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国家医保局:近60万人次实现跨省异地就医直接结算

2018-08-16 董童 人民网-人民健康网

15日,国家医疗保障局发布基本医疗保险跨省异地就医住院医疗费用直接结算公共服务信息。截至6月底,全国跨省异地就医定点医疗机构数已破万,备案人数和直接结算量持续快速增长,国家平台累计实现跨省异地就医直接结算59.9万人次。

15日,国家医疗保障局发布基本医疗保险跨省异地就医住院医疗费用直接结算公共服务信息。截至6月底,全国跨省异地就医定点医疗机构数已破万,备案人数和直接结算量持续快速增长,国家平台累计实现跨省异地就医直接结算59.9万人次。

信息显示,在全国所有省级平台、所有统筹地区均已实现与国家异地就医结算系统对接的基础上,跨省异地就医定点医疗机构数量在2018年6月底达到10015家,比上月底增加528家。基层医疗机构覆盖范围继续扩大,二级及以下定点医疗机构7575家,比上月底增加503家。

截至6月底,国家平台累计实现跨省异地就医直接结算59.9万人次,医疗费用150.3亿元,基金支付91.0亿元,基金支付比例60.5%。国家平台备案人数267万。

今年上半年,实现跨省异地就医直接结算45.1万人次,是上年全年的3.1倍;医疗费用112.0亿元,是上年全年的2.9倍;基金支付67.4亿元,是上年全年的2.9倍。次均住院费用2.5万元,次均基金支付1.5万元。日均直接结算2491人次。

此外,今年6月19日单日结算峰值创新高,首次突破5000人,达到5121人,医疗费用1.3亿元,基金支付0.8亿元。

国家平台运行以来,基金支付超过1万元的人次为25.7万人次,超过5万元为3.3万人次,超过10万元为5134人次。单笔最高基金支付金额为87.1万元。

据国家医疗保障局介绍,参保人可通过社会保险网上查询系统(http://si.12333.gov.cn)查询自己的备案情况。参保人完成异地备案手续后,相关备案信息会同步上传至国家异地就医结算系统。参保人若能在该网站上注册、查到个人备案信息,说明备案成功。

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    2018-10-13 vividelife
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    2019-04-24 d830385
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    2018-08-16 131****1460

    学习了受益匪浅

    0

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跨省就医结算将有财政专户

5月10日,国家卫生计生委、财政部联合发布通知,要求各省(区、市)将新农合异地就医结算资金纳入财政部门按规定开设的社会保障基金财政专户中分账核算、单独记息,实现在财政专户中归集辖区内各统筹地区异地就医结算资金,并用于参合人员在省内异地和跨省就医费用的结算。

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