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历史首次实现全国编码统一!7类医保医用耗材分类优化,助力价格纠偏
Mei Ri Jing Ji Xin Wen· 2025-09-15 14:09
Core Viewpoint - The National Medical Insurance Administration (NMIA) has optimized the classification of medical consumables, enhancing the standardization and precision of medical insurance management in China [1][5]. Group 1: Classification Optimization - The optimization focuses on seven categories of medical consumables, including vascular intervention stents and balloons, non-vascular intervention stents and balloons, anastomosis devices, artificial organs, and implantable cardiac rhythm management devices [1][5]. - The new classification aims to objectively reflect the functional characteristics of various consumables, addressing issues related to identification, differentiation, and management [1][3]. Group 2: Coding and Price Monitoring - The classification is based on the registration information from the medical device regulatory authority, grouping consumables with similar clinical uses and structures under the same category [2]. - The introduction of unified coding for medical consumables allows for precise price monitoring, helping to identify and correct unfair pricing practices [2][4]. Group 3: Support for Innovation and Clinical Needs - The revised classification supports innovation by adding new categories for products already registered with the regulatory authority but lacking appropriate classification in the medical insurance database [4]. - The optimization aligns with clinical needs, facilitating better management and application of medical consumables, particularly in areas with significant differences in clinical use and insurance payment values [4][3]. Group 4: Implementation and Impact - This revision marks the first nationwide implementation of unified coding for medical consumables, with the new database already operational in regions like Shanghai [5]. - The optimization is expected to enhance data-driven decision-making in medical insurance management, addressing questions related to affordability and value [3].
我国已完成7类医保医用耗材分类优化工作
Yang Shi Xin Wen· 2025-09-15 01:16
记者从国家医保局获悉,目前,我国已完成血管介入支架、人工器官、植入式心脏节律管理器等7类医 保医用耗材的分类优化工作,将逐步解决医用耗材"识别难、区分难、管理难"等问题,提升了医保管理 的标准化、精细化水平。 长期以来,医用耗材产品命名缺乏统一标准,企业自主命名空间较大,致使市场上出现部分不同规格、 不同功能的产品共用同一名称,而部分本质相同的产品却拥有多个名称的现象,对医保的精准支付和基 金监管,以及医疗机构的耗材招标采购增添了难度。 为此,国家医保局2024年11月正式启动"医保医用耗材分类"修订。目前已完成分类优化工作的7类医保 医用耗材包括:血管介入支架、血管介入球囊、非血管介入支架、非血管介入球囊、吻合器、人工器 官、植入式心脏节律管理器。 此次医用耗材分类优化工作尊重支持创新,助推产业发展。例如,植入式无导线心脏起搏器是心脏起搏 领域的革命性技术,它可通过微创方式经静脉植入心腔内,具有无切口、无囊袋、无导线的优势。本次 分类调整将无导线心脏起搏器单独分类,充分关注了技术创新,为传统起搏器多次感染、上腔静脉通路 缺失、长期血液透析的患者提供了更多选择。 中国社会保障学会项目组负责人翟梦媛:我们的修订 ...
国家医保局优化医用耗材分类 涉及血管介入支架等七类
Yang Guang Wang· 2025-09-14 00:43
央广网北京9月14日消息(记者杜希萌 周尧)据中央广播电视总台中国之声《新闻和报纸摘要》报 道,国家医保局相关负责人近日介绍,血管介入支架等7类医保医用耗材分类、医保通用名等已完成优 化,相关医用耗材数据库9月底前全部落地实施。 国家医保局大数据中心编码标准处副处长张雯说,他们也将继续组织力量推进其他医保医用耗材分 类修订优化工作,尤其会对创新产品留出空间。 张雯:我们在医保医用耗材库的各大分类下都预留了"其他"这一个类别,为目前暂时没有明确的创 新产品提供了一个临时性的赋码通道。 医用耗材分类编码一直是医保标准化工作中的难点。国家医保局大数据中心副主任赵秀竹坦言,此 次血管介入支架等7类医用耗材完成分类编码调整,重点解决了医用耗材长期存在的分类不清、管理复 杂等问题。植入式心脏节律管理器、人工器官等技术壁垒较高的耗材首次纳入分类新规,标志着医保精 细化管理正从成熟赛道延伸至更多高值领域。 赵秀竹:截至2025年8月底,(医保医用耗材分类)数据库已发布耗材分类代码10.36万条,涵盖1.5 万家企业、9.16万张注册证、14.09万件产品、1337.96万个规格型号。 ...
江苏省:支持脑机接口设备、医用机器人等前沿技术产品研发
Core Viewpoint - Jiangsu Province has issued policies to promote deep reforms in drug and medical device regulation, aiming to enhance the high-quality development of the pharmaceutical industry [1] Group 1: Support for Innovation - The policies emphasize support for the research and development of innovative products, focusing on areas such as innovation, clinical needs, and rare disease treatments [1] - A series of provincial science and technology projects will be implemented to support the development of cutting-edge medical technologies, including cell and gene therapy drugs, foreign-approved drugs, radioactive drugs, medical robots, and brain-computer interface devices [1] Group 2: Enhancement of Testing and Monitoring Capabilities - The initiative includes advancing the construction of testing platforms in emerging fields such as brain-computer interfaces and artificial organs [1] - The goal is to create advantageous testing projects in the field of medical acoustics [1]