On the 26th, the national medical insurance administration and the Ministry of Finance issued the notice on Further Doing a good job in the direct settlement of cross provincial and cross provincial medical treatment, deepening the reform of direct settlement of cross provincial and cross provincial medical treatment, and solving the blocking points and difficult problems such as inconvenient filing of cross provincial medical treatment. Promoting the direct settlement of medical expenses across provinces is an important reform measure to improve the medical insurance system and solve the outstanding concerns of the people. The notice clearly defines the objectives and tasks of the "14th five year plan" for direct settlement of cross provincial and cross provincial medical treatment. By the end of 2025, the system of direct settlement of cross provincial and cross provincial medical treatment and the handling management service system will be more perfect, the supporting role of the national unified medical insurance information platform will continue to be strengthened, the national settlement capacity of cross provincial medical treatment will be significantly improved, and the cross provincial direct settlement rate of hospitalization expenses will be increased to more than 70%, The number of designated medical institutions with inter provincial networking of general outpatient services has doubled, etc. The notice unified the policies of direct inter provincial settlement of inpatient, general outpatient and outpatient chronic and special disease expenses, and made it clear that in principle, the fund payment policy of "directory of medical treatment places and policy of insured places" should be implemented in the direct inter provincial settlement; "Filing first, selecting fixed points, and getting medical treatment with code card" remote medical treatment management service process; "Prepayment before liquidation" requirements for the management of funds for medical treatment in other places. The notice further standardized the policy of medical treatment filing in different places, including expanding the scope of medical treatment filing personnel in different places to cross provincial emergency personnel and non emergency personnel without referral; The valid period of unified filing, during which the insured can see a doctor for many times and enjoy direct settlement services; Support the insured to enjoy treatment in both the place of filing and the place of insurance. In addition, the notice standardized the scope of direct settlement services of designated medical institutions, and included the emergency rescue costs, out of hospital examination and treatment during hospitalization, and the costs of trauma without third-party responsibility that met the local management regulations into the scope of direct settlement of cross provincial and non local medical treatment. The insured is allowed to make up the registration of non local medical treatment before discharge settlement, and enjoy the cross provincial direct settlement service. In terms of collaborative business, the notice standardizes the cross regional collaborative process of handling agencies, establishes a mechanism for collaborative treatment of problems between medical treatment places and insured places, and improves the efficiency of collaborative treatment of problems between regions. The notice requires that local medical insurance departments should timely adjust relevant policies and measures to ensure that they are in line with national policies by the end of December 2022. Relevant policies will be officially implemented from January 1, 2023. (Xinhua News Agency)