On the 31st, the National Medical Insurance Bureau announced the latest situation related to direct settlement of medical treatment in different places. In the second quarter of 2023, there will be 28.5413 million direct settlements for inter-provincial medical treatment, reducing personal advance payment by 39.41 billion yuan, an increase of 46.02% and 32.63% compared with the first quarter.
1. The scale of inter-provincial direct settlement of hospitalization expenses has further increased
As of the end of the second quarter of 2023, there are 74,400 designated medical institutions across the country for hospitalization expenses across provinces, an increase of 6,900 from the end of the first quarter. In the second quarter of 2023, 2.8257 million person-times of hospitalization expenses were directly settled across provinces, reducing personal advance payments by 35.431 billion yuan, an increase of 32.94% and 31.84% respectively from the first quarter.
2. The scope of direct settlement of outpatient expenses across provinces has been further expanded
At present, all coordination areas have opened direct settlement services for general outpatient expenses across provinces and five outpatient chronic special diseases, including hypertension, diabetes, malignant tumor outpatient radiotherapy and chemotherapy, uremia dialysis, and anti-rejection treatment after organ transplantation Cross-provincial direct settlement service for related treatment expenses. By the end of the second quarter of 2023, there will be 151,100 designated cross-provincial networked medical institutions for general outpatient expenses, 38,700 cross-provincial networked designated medical institutions for outpatient chronic and special treatment expenses, and 38,700 cross-provincial networked designated retail pharmacies. 279,000, an increase of 28.92%, 75.91% and 12.77% respectively compared with the end of the first quarter.
In the second quarter of 2023, there will be 25.7156 million direct settlements of outpatient expenses across provinces across the country, reducing personal advance payments by 3.979 billion yuan, an increase of 47.61% and 40.11% respectively compared with the first quarter. Among them, 18.8674 million person-times of general outpatient services across the country were directly settled across provinces, reducing personal advances by 2.645 billion yuan, an increase of 49.64% and 36.76% compared with the first quarter; The advance payment was 554 million yuan, an increase of 89.46% and 97.86% respectively compared with the first quarter; 6.2516 million direct settlements were made at designated retail pharmacies in cross-provincial networks across the country, reducing personal advance payment by 780 million yuan, an increase of 39% and 24.6% respectively compared with the first quarter.
3. Further expansion of the national unified online filing service
At present, all employee medical insurance and resident medical insurance participants can use the National Medical Insurance Service Platform App and the WeChat official account of the National Medical Insurance Bureau to achieve online filing for medical treatment across provinces and places. At the same time, the online query function has gradually expanded from inter-provincial networked designated medical institutions, medical insurance agency consultation service telephones, outage announcements to popular information query services, to individual insured outpatient chronic special disease qualifications, outpatient chronic special disease cross-provincial network notification Personalized information inquiry services such as personal inter-provincial settlement fees. In the second quarter of 2023, 1.7698 million people were successfully filed through the national unified online filing channel.
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