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  4月16日电据国家医疗保障局网站消息,为贯彻落实党的二十届三中全会精神,不断健全与“1+3+N”多层次医疗保障体系相适应的医保科学结算体系,2025年国家医保局进一步自我革命,强化作风建设,积极回应定点医药机构需求,积极稳妥推进医保与定点医药机构即时结算,为医药机构发展赋能。

  各级医保部门建立健全工作联络机制、定期调度机制、宣传示范机制和培训提升机制,积极推进即时结算改革工作,加强沟通,及时交流,互学互鉴,推进即时结算改革进入“快车道”,为医药行业注入“源头活水”。河北、辽宁、黑龙江、浙江、安徽、山东、河南、湖北、广东、广西、贵州、陕西、青海、新疆等14个省份和兵团相继出台省级即时结算文件。

  各地坚持兼顾医保基金安全和提高基金使用效率并重,充分考虑统筹地区基金运行情况、定点医药机构需求和信用情况,选择多种方式推进即时结算改革,最大限度压缩结算周期,提高周转效率,减轻医药机构资金运行压力。河北、浙江、安徽、河南等省份选用提高拨付频次的方式,吉林、黑龙江、广西等省份选用压缩月结算时长的方式,北京、上海等省份选用按月预拨的方式。

  截至3月31日,全国24个省份实施医保基金即时结算,覆盖定点医药机构24.67万家,拨付金额1657亿元。其中,定点医疗机构10.47万家,拨付金额1574亿元;定点药店14.20万家,拨付金额83亿元。此外,各地协同推进即时结算和基金预付,2025年预付基本医保基金723亿元。

  下一步,国家医保局将持续分类指导,扎实推进即时结算改革,让改革成果惠及更多定点医药机构,提升患者就医体验,改善医药行业生态环境,进一步促进“三医”协同发展和治理。 重生全新生活|开启智能家居新体验,随时随地服务到家!的相关文章 国台办回应推出台独打手举报专栏的相关文章
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