我国已完成7类医保医用耗材分类优化工作

Core Viewpoint - The National Healthcare Security Administration (NHSA) of China has completed the classification optimization of seven categories of medical consumables, aiming to address issues related to identification, differentiation, and management, thereby enhancing the standardization and precision of medical insurance management [1][2]. Group 1: Classification Optimization - The classification optimization includes seven categories of medical consumables: vascular interventional stents, vascular interventional balloons, non-vascular interventional stents, non-vascular interventional balloons, surgical staplers, artificial organs, and implantable cardiac rhythm management devices [1]. - The optimization addresses the long-standing issue of inconsistent naming standards for medical consumables, which has complicated precise payment and fund supervision in medical insurance [1]. Group 2: Innovation and Industry Development - The classification adjustment supports innovation, exemplified by the separate categorization of leadless cardiac pacemakers, which represent a revolutionary technology in cardiac pacing, offering advantages such as minimally invasive implantation without incisions or leads [1]. - This adjustment provides more options for patients with traditional pacemakers who face complications such as multiple infections or lack of upper vena cava access [1]. Group 3: Implementation and Standardization - Under the guidance of the NHSA, regions like Shanghai have already implemented a new database for the seven categories of medical consumables, with other provinces accelerating their application of the new database [2]. - The establishment of a unified coding system for medical consumables is expected to standardize medical insurance business coding, data norms, and service processes, facilitating code-based bidding, procurement, and settlement [2].