First of all, the direct settlement for medical treatment in different places is a response to the ? Difficulty in obtaining medical treatment in a different place? The direct policy response to the problem has some impact. It is not only directly related to the people's sense of access and happiness, but also a policy tool to force the reform of the medical security system and promote urban-rural integration. It has important political significance. From inpatient to outpatient, the policy of settlement for medical treatment in different places is constantly updated and improved, and moves frequently. Due to the large differences in the level of economic development, medical service technology and fund operation in different regions, the three major catalogs of basic medical insurance are not unified in different regions, and the corresponding financing levels, starting points, ceilings, reimbursement and other ratios are also different.
And then there is a certain impact on the expansion of medical coverage. Further expanding the coverage of designated medical institutions, focusing on the promotion of rural migrant workers concentrated areas of primary health care institutions for medical care; policy, continue to promote the full coverage of cross-provincial remote medical settlement, to provide urban and rural residents to provide convenient and efficient services, standardize the transfer of medical care abroad, reduce errands.
Secondly, it has an impact on the promotion of the national network of medical insurance and the direct settlement of medical treatment in other places. With the strong support of the relevant departments, human resources and social departments at all levels have overcome difficulties and accelerated progress. The national network and cross-provincial medical settlement are progressing smoothly. The highway is said to have been repaired, and all eligible participants can realize direct settlement of hospitalization expenses across provinces and in other places through the system, without having to advance their own funds and then return to the place of participation for reimbursement.
It is important to know that there is no unified code for medicines, consumables, and diagnostic and therapeutic items in the national health insurance, and the names of diagnostic and therapeutic items are inconsistent. Taking into account these constraints, based on the experience of some places in carrying out the work of direct settlement of medical treatment in different places within the province, the state has determined the ? The catalog of medical places, the policy of participating places, and the management of medical places? that are constantly being improved. The problem of inconsistent standards has minimized the workload of medical insurance and medical institution information system transformation. In accordance with the model of the direct settlement system for hospitalization costs, the pilot work of direct settlement of outpatient costs across provinces is progressing smoothly.