Chinanews Client Beijing, January 23 (Reporter Zhang Ni) The reporter learned from the National Medical Insurance Administration that as of the end of December 2020, the number of designated medical institutions for direct settlement of hospitalization expenses across provinces across the country exceeded 44,000, an increase of 60.87 over 2019. %, the direct settlement of general outpatient expenses across provinces has exceeded 3 million.
Data map
According to data from the National Medical Insurance Administration, as of the end of December 2020, the number of designated medical institutions for direct settlement of hospitalization expenses across the provinces was 44,413, an increase of 16,805 over 2019, an increase of 60.87%; 7.71 million people were filed on the national platform, and the total settlement was 724.83. 10,000 person-times; medical expenses were 175.90 billion yuan, the fund paid 103.84 billion yuan, and the fund payment ratio was 59.04%.
From the perspective of cost settlement, in 2020, 3,002,300 person-times were settled, an increase of 282,300 person-times compared with 2019, an increase of 10.38%; medical expenses were 74.28 billion yuan, an increase of 9.46 billion yuan from 2019, an increase of 14.59%; fund payments were 43.873 billion yuan, compared with In 2019, it increased by 5.553 billion yuan, an increase of 14.49%, and the fund payment ratio was 59.06%, the same as in 2019.
At the same time, direct settlement of general outpatient expenses across provinces has been steadily advancing.
As of the end of December 2020, 12 pilot provinces including Beijing-Tianjin-Hebei, the Yangtze River Delta, and the five provinces of southwestern China had totaled 3.02 million direct settlements of general outpatient expenses across the provinces, total medical expenses were 746 million yuan, and medical insurance funds paid 429 million yuan.
In December, direct settlement of ordinary outpatient expenses across the province was 350,000, an increase of 6.1% from the previous month; the medical expenses involved was 86 million, an increase of 4.9% from the previous month; the fund paid 48 million, the same as November; the average daily settlement was 11,271 person-times, and the average cost per visit was 246.14 Yuan, the average payment ratio is 55.81%.
In addition, the nationwide unified online filing pilot areas continued to expand.
In December 2019, the National Medical Insurance Administration launched a national unified online filing service pilot and launched a small program for medical filing in different places.
In December 2020, the pilot of self-service direct settlement services for medical treatment in different places was launched, and online filing services were further upgraded.
Participants can download the national medical insurance service platform APP or search for the country's off-site medical filing mini program in WeChat, and follow the prompts to apply for inter-provincial medical filing online.
As of the end of December 2020, Tianjin, Shanxi, Inner Mongolia, Liaoning, Jilin, Heilongjiang, Jiangsu, Zhejiang, Anhui, Fujian, Jiangxi, Shandong, Hubei, Hunan, Guangdong, Guangxi, Hainan, Chongqing, Sichuan, Shaanxi, Ningxia and Xinjiang, etc. 170 coordinated areas in 22 provinces have been used as pilot areas to carry out a unified national online filing service, successfully handling 64,800 filings. (Finish)