The national medical insurance bureau and the Ministry of Finance recently issued the notice on further improving the direct settlement of cross provincial medical treatment in different places of basic medical insurance, clarifying the objectives and tasks of the "14th five year plan" for the direct settlement of cross provincial medical treatment in different places. By the end of 2025, the system of direct settlement of cross provincial medical treatment in different places and the handling management service system will be more perfect, and the supporting role of the national unified medical insurance information platform will continue to be strengthened, The settlement capacity of the country for medical treatment in other places has been significantly improved. The notice unifies the policies of direct inter provincial settlement of inpatient, general outpatient and outpatient chronic diseases expenses, and makes it clear that in principle, the fund payment policy of "directory of medical treatment places and policy of insured places" is implemented in the direct inter provincial settlement. It also standardized the scope of direct settlement services of designated medical institutions, and included the emergency rescue costs, the costs of purchasing drugs for out of hospital examination and treatment during hospitalization, and the costs of trauma without third-party responsibility that met the management regulations of the place of medical treatment into the scope of direct settlement of cross provincial and non local medical treatment. The insured is allowed to make up the registration of non local medical treatment before discharge settlement, and enjoy the cross provincial direct settlement service. (outlook new era)