National Health Insurance Administration: all the general outpatient fees in the coordinated regions are directly settled across provinces to achieve full coverage

2022-05-22 0 By

Recently, the National Medical Insurance Administration released the latest situation of cross-provincial medical settlement.In December 2021, significant progress was made in the direct settlement of out-of-place medical expenses across provinces, covering all 31 provinces (autonomous regions and municipalities directly under the Central Government) and all areas under the overall planning of the Xinjiang Production and Construction Corps.Each province has at least one unified area to launch a pilot project of direct cross-provincial settlement of outpatient treatment expenses related to chronic disease.According to the National Medical Insurance Administration, by the end of December 2021,Beijing, shanxi, Inner Mongolia, liaoning, jilin, heilongjiang, jiangsu, zhejiang, anhui, fujian, jiangxi, shandong, henan, hubei, hunan, guangdong, guangxi, hainan, sichuan, shaanxi, gansu, qinghai, ningxia, xinjiang corps of 24 provinces (autonomous regions and municipalities) and 362 as a whole the area depends on the state of long-distance medical record small program and the national health service platform for the APPFor quick filing service;Ninety regions in 17 provinces (autonomous regions and municipalities), including Tianjin, Hebei, Shanxi, Liaoning, Heilongjiang, Shanghai, Zhejiang, Jiangxi, Shandong, Hubei, Chongqing, Sichuan, Guizhou, Yunnan, Xizang, Shaanxi and Ningxia, have realized the self-service direct settlement service for long-distance medical treatment.A total of 756,000 people have been registered through the unified online filing channels, 10 times that of the same period in 2020.In terms of hospitalization expenses, by the end of December 2021, the number of designated medical institutions with cross-provincial direct settlement of hospitalization expenses was 52,732, an increase of 8,319 or 18.7 percent over 2020.In 2021, 4.4059 million cases of hospitalization expenses were directly settled across provinces, 1.4036 million more than in 2020, an increase of 46.8 percent.Medical expenses involved totaled 107.02 billion yuan, an increase of 32.74 billion yuan or 44.1 percent over 2020;Fund disbursements totaled 62.463 billion yuan, an increase of 18.59 billion yuan or 42.4% over 2020, and the proportion of fund disbursements was 58.4%.In terms of outpatient fees, by the end of December 2021, the number of designated medical institutions with cross-provincial direct settlement of outpatient fees was 45,600.The number of fixed-point retail pharmacies was 82,700;A total of 12.514,400 outpatients were directly settled across provinces.The medical expenses involved were 3.128 billion yuan, and the fund paid 1.75 billion yuan, accounting for 56.0% of the total.The overall settlement scale quadrupled compared with the same period in 2020.In 2021, 9.4960 million cross-provincial outpatient fees were directly settled, involving 2.382 billion yuan of medical expenses, of which 1.321 billion yuan was paid out of funds, accounting for 55.5 percent of the total.Source: CCTV News client Editor: Zhang Xi Editor: Zhou Xiaoxue final: Zhou Jianjun