Comment on: long-distance medical instant settlement should not have substantial resistance 
 
 
On March 27, 2014 
 
 
Source: Beijing youth daily 

        In 2014, we will deepen reform of the medical and health system has determined that the priority, one of the key is to build a medical information system, push beyond the immediate settlement, mainly for retired workers, migrant workers, different doctor long-distance medical patients with a serious illness, such as research instant settlement way. 
 
        A long-distance medical instant settlement (reimbursement) where is the difficulty? In short, the main difficult in medical insurance settlement system division is serious, the lack of the unity of the cross-regional, across provinces networking, information exchange platform for the settlement, making it difficult to in situ after a long-distance medical reimbursement of the floating population health care costs. Suit the remedy to the case, to solve the long-distance medical expenses is difficult, will establish the unification of the cross-regional, across provinces networking, information exchange platform for the medical insurance settlement, make long-distance medical treatment of patients to incorporate submit cost audit, medicare policy within the scope of the medical expenses reimbursement immediately. 
 
        In many analysis about the long distance expenses, someone more attention to the medical resources distribution, lead to "ailment in big hospital", "on the national people's union" serious imbalances. It is under the current system of medical treatment resource imbalance caused the contradiction, but it mainly reflects the different concentration problems, rather than a long-distance medical reimbursement difficult question. Although said that if solved, the difficulty of long-distance medical reimbursement, equivalent to provide different ground treatment in patients with more convenient, has the potential to different concentration of contradiction more prominent, but the two issues should divide and conquer, with advancing the classification diagnosis and solve the problem of different ground treatment concentration, guide the patients "slight illness into the community, into the hospital, rehabilitation back to the community". With unified network, information exchange platform for the medical insurance settlement, solve the problem of long distance medical reimbursement difficult. 
 
        After the completion of such a medical insurance settlement information platform, migrant workers and their children settled in old people need medical treatment in other cities, can according to the local classification diagnosis and treatment, if it is small, in the community hospital, grass-roots hospital treatment, if it is a serious illness, entered the large hospital treatment; Long-distance seeking medical treatment of patients with serious illness hold health locus of relevant formalities, can go to Beijing, Shanghai, guangzhou etc. The focus of the center city hospital for treatment. For health care costs, whether patients with serious illness or ailment patients, can go to a doctor to medicare settlement information platform, in accordance with the standards of medical care is located the medical expenses, and through this platform, is reimbursed by health care local health care agencies. 
 
        Establish a set of medical insurance settlement information platform, health care and patients to go to a doctor should not have substantial resistance. Patients for health care is located in the local medical and go elsewhere, the cost of medical insurance agency orgnaization is reimbursed by local standard is the same (and, of course, if the local patients more choice in the local hospital for medical treatment, to help boost local medical consumption); For medical treatment to patients with health insurance settlement audit and information platform for long-distance medical treatment of patients with medical expenses, the medical expenses shall be borne by the seat of patients' health care, medical treatment to patients with no pay the extra cost, why not? 
 
        Medicare long-distance medical expenses first is a kind of information consumption, promote medical resources balanced distribution, improve the classification diagnosis and treatment, etc. Is the second problem. Promulgated by the state council last year several opinions of consumption to expand domestic demand to promote information, "promoting the construction of social security card, health care costs of the central and provincial settlement platform", also from the perspective of promoting information consumption, demand for health care costs across the province immediate settlement. This required from the central and provincial level as a whole, speed up the construction of a unified network settlement information platform for health care, long-distance medical reimbursement for patients health care costs, to provide convenient and efficient public information service and financial settlement services. 
 
        Weeks Chang Wu staff (Beijing)