In the future, more than 100 hospitals will try medical insurance real-time settlement this year.

Release date: 2015-01-09

The “future hospital” has accelerated its layout, and there are more and more cooperation between online and offline hospitals. On January 5th, the Sixth Affiliated Hospital of Sun Yat-sen University announced that it has officially joined Alipay's “Future Hospital” program. So far, 37 hospitals in 25 provinces and cities have settled in Alipay “Future Hospital”.

Previously, in the hospital where Alipay "Future Hospital" was launched, only the outpatient fee was paid, and the hospitalization fee payment function was not activated.

The newly-elected Sixth Hospital affiliated to Sun Yat-sen University has realized the function of hospitalization payment for the first time, plus the functions of mobile registration, inter-diagnosis payment, inspection report, department navigation, service evaluation, medical insurance settlement and so on. This means that the user can go to the Sixth Hospital affiliated to Sun Yat-sen University for medical treatment, from the registration of the outpatient service, payment, investigation report, to the hospitalization list, and payment, the entire process can be completed with Alipay wallet.

According to Alipay, the hospital payment function allows users to use the Alipay wallet for prepayment deposits, hospital renewals, and hospitalization list enquiries. To complete the Alipay wallet user bound to the hospital visit card, as long as you have completed the hospitalization procedure, you can use the Alipay wallet to directly pay the hospital deposit. In case the hospital deposit is insufficient, Alipay Wallet will remind the user to renew the fee. And all the list of hospitalization expenses, users can check in the hospital service window of Alipay wallet.

This is the first time that Alipay has achieved service coverage for inpatients since the launch of the “Future Hospital”, marking the “future hospital” optimization of medical service processes, which has been extended from outpatient to inpatient departments.

After half a year of warm-up, the construction of Alipay's “future hospital” began to accelerate. The market expects that more than 100 hospitals will join the “Future Hospital” program in 2015, and Alipay announced that China's medical and health services will enter the “future hospital” era.

In May 2014, Alipay Wallet launched the “Future Hospital” program for the first time, using Internet technologies and means to help medical institutions optimize medical resource allocation and improve patient experience. Currently, the “Future Hospital” has provided services to more than 300,000 patients nationwide. Some major hospitals in some cities have already been launched in the “Future Hospital”, such as Jiaxing, Zhejiang. There are still many hospitals that have requested to cooperate with Alipay.

However, the medical insurance reimbursement function of the Sixth Affiliated Hospital of Sun Yat-sen University, which is on the line of Alipay, is not a real-time settlement. It still maintains the previous methods of use in many online hospitals, that is, paying fees first, and then eliminating the reimbursement part through medical insurance terminals. To achieve medical insurance settlement.

"But soon there will be an on-line hospital that has real-time medical insurance settlement function. When users pay with Alipay, they can pay the self-pay part, and the medical insurance reimbursement part will be reimbursed in real time." Alipay Ant Financial Services Group (funding) O2O Business Unit Vice President Manager Liu Xin said that this year will make great efforts to discuss cooperation with medical insurance to achieve real-time settlement of medical insurance.

The management of medical insurance is relatively strict, and it insists on “balance of income and expenditure, with a slight surplus”. In recent years, the expansion of medical insurance coverage has also covered more service projects, and the pressure on expenditure has been increasing. The control fee has become an urgent task for medical insurance. In this case, Alipay is convenient for patients, and may increase the number of visits, thereby increasing the cost of medical insurance. Therefore, most local medical insurance is cautious about “future hospitals”. And the systems of various hospitals are inconsistent. There is also a difference in the medical insurance settlement system. The cooperation between medical insurance and Alipay is still difficult. However, in the era of universal health insurance, the access of medical insurance has become the key to the survival of “future hospitals”.

Source: People's Daily

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