Core Insights - The pilot program will cover approximately 15 provincial-level administrative regions or cities, with a focus on establishing a list of traditional Chinese medicine (TCM) diseases suitable for new payment methods [3] - A scientific and reasonable settlement pricing system is crucial for the reform, with a requirement for each selected TCM disease to have a unified medical insurance payment amount based on historical medical cost data [3] - The payment levels after the reform must not be lower than those before the reform to encourage participation from TCM medical institutions [3] Group 1 - The selection of diseases for the pilot program must meet three core criteria: significant advantages of TCM in treatment, clear clinical diagnosis and treatment processes, and clinically verified treatment effects [3] - The reform aims to incentivize TCM medical institutions by establishing a dynamic adjustment mechanism for payment standards based on historical data and corresponding Western medicine treatment costs [3] Group 2 - Support measures include incorporating TCM day wards and rehabilitation wards into the payment system, encouraging grassroots medical institutions to expand outpatient TCM services [4] - The pilot regions will explore reforms over a period of 2 to 3 years, with a focus on creating replicable and promotable experience models [4] - The payment by disease method is expected to enhance the efficiency of medical insurance fund usage by incentivizing medical institutions to optimize treatment plans and control costs [4]