Core Viewpoint - The article discusses a long-term reform in China's medical service pricing system, which aims to unify the vast discrepancies in medical service pricing across different regions, ultimately leading to a standardized national pricing system [1][4][14]. Group 1: Reform Background and Objectives - The reform has been ongoing for 25 years, with multiple changes in management and reform plans [1]. - The goal is to consolidate the 5,000 to 23,000 medical service pricing items across various regions into a consistent national pricing system [1][6]. - The National Healthcare Security Administration (NHSA) has initiated a new round of medical service pricing reform since 2021, with significant acceleration noted in 2024 [1][2]. Group 2: Implementation Challenges - Hospitals are experiencing considerable pressure due to the accelerated pace of the reform, with the complexity of the new guidelines expected to surpass previous reforms like DRG/DIP [3][13]. - The existing chaos in medical service pricing, with over 30,000 items lacking standardization, has led to significant management challenges and confusion in pricing relationships [4][6]. - The NHSA has issued 28 batches of "Project Establishment Guidelines," which include around 1,200 main projects and over 500 additional items, aiming to standardize the pricing structure [8][12]. Group 3: Future Directions and Considerations - The NHSA plans to release all "Project Establishment Guidelines" by 2025, with ongoing efforts to address the complexities of integrating new and existing projects [2][12]. - The new guidelines emphasize the separation of technical costs and consumables, which raises questions about how to charge for new technologies and materials [10][17]. - There are concerns regarding the balance between reflecting clinical labor value, ensuring the sustainability of the healthcare fund, and considering patient affordability [16].
医保局再启「医疗服务价格改革」 持续25年 基层关心此番能顺利落地吗？
Di Yi Cai Jing·2025-06-11 00:09