Recently, the National Medical Insurance Bureau released the statistical bulletin on the development of national medical insurance in 2020. The data shows that in 2020, the number of people participating in the national basic medical insurance is 1, 366,5438+0,000, and the participation rate is stable at over 95%. In terms of direct settlement of medical treatment in different places, in 2020, the number of designated medical institutions for direct settlement of hospitalization expenses in different provinces in China was 444 13, and the number of effective registered people on the national platform was 77 10000.

In the whole year, 5.85 million people were hospitalized in different provinces, of which 3,002,300 were directly settled across provinces, 74.28 billion yuan was directly settled across provinces, and 43.873 billion yuan was paid by the fund. In Beijing-Tianjin-Hebei, Yangtze River Delta, Southwest China and other 12 pilot provinces, the total direct settlement of general outpatient expenses across provinces reached 3.02 million person-times, the total medical expenses reached 746 million yuan, and the medical insurance fund paid 429 million yuan.

Medical treatment in different places is mainly divided into three situations.

First, one-time medical treatment in different places, including emergency treatment during business trips and tourism, leads to the problem that medical expenses cannot be settled in time.

Second, short-term and medium-term mobility. The jobs are not in the insured places for medical treatment in different places, including the personnel stationed in various places of the unit and the local employees of the stationed institutions. Another situation is that the whole unit is in a state of mobility, such as the medical care for employees in the construction industry, and the problems arising are either that they cannot participate in medical insurance or that they have to pay medical expenses in advance.

The third is the medical care of retirees who have been resettled in different places for a long time. Including those whose registered permanent residence is moved from the place of work to the place of resettlement after retirement, and those who rely on their children to move in without registered permanent residence. On the surface, the problem is that the medical settlement is not timely and inconvenient, and the personal burden is heavy. In essence, the medical treatment in a safe place is often better than that in the insured place, and the resettlement personnel feel that the medical treatment is unequal.