On January 8, the provincial direct settlement of outpatient expenses for chronic and special diseases in southwest area was put into operation. This means that there is a “through train” for outpatients’ settlement in Chongqing, Sichuan Province, Chengdu, Panzhihua, Luzhou, Ziyang, Leshan and Dazhou, Yunnan Province and Qianxinan Prefecture. < / P > < p > in Chongqing, Sichuan, Yunnan, Guizhou and southwest Tibet, the flow of people is frequent, and there is a large demand for cross provincial medical treatment. In recent years, direct settlement of inter provincial inpatient, general outpatient and drugstore purchase expenses has been realized among the five provinces. However, the cross provincial medical expenses of outpatient chronic and special diseases still need to be paid by the insured in cash and then returned to the insured place for reimbursement. The insured people are troubled by the pressure of advance payment, long reimbursement cycle, and hard work. < / P > < p > to solve these problems, the medical security departments of the five provinces expanded the business scope of cross provincial direct settlement of outpatient expenses for chronic and special diseases, and applied to become the only national pilot area. Hypertension and diabetes were the chronic diseases in the pilot clinic, and 328 designated medical institutions were opened in the pilot clinic. The inter provincial direct settlement of outpatient expenses for chronic and special diseases follows the principle of “record first, select a fixed point, and get medical treatment with a card”. According to the regulations of the insured place, the insured person can directly settle the outpatient expenses for chronic and special diseases with his own social security card in the pilot medical institutions after going through the registration of outpatient expenses for remote medical treatment for chronic and special diseases. < / P > < p > the opening of cross provincial direct settlement of outpatient expenses for chronic and special diseases in southwest area will effectively promote the integration and sharing of high-quality medical and health resources in southwest area, and bring great convenience to cross provincial and cross regional medical treatment for chronic and special diseases such as off-site resettlement, follow-up migration, migrant workers and entrepreneurial employees. In the next step, the medical insurance system in the southwest area will further strengthen coordination and cooperation, gradually increase the number of pilot diseases, and bring more cities and more medical institutions into the direct settlement coverage of outpatient chronic diseases across provinces.