bureau: The coverage of cross-provincial direct settlement of outpatient expenses is further expanded

    National Medical Insurance Bureau: The coverage of cross-provincial direct settlement of outpatient expenses is further expanded

    • Last Update: 2022-05-13
    • Source: Internet
    • Author: User
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    The reporter learned from the National Medical Insurance Bureau a few days ago that the coverage of direct settlement of outpatient expenses across provinces has been further expanded
    .
    As of March this year, 72 coordinating regions across the country have initiated cross-provincial direct settlement of 5 outpatient chronic diseases-related treatment costs, including hypertension, diabetes, and malignant tumor outpatient chemoradiotherapy, uremia dialysis, and anti-rejection treatment after organ transplantation.
    Pilot
    .
     
    It is reported that in order to solve the problems of "advancement" and "running errands" for insured persons, the state launched the direct settlement policy for medical treatment in different places in 2016, which was implemented step by step according to the idea of ​​"first inpatient, then outpatient; first within the province, and then across the province".

    .
     
    At present, the inter-provincial direct settlement of hospitalization expenses has covered all provinces, all co-ordinated regions, all types of insured persons and major people going out, and the operation of inter-provincial direct settlement of hospitalization expenses is stable
    .
    As of the end of March, cross-provincial direct settlement of hospitalization expenses across the country had been connected to 55,500 designated medical institutions; that year, the cumulative cross-provincial direct settlement of hospitalization expenses was 1.
    2237 million, involving 28.
    106 billion yuan in medical expenses, 16.
    152 billion yuan in fund payments, and a fund payment ratio of 57.
    5 percent.
    %
    .
     
      In terms of outpatient clinics, as of the end of March, 57,200 designated medical institutions and 103,600 designated retail pharmacies had been directly settled across the country for outpatient outpatient expenses .
    The accumulative cross-provincial direct settlement of outpatient expenses in the year was 5,000,100, involving 1.
    249 billion yuan in medical expenses.
    The fund paid 731 million yuan, and the fund payment ratio was 58.
    5%
    .
     
      According to the current system design, when the insured seeks medical treatment in a different place, they generally follow the process of "record first, select a point, and use the card code to seek medical treatment"
    .
    At present, in the off-site medical recordation column of the National Medical Insurance Service Platform APP, you can inquire about the cross-province direct settlement of inpatient, general outpatient and outpatient chronic and special diseases opened by designated medical institutions in each coordinating area , the contact information of medical insurance agencies, and the shutdown of local systems.
    announcements,
    etc.
    From January to March this year, 443,700 person-times have been successfully filed through the national unified online filing channel
    .
     
      Previously, the "Opinions on the Implementation of the "Government Work Report" on the Division of Key Work issued by the State Council made it clear that in 2022, it is necessary to continue to promote and improve the direct settlement method across provinces, and to introduce relevant policies before the end of June this year
    .
     
      In the next step, the National Medical Insurance Bureau will promote the online and offline "cross-provincial handling" of inpatient and outpatient expenses for cross-provincial settlement
    .
    The policy of inter-provincial direct settlement of hospitalization expenses will be further improved to facilitate the registration of insured people in different places, and the rate of inter-provincial direct settlement of hospitalization expenses will be steadily increased, striving to reach more than 70% by the end of the "14th Five-Year Plan"
    .
    At the same time, within the year, we will make every effort to realize that at least one designated medical institution in each county can provide cross-provincial direct settlement services for medical expenses including outpatient expenses, and basically realize the cross-provincial direct settlement of the above-mentioned five major outpatient chronic diseases.
    The settlement and coordinating area will be fully covered, and the goal of cross-provincial direct settlement or online sporadic reimbursement of related treatment costs for other outpatient chronic and special diseases will be promoted
    .
      The reporter learned from the National Medical Insurance Bureau a few days ago that the coverage of direct settlement of outpatient expenses across provinces has been further expanded
    .
    As of March this year, 72 coordinating regions across the country have initiated cross-provincial direct settlement of 5 outpatient chronic diseases-related treatment costs, including hypertension, diabetes, and malignant tumor outpatient chemoradiotherapy, uremia dialysis, and anti-rejection treatment after organ transplantation.
    Pilot
    .
     
      It is reported that in order to solve the problems of "advancement" and "running errands" for insured persons, the state launched the direct settlement policy for medical treatment in different places in 2016, which was implemented step by step according to the idea of ​​"first inpatient, then outpatient; first within the province, and then across the province".

    .
     
      At present, the inter-provincial direct settlement of hospitalization expenses has covered all provinces, all co-ordinated regions, all types of insured persons and major people going out, and the operation of inter-provincial direct settlement of hospitalization expenses is stable
    .
    As of the end of March, cross-provincial direct settlement of hospitalization expenses across the country had been connected to 55,500 designated medical institutions; that year, the cumulative cross-provincial direct settlement of hospitalization expenses was 1.
    2237 million, involving 28.
    106 billion yuan in medical expenses, 16.
    152 billion yuan in fund payments, and a fund payment ratio of 57.
    5 percent.
    %
    .
     
      In terms of outpatient clinics, as of the end of March, 57,200 designated medical institutions and 103,600 designated retail pharmacies had been directly settled across the country for outpatient outpatient expenses .
    The accumulative cross-provincial direct settlement of outpatient expenses in the year was 5,000,100, involving 1.
    249 billion yuan in medical expenses.
    The fund paid 731 million yuan, and the fund payment ratio was 58.
    5%
    .
     
      According to the current system design, when the insured seeks medical treatment in a different place, they generally follow the process of "record first, select a point, and use the card code to seek medical treatment"
    .
    At present, in the off-site medical recordation column of the National Medical Insurance Service Platform APP, you can inquire about the cross-province direct settlement of inpatient, general outpatient and outpatient chronic and special diseases opened by designated medical institutions in each coordinating area , the contact information of medical insurance agencies, and the shutdown of local systems.
    announcements,
    etc.
    From January to March this year, 443,700 person-times have been successfully filed through the national unified online filing channel
    .
     
      Previously, the "Opinions on the Implementation of the "Government Work Report" on the Division of Key Work issued by the State Council made it clear that in 2022, it is necessary to continue to promote and improve the direct settlement method across provinces, and to introduce relevant policies before the end of June this year
    .
     
      In the next step, the National Medical Insurance Bureau will promote the online and offline "cross-provincial handling" of inpatient and outpatient expenses for cross-provincial settlement
    .
    The policy of inter-provincial direct settlement of hospitalization expenses will be further improved to facilitate the registration of insured people in different places, and the rate of inter-provincial direct settlement of hospitalization expenses will be steadily increased, striving to reach more than 70% by the end of the "14th Five-Year Plan"
    .
    At the same time, within the year, we will make every effort to realize that at least one designated medical institution in each county can provide cross-provincial direct settlement services for medical expenses including outpatient expenses, and basically realize the cross-provincial direct settlement of the above-mentioned five major outpatient chronic diseases.
    The settlement and coordinating area will be fully covered, and the goal of cross-provincial direct settlement or online sporadic reimbursement of related treatment costs for other outpatient chronic and special diseases will be promoted
    .
      The reporter learned from the National Medical Insurance Bureau a few days ago that the coverage of direct settlement of outpatient expenses across provinces has been further expanded
    .
    As of March this year, 72 coordinating regions across the country have initiated cross-provincial direct settlement of 5 outpatient chronic diseases-related treatment costs, including hypertension, diabetes, and malignant tumor outpatient chemoradiotherapy, uremia dialysis, and anti-rejection treatment after organ transplantation.
    Pilot
    .
     
      It is reported that in order to solve the problems of "advancement" and "running errands" for insured persons, the state launched the direct settlement policy for medical treatment in different places in 2016, which was implemented step by step according to the idea of ​​"first inpatient, then outpatient; first within the province, and then across the province".

    .
     
      At present, the inter-provincial direct settlement of hospitalization expenses has covered all provinces, all co-ordinated regions, all types of insured persons and major people going out, and the operation of inter-provincial direct settlement of hospitalization expenses is stable
    .
    As of the end of March, cross-provincial direct settlement of hospitalization expenses across the country had been connected to 55,500 designated medical institutions; that year, the cumulative cross-provincial direct settlement of hospitalization expenses was 1.
    2237 million, involving 28.
    106 billion yuan in medical expenses, 16.
    152 billion yuan in fund payments, and a fund payment ratio of 57.
    5 percent.
    %
    .
     
      In terms of outpatient clinics, as of the end of March, 57,200 designated medical institutions and 103,600 designated retail pharmacies had been directly settled across the country for outpatient outpatient expenses .
    The accumulative cross-provincial direct settlement of outpatient expenses in the year was 5,000,100, involving 1.
    249 billion yuan in medical expenses.
    The fund paid 731 million yuan, and the fund payment ratio was 58.
    5%
    .
    pharmacy pharmacy pharmacy
     
      According to the current system design, when the insured seeks medical treatment in a different place, they generally follow the process of "record first, select a point, and use the card code to seek medical treatment"
    .
    At present, in the off-site medical recordation column of the National Medical Insurance Service Platform APP, you can inquire about the cross-province direct settlement of inpatient, general outpatient and outpatient chronic and special diseases opened by designated medical institutions in each coordinating area , the contact information of medical insurance agencies, and the shutdown of local systems.
    announcements,
    etc.
    From January to March this year, 443,700 person-times have been successfully filed through the national unified online filing channel
    .
    medicine medicine medicine
     
      Previously, the "Opinions on the Implementation of the "Government Work Report" on the Division of Key Work issued by the State Council made it clear that in 2022, it is necessary to continue to promote and improve the direct settlement method across provinces, and to introduce relevant policies before the end of June this year
    .
     
      In the next step, the National Medical Insurance Bureau will promote the online and offline "cross-provincial handling" of inpatient and outpatient expenses for cross-provincial settlement
    .
    The policy of inter-provincial direct settlement of hospitalization expenses will be further improved to facilitate the registration of insured people in different places, and the rate of inter-provincial direct settlement of hospitalization expenses will be steadily increased, striving to reach more than 70% by the end of the "14th Five-Year Plan"
    .
    At the same time, within the year, we will make every effort to realize that at least one designated medical institution in each county can provide cross-provincial direct settlement services for medical expenses including outpatient expenses, and basically realize the cross-provincial direct settlement of the above-mentioned five major outpatient chronic diseases.
    The settlement and coordinating area will be fully covered, and the goal of cross-provincial direct settlement or online sporadic reimbursement of related treatment costs for other outpatient chronic and special diseases will be promoted
    .
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