国家医保局:2026年实现医疗服务价格项目全国基本统一
Ren Min Wang·2025-12-13 11:51

Core Viewpoint - The National Medical Insurance Administration announced key initiatives at the national medical security work conference, aiming to enhance the healthcare payment system and support the development of grassroots medical institutions [1] Group 1: Payment System Reforms - By 2026, a new version of the disease-based payment grouping scheme (version 3.0) will be released [1] - The implementation of quarterly or monthly special case single discussions for payment reviews will be fully promoted [1] - The initiative supports the clinical use of new drugs and technologies, as well as the treatment of complex and severe cases [1] Group 2: Support for Grassroots Healthcare - The conference emphasized the importance of promoting the healthy development of grassroots medical and health institutions [1] - Efforts will be made to facilitate tiered diagnosis and treatment [1] Group 3: Medical Insurance Fund Management - There will be an increase in the prepayment of medical insurance funds [1] - The conference aims to fully advance the immediate settlement of medical insurance funds and explore quarterly settlements [1] - The completion of 40 batches of project guideline compilations will be achieved, aiming for a basic national unification of medical service pricing items [1]

国家医保局:2026年实现医疗服务价格项目全国基本统一 - Reportify