Li Gang is an employee of a Sichuan Science and technology enterprise stationed in Tianjin. He has always held Chengdu social security card. Originally, he had to pay his own expenses in advance in Tianjin and then go back to Chengdu for reimbursement. Moreover, the money in his medical insurance personal account could not be used when looking at the clinic. Today, more than 90% of the designated medical institutions in Tianjin have opened remote medical clinics for direct settlement. After going through the medical insurance remote medical treatment filing procedures, the insured in other provinces can brush the social security card or sweep the medical insurance electronic voucher in Tianjin for direct settlement. According to the data, in the first October, the direct settlement of hospitalization and outpatient expenses across provinces exceeded 10 million person times, including 3.6368 million person times of hospitalization expenses across provinces, involving 88.035 billion yuan of medical expenses, 51.034 billion yuan of fund payment, and 58.0% of the fund payment proportion; General outpatient expenses were settled directly across provinces for 70300 person times, involving medical expenses of 1.752 billion yuan, fund payment of 962 million yuan, and the fund payment proportion was 54.9%. Promoting the direct settlement of medical expenses of basic medical insurance in different provinces is an important reform measure to improve the medical insurance system and solve the outstanding concerns of the people. Since the beginning of this year, the National Medical Insurance Bureau, the Ministry of Finance and other departments have made great efforts to promote the cross provincial and non local settlement of medical insurance, so that the masses have less travel and more convenient medical treatment. The coverage of medical insurance networking is wider. By the end of October, 31 provinces (autonomous regions and municipalities) and Xinjiang production and Construction Corps had launched the inter provincial direct settlement service of general outpatient expenses, and 433 overall planning areas had been connected, covering 96.0% of the overall planning areas in the country; At least one designated medical institution in 2622 counties (cities, districts and banners) can carry out outpatient inter provincial settlement. Remote medical treatment settlement service is more convenient. It only takes three steps to file first, select a fixed point and card code for medical treatment. The insured in the overall planning area can easily complete the direct settlement of cross provincial and cross provincial medical treatment through the national remote medical treatment filing applet or the national medical insurance service platform app. This service has covered 99.6% of the overall planning areas in the country. Long Xuewen, relevant person in charge of the medical security management center of the National Medical Insurance Bureau, said that in the next step, relevant departments will solidly promote various work to ensure that the direct settlement service of medical expenses across provinces and places is more convenient and efficient, so that the people have more sense of gain, happiness and security. (outlook new era)