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医保支持中医药发展
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河南出台系列医保举措支持中医药发展 “互联网+”中医药服务纳入医保支付范围
He Nan Ri Bao· 2026-01-04 23:31
Group 1 - The core viewpoint of the news is the introduction of measures to enhance the support for the inheritance and innovation of traditional Chinese medicine (TCM) through medical insurance policies [1][2] Group 2 - The measures include expanding the service supply by incorporating eligible TCM medical institutions, retail pharmacies, and various healthcare facilities into the medical insurance designated management [1] - The inclusion of TCM services in the medical insurance payment scope will now cover "Internet+" TCM services, ensuring equal payment policies for online and offline services [1] Group 3 - The measures emphasize the adjustment of service prices for TCM medical services, prioritizing those with significant functional efficacy and wide patient acceptance [1] - There will be a dynamic adjustment mechanism for the inclusion of TCM preparations and decoctions in the basic medical insurance fund payment scope [2] Group 4 - The payment policy reform will promote disease-based payment for TCM advantages and expand pilot programs, enhancing the role of TCM in preventive care at grassroots healthcare institutions [2] - The measures also support the establishment of tightly-knit county-level medical communities led by TCM medical institutions [2]
河南发文加强医保支持中医药发展力度
Xin Lang Cai Jing· 2026-01-03 07:56
Group 1 - The core viewpoint of the article is the introduction of measures by the Henan Provincial Medical Security Bureau and the Health Commission to enhance support for the inheritance and innovation of traditional Chinese medicine (TCM) [1][2] - The measures include incorporating eligible TCM medical institutions, retail pharmacies, and grassroots healthcare facilities into the medical insurance designated management [1] - Eligible TCM institutions will be included in the cross-regional medical settlement scope, and "Internet+" TCM services will be covered by medical insurance [1] Group 2 - The pricing management for TCM services will be simplified, prioritizing projects with significant functional efficacy and historical application [1] - The payment policies will be improved to suit the characteristics of TCM, including increasing payment coefficients for TCM institutions and promoting disease-based payment for TCM advantage diseases [2] - Long-term care insurance will include eligible TCM rehabilitation and nursing service projects, and compensation will be provided for fund overspending due to high TCM treatment costs [2]