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By the end of October 2022, the cumulative direct settlement of inpatient and outpatient expenses across provinces and places exceeded 50 million, and more and more insured people enjoyed the reform dividend
of direct settlement for medical treatment across provinces.
1.
The operation of cross-provincial direct settlement of hospitalization expenses is stable
By the end of October 2022, there were 61,700 designated medical institutions connected across provinces for inpatient expenses nationwide, with a total of 16,392,300 direct settlements
.
From January to October, 4,738,300 hospitalization expenses were directly settled across provinces, and the fund paid 62.
880 billion yuan
.
In October, 500,300 inpatient expenses were directly settled across provinces, and the fund paid 6.
764 billion yuan, down 13.
1% and 14.
4% respectively from the previous month.
The average daily direct settlement is 16,100 person-times, and the average fund payment is 13,500 yuan
.
Since September, due to the impact of the epidemic in various places, the growth rate of hospitalization settlement has slowed down
.
2.
The scope of cross-provincial direct settlement of outpatient expenses has been further expanded
By the end of October 2022, on the basis of full coverage of the overall areas of cross-provincial direct settlement of general outpatient expenses, 97% of the coordinated areas (384) across the country have further started the cross-provincial direct settlement of five outpatient chronic disease-related treatment costs, including hypertension, diabetes, outpatient radiotherapy and chemotherapy for malignant tumors, uremic dialysis, and anti-rejection therapy after organ transplantation
.
There were 78,800 designated medical institutions with cross-provincial network for outpatient expenses (including 11,700 designated medical institutions with inter-provincial network for outpatient chronic diseases), 214,900 designated retail pharmacies, and a total of 36,657,400 direct settlements
.
From January to October, 24,183,700 outpatient expenses were directly settled across provinces, and the fund paid 3.
482 billion yuan, of which 137,300 outpatient chronic disease-related treatment expenses were directly settled across provinces, and the fund paid 133 million yuan
.
In October, 3,556,900 outpatient expenses were directly settled across provinces, and the fund paid 517 million yuan, an increase of 5.
3% and 5.
5% respectively from the previous month.
The average daily direct settlement is 114,700 person-times, and the average fund payment is 145.
35 yuan
.
3.
The national medical insurance service platform APP has further expanded the function of handling medical treatment business in different places
Since 2020, the national medical insurance service platform APP has been launched, continuously expanding the functions
of remote medical filing and related inquiries.
The insured can download the national medical insurance service platform APP, click the "remote filing" column, and obtain the following related services: first, apply for remote medical filing online; The second is to inquire about the service telephone numbers of the coordinated areas, networked designated medical institutions, and handling institutions opened for direct settlement of medical treatment across provinces; The third is to inquire about the "door slow special notice" of the place where the insured has an insurance relationship, the insured's personal qualification for outpatient chronic diseases, and the information of personal cross-provincial direct settlement of medical expenses in the sub-column of "More inquiries for medical treatment in different places
".
In order to allow more insured people to enjoy the convenience of cross-provincial direct settlement of outpatient chronic disease-related treatment costs, we have compiled the "Inter-provincial Direct Settlement Strategy for Outpatient Chronic Disease-related Treatment Expenses", welcome to view
.
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