Point在全国医保三个目录及其编码不统一、待遇支付政策不统一、信息化进程不统一的情况下,推行全国异地就医即时结算,必须充分考虑就医地和参保地的实际情况,尽可能避免两地信息系统大改造、政策待遇大调整。异地就医只传送费用大类,确实会对参保地的费用分割和待遇支付带来负面影响。第一,部分省的信息系统将被迫改造。比如目前江西省内异地就医都是传送明细,参保地按明细 Point In the three national health insurance directory and the coding is not uniform, the payment is not uniform treatment, the process of information is not uniform, the implementation of the country off-site medical settlement immediately, we must give full consideration to the medical insurance and the actual situation, as far as possible Avoid major changes in the information systems between the two places and greatly adjust the policy treatment. Expatriate medical treatment only send the major categories of fees, the insurance will indeed be the cost of segmentation and payment to pay the negative impact. First, some provinces’ information systems will be forced to reform. For example, currently in different province of Jiangxi Province are sending medical details, insured according to the details