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跨省就医直接结算覆盖4类人群

2017-09-27 叶龙杰 健康报

9月26日,人力资源和社会保障部召开新闻发布会指出,全国跨省异地就医直接结算工作顺利推进,已全面联通所有统筹地区,覆盖城镇职工、城乡居民各类医保制度,服务异地安置退休、异地长期居住、常驻异地工作和异地转诊4类跨省就医人群,开通了7226家跨省异地就医住院医疗费用直接结算定点医疗机构,基本覆盖了各地承担跨省异地就医任务比较重的医疗机构,全国88%的三级定点医院已联接入网。

9月26日,人力资源和社会保障部召开新闻发布会指出,全国跨省异地就医直接结算工作顺利推进,已全面联通所有统筹地区,覆盖城镇职工、城乡居民各类医保制度,服务异地安置退休、异地长期居住、常驻异地工作和异地转诊4类跨省就医人群,开通了7226家跨省异地就医住院医疗费用直接结算定点医疗机构,基本覆盖了各地承担跨省异地就医任务比较重的医疗机构,全国88%的三级定点医院已联接入网。

人社部社会保险事业管理中心主任唐霁松表示,该部已建成国家异地就医结算系统,并制定了全国统一的跨省异地就医联网技术标准和业务规范,实现了以登记备案为入口,出院结算为出口的“信息流、业务流、资金流”全程线上流转,异地就医参保人员能够迅速完成直接结算程序。
人社部统计,异地就医结算的群体呈现出多样性,目前,异地安置的退休人员占整个人群的39%,异地长期居住人员占10.3%,常驻异地工作人员或在外地急诊就医人员占1.6%,异地转诊人员占49.1%。人社部医疗保险司副司长颜清辉表示,参保人员只要按规定进行备案,履行相应手续,都可享受跨省异地住院费用直接结算。

据介绍,当前需要跨省异地就医并备案的参保人员达到162万人,各省归集跨省异地就医预付金8.8亿元。实现跨省住院医疗费用直接结算4.1万人次,基金支付5.6亿元,平均为每人次患者减少垫付1.36万元。直接结算人次数快速增加,单日结算已突破***,每日直接结算资金超过2000多万元。

人社部强调,跨省异地就医群众需要重点把握的环节可以概括为先备案、选定点、持卡就医,一定要用社会保障卡办理入院和结算。截至今年8月底,全国统一标准的社会保障卡持卡人数已达到10.33亿人,覆盖了全国74.7%的人口。

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    2018-03-31 vividelife
  2. [GetPortalCommentsPageByObjectIdResponse(id=1670238, encodeId=1e1516e0238ed, content=<a href='/topic/show?id=c50be87281c' target=_blank style='color:#2F92EE;'>#结算#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78728, encryptionId=c50be87281c, topicName=结算)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=178c26602075, createdName=vividelife, createdTime=Sat Mar 31 19:32:00 CST 2018, time=2018-03-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1769863, encodeId=3e1e1e6986332, content=<a href='/topic/show?id=e46993109c3' target=_blank style='color:#2F92EE;'>#跨省#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93109, encryptionId=e46993109c3, topicName=跨省)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9f7438117512, createdName=d830385, createdTime=Fri Apr 06 23:32:00 CST 2018, time=2018-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=248273, encodeId=c0092482e3d9, content=学习了受益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Wed Sep 27 20:15:16 CST 2017, time=2017-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=248272, encodeId=fd092482e2fb, content=学习了受益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Wed Sep 27 20:14:37 CST 2017, time=2017-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=248238, encodeId=480b24823844, content=不错的.学习了.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Wed Sep 27 18:30:48 CST 2017, time=2017-09-27, status=1, ipAttribution=)]
    2018-04-06 d830385
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    2017-09-27 131****1460

    学习了受益匪浅

    0

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    2017-09-27 131****1460

    学习了受益匪浅

    0

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    2017-09-27 中医痴

    不错的.学习了.谢谢分享.

    0

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