濰坊異地就醫(yī)跨省結(jié)算實現(xiàn)全覆蓋

王路欣

近日，記者從濰坊市醫(yī)保局了解到，濰坊全市目前已有34家定點醫(yī)療機構(gòu)提供門診慢特病相關(guān)治療費用跨省直接結(jié)算，縣域覆蓋率已達到100%。自此，濰坊市基本實現(xiàn)全部醫(yī)保統(tǒng)籌類別異地報銷跨省通辦。

作為關(guān)系群眾切身利益的民生工程，2017年以來，濰坊市異地就醫(yī)結(jié)算工作一步一個腳印、一年一個臺階，群眾能夠深切感受到變化就在身邊。從住院結(jié)算起步，結(jié)算范圍逐步擴展到普通門診、門診慢特病，覆蓋全部統(tǒng)籌報銷類別。從2022年7月開始，高血壓、糖尿病、尿毒癥透析、惡性腫瘤門診放化療、器官移植術(shù)后抗排異治療5種門診慢特病納入跨省直接結(jié)算；截至9月初，全市已有416家住院聯(lián)網(wǎng)、489家門診聯(lián)網(wǎng)定點醫(yī)療機構(gòu)，聯(lián)網(wǎng)直接結(jié)算累計已達153521人次、217846.19萬余元；允許跨省長期居住人員在備案地和參保地雙向享受待遇，將有效破解人員往來產(chǎn)生的就醫(yī)報銷困擾。

Reporter has recently learned from Weifang Municipal Healthcare Security Administration that 34 designated medical institutions now provide services on direct across-provincial settlement for the outpatient treatment costs related to chronic and special diseases， and the coverage rate in counties has reached 100%. From now on， Weifang has basically achieved all types of medical insurance reimbursement in different places across the province.

From July 2022， five outpatient chronic and special diseases have been included in the direct cross-provincial settlement， including hypertension， diabetes， dialysis for uremia， outpatient radiotherapy and chemotherapy for malignant tumors， and anti-rejection treatment after organ transplantation. As of the beginning of September， there have 416 inpatient networking and 489 outpatient networking designated medical institutions in Weifang， with a total direct networking settlement of 153，521 person times and a total settlement amount of 21，78.4619 million yuan. To allow cross-provincial longterm residents to enjoy treatment in both the recorded place and the insured place will effectively solve the problem of medical reimbursement caused by personnel exchanges.