Cross -provincial medical treatment directly settle in the Yangtze River Delta first Shanghai Jing'an to Hangzhou single settlement for only 3 minutes

Zhejiang News Client reporter Zheng Wen

On July 26, the State Medical Insurance Bureau and the Ministry of Finance issued the "Notice on Further Doing a Basic Medical Insurance Cross -Provincial Different Place Different Settlement Work", which aims to crack the problems and difficulties in the case of incomparable medical records in different places, which has aroused widespread concern.

The reporter learned from the Zhejiang Provincial Medical Insurance Bureau that in recent years, Zhejiang has actively promoted the direct settlement of the Yangtze River Delta outpatient expenses on the basis of the direct settlement of inter -provincial hospitalization expenses. As of the end of June 2022, a total of 4.826 million people had been hospitalized in the long -term outpatient clinic of the Yangtze River Delta, and the cumulative settlement of medical expenses reached 16.8 billion yuan.

Direct settlement for medical treatment is an important reform measure to improve the medical insurance system and solve the outstanding concerns of the people. It not only reduces the burden of medical treatment for medical treatment, but also reduces the risk of cross -infection in the context of the normalized epidemic prevention and control.

At present, the three provinces and one city of the Yangtze River Delta have fully realized the outpatient costs across provinces and interconnection, and took the lead in achieving regional outpatient expenses across the country across the provincial networking, making breakthroughs in cracking on the problem of medical treatment. The settlement provides a sample.

For a long time, the people participating in the insurance have faced problems such as timely and labor -intensive fees for the transfer of medical insurance relations. One of the reasons is that there are many direct settlement processes in cross -provinces and different places. A direct settlement of a number of agencies and settlement platforms that involve patients with medical treatment and insurance areas are prone to information congestion, resulting in settlement "card shells". Essence

To this end, Zhejiang Province takes digital reform as a traction to achieve the "single -point login and full online processing" of the transition of medical insurance relations between the Yangtze River Delta across provinces. The transfer continues "free materials", "not seeing", "zero -time".

As of the end of June 2022, Zhejiang Province had accumulated a total of 9,770 people's transfer of medical insurance relations in the Yangtze River Delta, 7,826, and the settlement rate was 80.1%. The average time limit was 3.2 working days, which was far lower than the national regulations. Among them, only 3 minutes to settle in Hangzhou in Jing'an District, Shanghai.

In addition, in order to give the masses more sense of medical treatment, our province implements a medical insurance payment incentive mechanism and supports the inspection and inspection results to recognize and shared each other. The medical insurance departments at all levels strictly implement the incentive and restraint mechanism of "balance reservation and overdue sharing". They do not reduce the total amount of regional budgets and a single medical institution budget in the year due to the decline in the inspection and inspection results.

The direct settlement of medical treatment in the Yangtze River Delta has achieved remarkable results. What are the difficulties of blocking? The reporter found that due to the different catalogs and different reimbursement scope of outpatient diseases in the three provinces and one city, the insured persons cannot directly settle all the disease costs when they seek medical treatment across the province.

In this regard, the relevant person in charge of the Zhejiang Provincial Medical Insurance Bureau said that the next step will promote direct settlement of slow special diseases of outpatient clinics, accelerate the combing and returning of the special diseases of the clinic, and achieve hypertension, diabetes, and malignant tumor outpatient chemotherapy before the end of the year. Five people with high voices and strong outpatient diseases such as ureter dialysis and organ transplantation after surgery, and direct settlement of slow special diseases that reflect strong outpatients and reflects strong reflection, so that the Yangtze River Delta region of the population and designated medical institutions is fully covered.

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