On January 31, the National Health Insurance Bureau announced the situation of direct settlement of medical treatment across provinces and regions in 2022.

In 2022, the direct settlement of medical treatment across provinces and regions across the country achieved phased results. Unify the policy of cross provincial direct settlement for hospitalization, general outpatient service and outpatient service for chronic and special diseases, further expand the coverage of cross provincial direct settlement for medical treatment in different places, and realize that at least one designated medical institution in each county can directly settle medical expenses including outpatient service expenses, including hypertension, diabetes, cancer outpatient service radiotherapy and chemotherapy, uremia dialysis The treatment costs related to five kinds of chronic diseases, such as anti-rejection treatment after organ transplantation, are directly settled across provinces to achieve overall regional coverage. From January to December 2022, the direct settlement of medical treatment across provinces and regions across the country benefited 38.1235 million people, and the fund paid 80.919 billion yuan .

Stable operation of trans-provincial direct settlement of hospital expenses .

As of the end of December 2022, the number of designated medical institutions with inter-provincial network of hospitalization expenses nationwide was 62700. From January to December 2022, 5687900 person-times of inpatient expenses were directly settled across provinces, an increase of 1.282 million person-times or 29.1% over 2021; The fund paid 76.233 billion yuan, an increase of 13.77 billion yuan or 22.1% over 2021.

The scope of direct settlement of outpatient expenses across provinces was further expanded.

As of the end of December 2022, there are 88700 fixed-point medical institutions with outpatient expenses connected across provinces (including 14300 fixed-point medical institutions with outpatient slow special expenses connected across provinces), and 226200 fixed-point retail pharmacies. From January to December, the national out-patient expenses were settled directly across provinces by 32.4356 million person-times, an increase of 20.027 million person-times or 169.6% over 2021; The fund paid 4.685 billion yuan, an increase of 3.006 billion yuan or 179.1% over 2021. Among them, 248200 person-times of outpatient treatment expenses related to chronic and special diseases were directly settled across provinces, and 240 million yuan was paid by the fund.