国家医保局：已印发33批医疗服务价格项目立项指南

Core Insights - The National Healthcare Security Administration (NHSA) is shifting its project establishment guidelines from a focus on technical details to a value-based approach centered on service output [2][3] Group 1: Project Establishment Guidelines - As of now, the NHSA has issued 33 batches of project establishment guidelines, integrating 1,640 main projects, 599 additional items, and 156 expansion items [3] - The new guidelines aim to unify pricing projects across regions, addressing inconsistencies and ensuring comparability in pricing levels [3] - The guidelines emphasize a shift in logic from technical operation details to service output, reflecting the principle that "value determines price" [3] Group 2: Focus on Aesthetic Medicine - The new guidelines standardize 101 main projects in aesthetic medicine at the national level, including procedures like "photonic rejuvenation" and "ultrasound therapy" [4] - While the guidelines aim to meet the growing demand for aesthetic services, they do not alter the market regulation of aesthetic pricing, which remains under the discretion of medical institutions [4] Group 3: Integration of Services - The NHSA is integrating various projects to ensure a unified approach across the country, such as standardizing the "fetal heart monitoring" project to "fetal/instance" [5] - The integration process has led to the consolidation of 271 existing projects into 124 main projects, making the guidelines more accommodating to new technologies [5] - Local healthcare departments are actively implementing the new guidelines, with provinces like Henan and Guangdong restructuring their project classifications and pricing methods [6] Group 4: Future Directions - The NHSA plans to accelerate the development of guidelines for pharmacy, testing, and auxiliary operations, aiming for comprehensive implementation by 2026 [6][7] - The NHSA will continue to focus on new technologies and products, guiding local healthcare authorities in their implementation processes [7]