Beijing, October 1st, reporter Wu Jiajia reported: The National Medical Security Administration and the Ministry of Finance have jointly issued the "Notice on Promoting the Pilot Work of Direct Inter-provincial Settlement of Outpatient Expenses", and decided to set up in Beijing, Tianjin, Hebei, Shanghai, Jiangsu, Zhejiang 12 provinces (autonomous regions and municipalities) including Anhui, Chongqing, Sichuan, Guizhou, Yunnan, and Tibet have conducted trials of direct settlement of outpatient expenses across provinces.
Before the end of 2020, summarize the pilot experience that can be replicated and promoted in the first pilot area, relying on the National Medical Insurance Administration Sub-provincial Management Sub-region "National Medical Management System" to further expand the scope of the pilot direct settlement of outpatient expenses across provinces, and explore a unified national The system, operating mechanism and implementation path of cross-provincial direct settlement of outpatient expenses.
The notice requires that 12 pilot provinces (autonomous regions, municipalities) be classified and guided to connect to the national remote medical management system, and further expand the pilot areas, pilot medical institutions and direct settlement scope.
Insist on first intra-provincial and then inter-provincial, general outpatients first and outpatients for chronic diseases, combined with the actual situation of information platform construction in various regions and the requirements of national unified information platform construction, give priority to connecting areas with concentrated medical treatment and high willingness to participate, mature one and include one, Steadily advance the pilot work of direct settlement of outpatient expenses across provinces.
At the same time, other provinces with conditions and willingness can submit a pilot application to the National Medical Insurance Bureau before October 10, complete the system transformation by the end of November, and conduct a trial operation after the National Medical Insurance Bureau accepts it by the end of December.