Not long ago, good news came from the National Medical Insurance Bureau: after more than two years, the national unified medical security information platform has been basically completed. At present, the medical insurance information platform has been launched in 31 provinces and Xinjiang production and Construction Corps, effectively covering about 400000 designated medical institutions and about 400000 designated retail pharmacies, and providing high-quality medical insurance services for 1.36 billion insured people. This has laid a solid foundation for more convenient and efficient direct settlement of medical expenses across provinces and regions. With the increasingly frequent work and life in different places and cross regional business activities of enterprises, people's demand for medical treatment in different places is also increasing. How to enable the masses to "see a doctor" and "look after a doctor" in different places is related to the well-being of hundreds of millions of people. Promoting the direct settlement of cross provincial medical expenses of basic medical insurance is conducive to solving the problems of high inter provincial medical expenses, long reimbursement cycle and round-trip travel of insured personnel. It is an important reform measure to improve the medical insurance system and solve the outstanding concerns of the people. From inpatient expenses to outpatient expenses, from advance reimbursement to direct settlement without card, the direct settlement of general outpatient expenses across provinces has also been promoted from regional pilot to comprehensive. In recent years, China's medical insurance direct settlement system for cross provincial and non local medical treatment has been gradually improved, with expanding coverage, increasing settlement projects and benefiting more people. According to the data, in 2021, the direct inter provincial settlement of inpatient expenses across the country benefited 4.406 million people in hospital, and the direct inter provincial settlement of general outpatient expenses benefited nearly 10 million people in outpatient service. In order to make people less errands, the medical insurance information platform launched the cross provincial and non local medical treatment management subsystem, and the non local medical treatment filing and settlement realized online processing, further improving the medical insurance service experience. The hope of the people and the direction of the government. At present, China's inter provincial floating population has reached 120million. This year's "government work report" put forward: "improve the direct settlement method for cross provincial and non local medical treatment, and realize the basic unification of the scope of Medicare medication throughout the country." By the end of April 2022, 74 overall planning regions across the country have launched the pilot of cross provincial direct settlement of treatment costs related to five kinds of outpatient chronic diseases, such as hypertension and diabetes. The cross provincial direct settlement of inpatient costs across the country has connected 57300 designated medical institutions, and the cross provincial direct settlement of outpatient costs has connected 61000 designated medical institutions and 127300 designated retail pharmacies. More convenient reimbursement procedures and further expanded coverage have continuously improved the people's sense of medical treatment. It should also be noted that with the continuous development of the economy and society and the increasing diversification of the medical needs of the people, the demand for medical treatment in different places of the insured people has "increased", but there are still differences in the medical insurance reimbursement policies, coverage and level in different places. This means that the direct settlement of inpatients and outpatients nationwide is difficult to achieve overnight. In real life, people will encounter some problems when making direct settlement for cross provincial and non local medical treatment. Among them, there are not only technical problems such as unclear filing process and complicated material application procedures, but also actual situations such as inconsistent standards for settlement. Reform shows courage only when it is difficult. With the in-depth development of direct settlement of cross provincial and non local medical treatment, more "hard bones" are bound to be encountered. We must face the difficulties and constantly innovate the system and mechanism. The National Medical Insurance Bureau will guide the pilot areas to speed up the transformation of information systems and expand the pilot scope of cross provincial direct settlement of outpatient treatment costs related to chronic diseases; Anhui, Hainan and other provinces have carried out pilot exploration of "compensation for differences in treatment" to ensure that the treatment level of direct settlement of medical treatment in different places after compensation is not lower than or close to the treatment level of manual reimbursement... These efforts are aimed at solving various problems faced by cross provincial settlement and making it easier for people to seek medical treatment to a greater extent. In fact, a direct settlement often needs to go through the national, provincial, municipal and other multi-level medical insurance agencies and medical institutions, and any poor operation of any link will affect the direct settlement. Only by paying close attention to all links, constantly opening up the blocking points, breaking the pain points and solving the difficulties, can the "highway" for direct settlement of medical treatment in different places be smoother and better meet the expectations of the people. Today, China has built the world's largest basic medical security network covering all the people. There is no end to ensuring and improving people's livelihood, only a continuous new starting point. Focusing on the expectations of the people, we will deepen the reform of the medical insurance system, do our best and do what we can, and we will be able to weave the medical security network more closely and firmly, better protect people's life safety and health, and provide strong support for building a healthy China. (Xinhua News Agency)