近日，国家医保局披露，全国公立医院已清退患者‘预存款’约90亿元。所谓‘预存款’，是指患者在住院或接受大型检查前，医院要求预先缴纳的押金或费用。过去，这种做法普遍存在，但容易造成患者资金占用、退款难等问题，甚至引发医患矛盾。为规范医疗收费行为、减轻群众负担，国家医保局自2022年起推动专项治理行动，要求各地全面清理不合理预存款，并加快建立以医保支付为主导的结算机制。截至当前，全国已有超过3000家公立医院完成整改，累计退还患者预存款近90亿元。此举不仅提升了医疗服务透明度，也增强了群众对医疗体系的信任。未来，相关部门将继续强化监管，杜绝变相收取预存款等违规行为，推动构建更加公平、高效、便民的医疗服务体系。
Recently, China’s National Healthcare Security Administration (NHSA) revealed that public hospitals nationwide have refunded approximately RMB 9 billion in patient ‘prepayments.’ These prepayments refer to deposits or advance fees that patients were historically required to pay before hospitalization or major medical procedures. While common in the past, this practice often led to issues such as tied-up patient funds, difficulties in obtaining refunds, and even doctor-patient disputes. To standardize medical billing practices and reduce the financial burden on the public, the NHSA launched a special rectification campaign in 2022, mandating the elimination of unreasonable prepayment requirements and promoting a settlement system primarily based on health insurance reimbursement. To date, over 3,000 public hospitals have completed reforms and collectively refunded nearly RMB 9 billion to patients. This initiative has not only enhanced transparency in healthcare services but also strengthened public trust in the medical system. Going forward, authorities will continue strengthening oversight to prevent disguised prepayment schemes and further advance a fairer, more efficient, and patient-friendly healthcare service model.
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