With the continuous advancement of cross-provincial and remote settlement of medical insurance in my country, the common people found that there are more and more medical institutions to choose from when handling the settlement of inpatient, general outpatient and outpatient chronic and special diseases, and the filing is more and more convenient. It is no longer necessary to rush between the place where the insurance is insured and the place for medical treatment, which greatly reduces the pressure on patients to advance funds.
Hospitalization expenses are directly settled across provinces and networked designated medical institutions have reached 57,300 nationwide by the end of April
58-year-old Yu Dianbin was found to have lung cancer when he sought medical treatment in his hometown of Inner Mongolia. In order to facilitate the care, her daughter took her father to Jinan, Shandong, and filed a medical insurance record there. After the filing is completed, the medical insurance expenses can be settled in real time.
Yu Dianbin: Now the reimbursement is also very happy. I can be discharged at any time and reimburse the expenses at any time. Now it has helped us a lot in terms of money, time, and manpower, and it has relieved a lot of pressure.
Lu Chuanai, Director of the Medical Insurance Price Department of Shandong Cancer Hospital:The registered out-of-province patients can directly seek medical treatment in the hospital for settlement and reimbursement, and achieve the goal of reimbursement wherever they seek medical treatment. At present, our hospital has settled nearly 16,000 cross-provincial inpatients, reducing the advance payment for these patients by about 170 million yuan.
According to the data provided by the National Medical Insurance Bureau, at present, the cross-provincial direct settlement of hospitalization expenses has been connected to 57,300 designated medical institutions, basically covering all first- to third-level designated hospitals, with a total of 13.2496 million direct settlements, involving 319.378 billion yuan in medical expenses. The fund paid 187.391 billion yuan, reducing the advance payment of patients by about 14,000 yuan each time; the cross-provincial direct settlement of general outpatient expenses has been connected to 188,300 designated medical institutions, and more than 96% of the counties have at least one designated medical institution that can directly settle general outpatient clinics across provinces Expenses, accumulative direct settlement of 19.1893 million person-times. In addition, for outpatient chronic and special diseases with high frequency of medical treatment, long treatment cycle and heavy cost burden, the pilot scope has been further expanded on the basis of the previous five provinces in the southwest. Currently, 74 medical insurance co-ordination areas have achieved outpatient services for hypertension, diabetes, and malignant tumors. Cross-province direct settlement of 5 outpatient chronic and special diseases, including radiotherapy and chemotherapy, dialysis for uremia, and anti-rejection treatment after organ transplantation, further reduces the burden of people seeking medical care in different places.
The direct settlement of medical insurance across provinces and other places continued to advance. As of the end of April, 41.1713 million person-times of medical treatment in different places were recorded.
As of the end of April this year, the national medical insurance system has completed a total of 41.1713 million medical records in different places, of which 30.3403 million patients seeking medical treatment across provinces can enjoy real-time medical insurance reimbursement at designated medical institutions in non-insured places, reducing the need for patients to travel back and forth and pay in full. pressure.
Kong Xianghui, a staff member of the Outpatient Treatment Service Department of Jinan Medical Insurance Center: We have established remote medical treatment filing modes such as in-person office, online office, telephone office, etc., and opened the national medical insurance service platform for cross-provincial medical treatment filing self-service. By reducing the application materials, canceling the paper materials, and canceling the manual review process, the timeliness and flexibility of business processing can be effectively improved, and the “universal processing within the province” and “universal processing across provinces” can be achieved.
In the remote medical treatment record column of the APP of the National Medical Insurance Service Platform, you can inquire about the cross-provincial direct settlement of inpatient, general outpatient and outpatient chronic and special diseases opened by designated medical institutions in all coordinating regions across the country, the contact information of medical insurance agencies, and the inquiry of direct settlement costs for medical treatment in other places. As well as information such as system shutdown announcements in various places. In addition, the state has continuously improved the awareness rate and satisfaction of the insured people on the settlement policy for medical treatment in other places by regularly releasing public information and opening a column for interpretation of the settlement policy for medical treatment in other places. (Reporter Zhang Ping Yizhe)