"十五五"规划建议提出，"加快高水平科技自立自强，引领发展新质生产力""全链条推动集成电 路、工业母机、高端仪器、基础软件、先进材料、生物制造等重点领域关键核心技术攻关取得决定性突 破"。 中青报·中青网记者 刘昶荣 手术机器人、相隔上千公里的远程手术、3D打印类生物器官……这些医疗领域的高精尖技术，过 去在进入临床应用时会遇到一个难题：不知道该如何收费。 为了解决这个痛点，1月20日，国家医保局发布《手术和治疗辅助操作类医疗服务价格项目立项指 南（试行）》（以下简称《立项指南》），共设立37项价格项目，另有加收项5项、扩展项1项，覆盖 3D打印、术中引导、手术机械臂、远程手术等重要辅助技术和产品。 其中，3D打印类价格项目为适配生物打印从"概念试验"向"临床应用"的发展态势，设立了生物打印 类价格项目，促进类器官技术临床应用。 一家从事3D生物打印技术的企业负责人解智博对中青报·中青网记者说，《立项指南》对企业的帮 助非常大，过去由于收费没有统一规范，不仅新技术难以进入临床，而且企业的长期健康发展也受到不 利影响。 解智博所在企业成立于2023年。"我们企业目前还没有营收，其中一个重要原因就是没有一个合规 ...

【东北医疗大健康】价格立项落地，手术机器人迎来收费模式突破 事件：国家医保局1月20日发布《手术与治疗辅助操作类医疗服务价格项目立项指南（试行）》，为手术机器人、 能量设备专用耗材及远程手术等创新医疗技术明确了全国统一的价格立项规范 点评： ①具体定价还将各省落地制定。 ④远程手术独立立项，利好远程5G手术和头部医院放量。 参考历史经验，从国家医保局发布到各省陆续发布项目和具体价格，通常需要半年到一年时间。 ②明确收费目录，利好创 【东北医疗大健康】价格立项落地，手术机器人迎来收费模式突破 事件：国家医保局1月20日发布《手术与治疗辅助操作类医疗服务价格项目立项指南（试行）》，为手术机器人、 能量设备专用耗材及远程手术等创新医疗技术明确了全国统一的价格立项规范 点评： ①具体定价还将各省落地制定。 参考历史经验，从国家医保局发布到各省陆续发布项目和具体价格，通常需要半年到一年时间。 ②明确收费目录，利好创新设备全国进院与耗材销售放量。 以往机器人与专耗设备需要医疗机构申请自主定价备案或由省市牵头定价，影响临床推广积极性。 本次国家确定收费目录，打通各省市终端收费模式"最后一公里。 以价格立项引领医疗技术升级并 ...

南方财经1月21日电，早盘医疗器械板块活跃，天智航涨超10%，三友医疗、西山科技、康众医疗、天 益医疗跟涨。消息面上，1月20日，国家医保局发布《手术和治疗辅助操作类医疗服务价格项目立项指 南（试行）》，共设立37项价格项目，另有加收项5项、扩展项1项，覆盖3D打印、术中引导、手术机 械臂、远程手术等重要辅助技术和产品。 ...

王小宁介绍说，立项指南聚焦手术机器人在手术中的参与程度和促进精准手术的临床价值，分档设立导 航、参与执行、精准执行等3个价格项目，打破手术入路、应用部位、国内外品牌等划分界限，实行与 主手术挂钩的系数化收费模式，参与度更高、功能更全面、执行更精准的手术机器人可获得更高收费系 数。 王小宁表示，为进一步推动手术机械臂的规模应用，立项指南设立"远程手术辅助操作费"价格项目。医 疗资源聚集地区的专家为其他地区的患者开展远程手术，即可依规收费，推动优质医疗资源跨区域供 给，降低患者异地就医奔波负担。 王小宁指出，国家医保局始终密切跟踪医疗行业创新发展的新动态，统一新增一百多项涉及新技术新产 品的前瞻性价格项目，初步铺就一条渐进性产业升级和医保支付引领的科技创新之路。(完) 中新社北京1月20日电 (记者 李纯)中国国家医疗保障局医药价格和招标采购司司长王小宁20日在北京表 示，为进一步推动手术机械臂的规模应用，医疗服务价格项目立项指南前瞻性设立"远程手术辅助操作 费"价格项目。 当天，国家医保局举办"价格立项赋能医疗科技创新发展分享活动"，解读价格立项支持精准医疗、远程 医疗等新场景规模化应用的情况。 王小宁介绍说， ...

Core Viewpoint - The article discusses the issuance of the "Guidelines for the Pricing of Surgical and Treatment Auxiliary Operations" by the National Medical Insurance Administration, which aims to standardize and categorize auxiliary surgical operations within the medical insurance system, enhancing transparency and adaptability to new technologies [2][3]. Policy Background - The introduction of a unified pricing guideline addresses structural challenges in China's medical service pricing system, such as regional disparities and the lack of standardized pricing for auxiliary operations [3]. - The guidelines represent the first systematic classification of auxiliary operations in surgery, covering advanced technologies like 3D imaging, navigation systems, and remote surgery [3][4]. Key Components of the Guidelines - The pricing project consists of seven core elements: project name, service output, price composition, additional charges, expansion items, pricing units, and pricing explanations [4]. - The guidelines include 36 auxiliary operations categorized into six systems based on service output attributes, facilitating understanding across disciplines [5][6]. Categories of Auxiliary Operations - **3D Technology Chain**: This category includes operations related to 3D reconstruction, modeling, and printing, which enhance pre-surgical planning and individualization of treatment [6][8]. - **Tracing and Imaging Enhancement**: This category focuses on technologies that improve intraoperative information clarity, such as tracers and advanced imaging techniques [7][9]. - **Energy Instrument Assistance**: This category includes various energy devices used in surgery, emphasizing the separation of technical costs from device usage [10][11]. - **Intraoperative Imaging Guidance**: This category standardizes the pricing of imaging guidance during surgery, enhancing its role in risk management [12][13]. - **Surgical Path Navigation**: This category includes navigation systems that provide real-time tracking and positioning during surgeries [14][15]. - **Surgical Robotics and Remote Surgery**: This category recognizes the role of robotic assistance and remote surgery as significant advancements in surgical capabilities [16][18]. Understanding the Pricing System - The guidelines emphasize that "service output" is the sole basis for establishing pricing projects, allowing for flexibility in technical paths as long as the output remains consistent [20]. - The guidelines allow for existing projects to accommodate technological improvements without the need for new pricing applications, reducing barriers to innovation [21][22]. Implications for Hospitals and Enterprises - The new pricing framework is expected to lead to a comprehensive restructuring of cost management, quality control, and payment mechanisms within hospitals [26][30]. - Hospitals will be better equipped to assess the real costs and values of auxiliary operations, promoting transparency and accountability in surgical practices [30][31]. - Enterprises will need to shift their focus from equipment-centric models to service output-oriented strategies, enhancing their data capabilities to comply with new regulatory requirements [36][38]. Observations on Systemic Evolution - The guidelines represent a significant shift from fragmented technical approaches to a cohesive capability system, facilitating clearer communication of technological value [44][45]. - The formal recognition of independent pricing for capabilities, such as robotic assistance, aligns with international trends towards technology-neutral and capability-oriented regulatory frameworks [46]. - The requirement for data retention and reporting will transform surgical practices from experience-based to data-driven methodologies, supporting future research and clinical improvements [47][48].