医保基金结算新模式！义乌率先推行！
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pics-app.cnyw.net/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!-- 付费贴--> <div class="preview_article "> <!----> <section class="empty_paragraph"></section><section><span style="color: rgba(0, 0, 0, 0.9); font-size: 17px; font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; line-height: 1.6; letter-spacing: 0.034em; font-style: normal; font-weight: normal;"> </span></section><section><section><section><section style="margin: 10px auto;"><section style="display: flex; justify-content: flex-start; margin-bottom: -12px; padding-left: 15px; box-sizing: border-box;"><section style="background-color: #fffffe; padding: 0 3px; box-sizing: border-box;"><section style="width: 23px; box-sizing: border-box;"></section></section></section><section style="background-color: #ecf3ff; padding: 5px; box-sizing: border-box;"><section style="border: 1px solid #4687ff; padding: 15px 10px; background-color: #fffffe; box-sizing: border-box;"><section style="text-align: justify; line-height: 1.75em; letter-spacing: 1.5px; font-size: 16px; color: #333333; background-color: transparent;"><p style="text-indent: 2.1875em; font-size: 16px;"><span style="font-size: 16px; color: #000000;">“以前一般是次月初申拨对账，次月底资金到账。没想到现在医保基金竟能缩短到‘日结算’。”近日，在义乌市中心医院相关负责人的手机界面上，显示着前一天“日结算”拨付的钱款已到账。</span></p></section></section></section><section style="display: flex; justify-content: flex-end; margin-top: -12px; padding-right: 15px; box-sizing: border-box;"><section style="background-color: #fffffe; padding: 0 3px; box-sizing: border-box;"><section style="width: 20px; box-sizing: border-box;"></section></section></section></section></section><section><p> </p></section><p style="text-indent: 2em; font-size: 16px;"><span style="font-size: 16px; color: #000000;">小布从市医保局获悉，当前我市正在试点推行医保基金“即时结算”新模式。作为我市首家参与改革的医疗机构，义乌市中心医院通过“日结算”实现医保资金结算数据上传后次日到账。相关统计表明，试点后该院日均现金流有所增加，有效减轻了医院资金垫付压力。</span></p><p> </p><section><img class="rich_pages wxw-img" style="vertical-align: baseline; width: 100%; box-sizing: border-box; max-width: 100% !important;" src="https://pics-app.cnyw.net/FlPjYy-P5JI0BJuk221q00nK0dFO" alt="生成动画场景 (1).png" /></section><p style="text-align: right;"><span style="font-size: 14px; color: #a5a5a5;">该图片由AI生成</span></p><p> </p><p style="text-indent: 2em; font-size: 16px;"><span style="color: #000;">过去，医保经办机构与定点医药机构的费用结算具有滞后性，主要采取医院“当月发生、次月申报”，医保经办机构受理后一般在20至40天内完成审核、资金拨付等流程，如遇到异常结算需要沟通协商复议，时间会更长。为切实解决医疗机构“资金回款慢”难题，2024年底，国家医疗保障局提出推进“医保与医院即时结算、医保与医药企业直接结算以及医保、商保、慈善等同步结算”的工作要求。</span></p><p style="text-indent: 2em; font-size: 16px;"> </p><p style="text-indent: 2em; font-size: 16px;"><span style="color: #000;">为有效提高医保基金流动效益，赋能医疗机构发展，<span style="font-weight: bold;">我市率先在金华地区实施医保基金“日结算、月核算”</span>，积极构建“即时结算”体系。其中，支付数据由人工报送升级为系统智能结算，依托智能审核、数据分析等技术规范医疗行为，医保基金拨付周期从20至40个工作日压缩至最短24小时（工作日内）。</span></p><p> </p><section><img class="rich_pages wxw-img" style="vertical-align: baseline; width: 100%; box-sizing: border-box; max-width: 100% !important;" src="https://pics-app.cnyw.net/FmC4hr1TU1kw0bP-fSX9_07gbU0F" alt="生成动画场景.png" /></section><p style="text-align: right;"><span style="font-size: 14px; color: #a5a5a5;">该图片由AI生成</span></p><p> </p><section><section style="margin: 10px auto;"><section style="display: flex; padding-left: 5px; margin-bottom: -12px; box-sizing: border-box;"><section style="background-color: #fffffe; padding: 0 3px; box-sizing: border-box;"><section style="display: flex; margin: 2px 0;"><section style="width: 5px; height: 5px; border-radius: 100%; background-color: #ffdd72; margin: 0 2px; box-sizing: border-box;"></section><section style="width: 5px; height: 5px; border-radius: 100%; background-color: #ffdd72; margin: 0 2px; box-sizing: border-box;"></section><section style="width: 5px; height: 5px; border-radius: 100%; background-color: #ffdd72; margin: 0 2px; box-sizing: border-box;"></section><section style="width: 5px; height: 5px; border-radius: 100%; background-color: #ffdd72; margin: 0 2px; box-sizing: border-box;"></section><section style="width: 5px; height: 5px; border-radius: 100%; background-color: #ffdd72; margin: 0 2px; box-sizing: border-box;"></section></section><section style="display: flex; margin: 2px 0;"><section style="width: 5px; height: 5px; border-radius: 100%; background-color: #ffdd72; margin: 0 2px; box-sizing: border-box;"></section><section style="width: 5px; height: 5px; border-radius: 100%; background-color: #ffdd72; margin: 0 2px; box-sizing: border-box;"></section><section style="width: 5px; height: 5px; border-radius: 100%; background-color: #ffdd72; margin: 0 2px; box-sizing: border-box;"></section><section style="width: 5px; height: 5px; border-radius: 100%; background-color: #ffdd72; margin: 0 2px; box-sizing: border-box;"></section><section style="width: 5px; height: 5px; border-radius: 100%; background-color: #ffdd72; margin: 0 2px; box-sizing: border-box;"></section></section><section style="display: flex; margin: 2px 0;"><section style="width: 5px; height: 5px; border-radius: 100%; background-color: #ffdd72; margin: 0 2px; box-sizing: border-box;"></section><section style="width: 5px; height: 5px; border-radius: 100%; background-color: #ffdd72; margin: 0 2px; box-sizing: border-box;"></section><section style="width: 5px; height: 5px; border-radius: 100%; background-color: #ffdd72; margin: 0 2px; box-sizing: border-box;"></section><section style="width: 5px; height: 5px; border-radius: 100%; background-color: #ffdd72; margin: 0 2px; box-sizing: border-box;"></section><section style="width: 5px; height: 5px; border-radius: 100%; background-color: #ffdd72; margin: 0 2px; box-sizing: border-box;"></section></section></section></section><section style="border: 1px solid #4687ff; padding: 20px 10px 20px; box-sizing: border-box;"><section style="text-align: justify; line-height: 1.75em; letter-spacing: 1.5px; font-size: 16px; color: #333333; background-color: transparent;"><p style="text-indent: 2.1875em; font-size: 16px;"><span style="font-size: 16px; color: #000000;">“试点先行，探索经验和做法。”市医保局相关负责人表示，“即时结算”通过缩短医疗机构资金回笼周期，在一定程度上缓解运营成本和压力，有效提升医疗服务能力和质量。接下来，我市将在现有基础上不断扩大试点面，争取实现全市定点医疗机构全覆盖。</span></p></section></section><section style="display: flex; padding-right: 5px; 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