事关医保！异地就医有新变化……
<section data-role="paragraph"><section data-support="96编辑器" data-style-id="33453"><section><section><section><section style="-webkit-tap-highlight-color: transparent;outline: 0px;font-size: 16px;line-height: 1.75em;"><section style="-webkit-tap-highlight-color: transparent;margin-top: 10px;margin-bottom: 10px;outline: 0px;text-align: left;justify-content: flex-start;display: flex;flex-flow: row;"><section style="-webkit-tap-highlight-color: transparent;padding: 17px;outline: 0px;display: inline-block;width: 677px;vertical-align: top;align-self: flex-start;flex: 0 0 auto;border-style: dashed;border-width: 1px;border-color: rgb(95, 176, 150);background-color: rgba(95, 176, 150, 0.11);"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;font-size: 17px;text-align: justify;"><p style="-webkit-tap-highlight-color: transparent;outline: 0px;">近日，国家医保局办公室会同财政部办公厅印发了《关于进一步加强异地就医直接结算管理服务的通知》（医保发〔2024〕21号）、《关于稳妥有序扩大跨省直接结算门诊慢特病病种范围的通知》（医保办发〔2024〕19号）。关于<strong style="-webkit-tap-highlight-color: transparent;outline: 0px;">异地就医备案管理、<span style="-webkit-tap-highlight-color: transparent;outline: 0px;font-size: var(--articleFontsize);letter-spacing: 0.034em;"></span>稳妥有序扩大跨省直接结算门诊慢特病病种范围</strong>，一起来看——</p></section></section></section></section><section style="-webkit-tap-highlight-color: transparent;outline: 0px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(136, 136, 136);"><br style="-webkit-tap-highlight-color: transparent;outline: 0px;"/></span></section><section style="-webkit-tap-highlight-color: transparent;margin-top: 10px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;text-wrap: wrap;font-size: 16px;background-color: rgb(255, 255, 255);text-align: left;justify-content: flex-start;display: flex;flex-flow: row;visibility: visible;"><section style="-webkit-tap-highlight-color: transparent;padding-left: 13px;outline: 0px;display: inline-block;width: auto;vertical-align: top;align-self: stretch;flex: 0 0 auto;background-color: rgb(122, 203, 251);min-width: 5%;height: auto;visibility: visible;"><section style="-webkit-tap-highlight-color: transparent;margin-top: 5px;outline: 0px;visibility: visible;"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;text-align: justify;color: rgb(255, 255, 255);font-size: 18px;visibility: visible;"><p style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"><em style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;">速览 </strong></em></span></p></section></section></section><section style="-webkit-tap-highlight-color: transparent;outline: 0px;display: inline-block;width: 23px;vertical-align: top;align-self: stretch;flex: 0 0 auto;background-color: rgb(122, 203, 251);overflow: hidden;height: auto;visibility: visible;"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;text-align: justify;visibility: visible;"><p style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"><br style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"/></p></section></section><section style="-webkit-tap-highlight-color: transparent;margin-left: -20px;padding-right: 7px;padding-left: 22px;outline: 0px;display: inline-block;vertical-align: top;width: auto;min-width: 5%;flex: 0 0 auto;height: auto;align-self: stretch;overflow: hidden;visibility: visible;"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;transform: rotateZ(338deg);visibility: visible;"><section style="-webkit-tap-highlight-color: transparent;margin-top: -10px;margin-bottom: -3px;outline: 0px;text-align: center;transform: translate3d(-6px, 0px, 0px);visibility: visible;"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;display: inline-block;width: 10px;height: 49px;vertical-align: top;overflow: hidden;box-shadow: rgb(255, 255, 255) -7px 0px 0px 0px;visibility: visible;"><svg viewbox="0 0 1 1" style="float: left;line-height: 0;width: 0px;vertical-align: top;visibility: visible;"></svg></section></section></section></section></section><section style="-webkit-tap-highlight-color: transparent;margin-bottom: 10px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;text-wrap: wrap;font-size: 16px;background-color: rgb(255, 255, 255);text-align: left;justify-content: flex-start;display: flex;flex-flow: row;visibility: visible;"><section style="-webkit-tap-highlight-color: transparent;padding: 23px;outline: 0px;display: inline-block;width: 676.997px;vertical-align: top;align-self: flex-start;flex: 0 0 auto;border-style: solid;border-width: 1px;border-color: rgb(122, 203, 251);visibility: visible;"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;font-size: 17px;text-align: justify;visibility: visible;"><p style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;visibility: visible;">● </span><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(0, 122, 170);"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;visibility: visible;">跨</span><span style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;letter-spacing: 0.578px;">省异地长期居住或跨省临时外出就医的参保人员</span></strong></span><span style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;letter-spacing: 0.578px;">办理异地就医备案后可以<strong style="-webkit-tap-highlight-color: transparent;outline: 0px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;letter-spacing: 0.578px;color: rgb(0, 122, 170);">享受跨省异地就医直接结算服务</span></strong>。</span></p><p style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.578px;"><br style="-webkit-tap-highlight-color: transparent;outline: 0px;"/></span></p><p style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.578px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;">● </span>跨省临时外出就医人员报销水平应与参保地同级别医疗机构报销水平保持合理差异，原则上，<span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.578px;color: rgb(0, 122, 170);"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;">跨省异地转诊人员和异地急诊抢救人员</strong></span>支付比例降幅在<strong style="-webkit-tap-highlight-color: transparent;outline: 0px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.578px;color: rgb(0, 122, 170);">10个百分点左右</span></strong>，<span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.578px;color: rgb(0, 122, 170);"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;">非急诊且未转诊的其他跨省临时外出就医人员</strong></span>支付比例的降幅在<span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.578px;color: rgb(0, 122, 170);"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;">20个百分点左右</strong></span>。</span></p><p style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;visibility: visible;"><br style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"/></span></p><p style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;visibility: visible;">● </span><span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;">就医地经办机构应将<span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;color: rgb(0, 122, 170);"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;">异地就医人员纳入</strong></span><span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;color: rgb(0, 122, 170);"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;">本地同质化</strong></span><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;color: rgb(0, 122, 170);">管理</span></strong>。</span></p><p style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;visibility: visible;"><br style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"/></span></p><p style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;text-indent: 35px;letter-spacing: 0.544px;visibility: visible;">● </span><span style="-webkit-tap-highlight-color: transparent;outline: 0px;text-indent: 35px;visibility: visible;letter-spacing: 0.578px;">推动将异地就医费用纳入DRG/DIP管理。<span style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;letter-spacing: 0.578px;color: rgb(0, 122, 170);"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;">加快启动</strong><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;">省内异地就医实行<span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.578px;">DRG/DIP付费</span></strong></span><span style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;letter-spacing: 0.578px;color: rgb(0, 122, 170);"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.578px;">。</span></strong></span><span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.578px;"></span></span></p><p style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;text-indent: 35px;visibility: visible;letter-spacing: 0.578px;"><br style="-webkit-tap-highlight-color: transparent;outline: 0px;"/></span></p><p style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;letter-spacing: 0.544px;text-indent: 35px;">● 在基本实现<span style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;letter-spacing: 0.544px;color: rgb(0, 122, 170);"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;">高血压、糖尿病、恶性肿瘤门诊放化疗、尿毒症透析、器官移植术后抗排异治疗</strong></span></span><span style="-webkit-tap-highlight-color: transparent;outline: 0px;text-indent: 35px;visibility: visible;letter-spacing: 0.578px;color: rgb(0, 0, 0);">等5种门诊慢特病</span><span style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;letter-spacing: 0.544px;text-indent: 35px;">费用跨省直接结算县域可及的基础上，<span style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;letter-spacing: 0.544px;color: rgb(0, 122, 170);"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;">决定新增5<span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;">种</span><span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.578px;">门诊慢特病相关治疗费用纳入跨省直接结算范围</span></strong></span><span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.578px;">。</span></span></p><p style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;text-indent: 35px;visibility: visible;letter-spacing: 0.578px;"><br style="-webkit-tap-highlight-color: transparent;outline: 0px;"/></span></p><p style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;text-indent: 35px;visibility: visible;letter-spacing: 0.578px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;">●</span><span style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;letter-spacing: 0.578px;color: rgb(0, 122, 170);"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;"> </span><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;">2</strong><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;">024年底前，</strong></span><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;letter-spacing: 0.578px;color: rgb(0, 122, 170);">所有统筹地区</span></strong>作为就医地提供<span style="-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;letter-spacing: 0.578px;color: rgb(0, 122, 170);"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;">慢性阻塞性肺疾病、类风湿关节炎、冠心病、病毒性肝炎、强直性脊柱炎</strong></span>等5种门诊慢特病相关治疗费用跨省直接结算服务。</span></p></section></section></section><p style="-webkit-tap-highlight-color: transparent;outline: 0px;"><br style="-webkit-tap-highlight-color: transparent;outline: 0px;"/></p><section style="-webkit-tap-highlight-color: transparent;outline: 0px;"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;"><section style="-webkit-tap-highlight-color: transparent;margin-top: 10px;margin-bottom: 10px;outline: 0px;text-align: center;justify-content: center;display: flex;flex-flow: row;"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;display: inline-block;vertical-align: bottom;width: auto;align-self: flex-end;min-width: 10%;flex: 0 0 auto;height: auto;"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;transform: perspective(0px);transform-style: flat;"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;transform: rotateX(180deg);"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;display: inline-block;vertical-align: top;overflow: hidden;height: 5px;width: 5px;border-width: 0px;border-radius: 227px;border-style: none;border-color: rgb(62, 62, 62);background-color: rgb(0, 122, 170);"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section><section style="-webkit-tap-highlight-color: transparent;outline: 0px;display: inline-block;vertical-align: bottom;width: auto;border-bottom: 0px solid rgb(46, 65, 113);border-bottom-right-radius: 0px;align-self: flex-end;min-width: 10%;flex: 0 0 auto;height: auto;"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;font-size: 18px;color: rgb(0, 122, 170);text-align: justify;"><p style="-webkit-tap-highlight-color: transparent;outline: 0px;"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;">原文如下</strong></p></section><section style="-webkit-tap-highlight-color: transparent;margin-top: 4px;margin-bottom: 2px;outline: 0px;"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;height: 1px;background-color: rgb(0, 122, 170);"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section><section style="-webkit-tap-highlight-color: transparent;outline: 0px;display: inline-block;vertical-align: bottom;width: auto;min-width: 10%;flex: 0 0 auto;height: auto;align-self: flex-end;"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;transform: perspective(0px);transform-style: flat;"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;transform: rotateX(180deg);"><section style="-webkit-tap-highlight-color: transparent;outline: 0px;display: inline-block;vertical-align: top;overflow: hidden;height: 5px;width: 5px;border-width: 0px;border-radius: 227px;border-style: none;border-color: rgb(62, 62, 62);background-color: rgb(0, 122, 170);"><svg viewbox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section><section style="-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;font-size: 18px;color: rgb(0, 122, 170);"><p style="-webkit-tap-highlight-color: transparent;outline: 0px;"><br style="-webkit-tap-highlight-color: transparent;outline: 0px;"/></p></section></section></section></section></section><p style="-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;font-size: 18px;color: rgb(0, 122, 170);">国家医保局 财政部关于进一步加强异地就医直接结算管理服务的通知</span></strong></p><p style="-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;"></p><p style="-webkit-tap-highlight-color: transparent;outline: 0px;"><br style="-webkit-tap-highlight-color: transparent;outline: 0px;"/></p><section style="-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;font-size: 18px;color: rgb(0, 122, 170);">国家医保局办公室 财政部办公厅关于稳妥有序扩大跨省直接结算门诊慢特病病种范围的通知</span></strong></section><section style="-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;font-size: 18px;color: rgb(0, 122, 170);"><br style="-webkit-tap-highlight-color: transparent;outline: 0px;"/></span></strong></section><p style="-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;"></p><section style="-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;"><span style="font-size: var(--articleFontsize);letter-spacing: 0.034em;text-align: justify;"></span><br/></section></section></section></section></section></section><p><section data-role="outer" label="edit by 135editor" style="letter-spacing: 0.578px;text-wrap: wrap;"><p><span style="letter-spacing: 0.578px;font-size: 14px;color: rgb(136, 136, 136);">来源</span><span style="letter-spacing: 0.578px;font-size: 14px;color: rgb(136, 136, 136);"> | 中国政府网 国家医保局微信</span></p></section></p><link rel="stylesheet" href="//bbs.221700.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_kJ2" id="wcn_editor_css"/> 服务群众就是好政策 异地办理真是太方便了 好不错方便了
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