""National Medical Security Inter-provincial Direct Settlement of Medical Treatment in Different Places * * * Service Information Release

In September p>222, 86.9% of the overall planning areas in China have started the inter-provincial direct settlement of five outpatient chronic and special diseases related treatment expenses, such as hypertension, diabetes, malignant tumor outpatient radiotherapy and chemotherapy, uremia dialysis and anti-rejection treatment after organ transplantation, and the coverage of inter-provincial direct settlement of outpatient expenses has been further expanded.

1. The inter-provincial direct settlement of hospitalization expenses runs stably

By the end of September 222, the number of designated medical institutions with inter-provincial direct settlement of hospitalization expenses nationwide was 61,. From January to September, 4.2388 million person-times of hospitalization expenses were directly settled across provinces, involving 95.228 billion yuan of medical expenses, with 56.116 billion yuan paid by the fund, accounting for 58.9%. In September, 576, hospitalization expenses were directly settled across provinces, involving 13.43 billion yuan of medical expenses, and 7.899 billion yuan was paid by the fund, which decreased by 7.5%, 7.6% and 5.9% respectively from the previous month, and the proportion paid by the fund was 6.6%. The average daily direct settlement is 19,2 person-times, the average medical expenses are 22,6 yuan, and the average fund payment is 13,7 yuan.

Second, the inter-provincial direct settlement of outpatient expenses has achieved remarkable results

By the end of September 222, there were 76,1 designated medical institutions and 21,2 designated retail pharmacies in China. From January to September, 2,626,8 outpatient expenses were directly settled across provinces, involving medical expenses of 4,967 million yuan, and the fund paid 2,965 million yuan, accounting for 59.7%. In September, 3,376,8 outpatient expenses were directly settled across provinces, involving 828 million yuan of medical expenses, and the fund paid 49 million yuan, up 5.3%, 7.7% and 9.1% respectively from the previous month, and the fund paid 59.2%. The average daily direct settlement is 112,6 person-times, the average medical expenses are 245.23 yuan, and the average fund payment is 145.12 yuan.

third, the inquiry function of the national medical insurance service platform APP for settlement of medical treatment in different places has been further expanded

In order to facilitate the insured to directly settle the treatment expenses related to five kinds of outpatient chronic and special diseases in different provinces, the national medical insurance service platform APP has added inquiry functions such as the notice of chronic and special diseases in inter-provincial outpatient clinics. Insured people can download the national medical insurance service platform APP, click on the "Record in Different Places" column, and learn about their qualifications for outpatient chronic diseases and the inter-provincial direct settlement policies and procedures of outpatient chronic diseases related expenses in the sub-column of "More Enquiries in Different Places". At present, the direct settlement of five kinds of outpatient treatment expenses related to chronic and special diseases across provinces and different places is still in the pilot stage. If there are problems in the settlement process, the insured can consult the service hotline of the insured place.