The National Health Insurance Administration held a press conference to release the 3.0 version of the disease-specific payment grouping plan and technical specifications. The relevant person in charge of the National Health Insurance Administration stressed that the payment standard for disease types is the “average value” of expenses formed by the health insurance department based on objectively incurred historical expenses and patient population data. The reform of payment methods is not a “fee control” method or purpose of health insurance, nor is it possible to require every case not to exceed the payment standards. At the same time, during internal management of medical institutions, do not link payment standards to medical staff performance pay, and simply and crudely let doctors bear the “excess payment standards” part, thereby affecting normal diagnosis and treatment behavior and harming the legitimate interests of insured patients. We hope that the vast majority of medical institutions can work hand in hand with health insurance departments to use disease payment as a tool and means to strengthen the internal management of hospitals, improve the quality and efficiency of operation, and achieve high-quality development of medical insurance and medical care.

The National Health Insurance Administration held a press conference to release the 3.0 version of the disease-specific payment grouping plan and technical specifications. The relevant person in charge of the National Health Insurance Administration stressed that the payment standard for disease types is the “average value” of expenses formed by the health insurance department based on objectively incurred historical expenses and patient population data. The reform of payment methods is not a “fee control” method or purpose of health insurance, nor is it possible to require every case not to exceed the payment standards. At the same time, during internal management of medical institutions, do not link payment standards to medical staff performance pay, and simply and crudely let doctors bear the “excess payment standards” part, thereby affecting normal diagnosis and treatment behavior and harming the legitimate interests of insured patients. We hope that the vast majority of medical institutions can work hand in hand with health insurance departments to use disease payment as a tool and means to strengthen the internal management of hospitals, improve the quality and efficiency of operation, and achieve high-quality development of medical insurance and medical care.