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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. According to experts, the core diseases included in the DIP 3.0 version of the national disease bank were adjusted from 9520 in the 2.0 version to the 5125 group, which was reduced by nearly half, but the number of cases covered increased from 92% to 95%. The main reason for the decrease is the combination of some outpatients and some surgical procedures. That is, based on continuous observation and analysis of disease data, accumulation of local reform experience, changes in treatment operations brought about by the application of new clinical technologies, etc., some diseases are merged based on the principles of similar clinical characteristics and similar resource consumption.

Zhitongcaijing·09/02/2026 03:25:02
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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. According to experts, the core diseases included in the DIP 3.0 version of the national disease bank were adjusted from 9520 in the 2.0 version to the 5125 group, which was reduced by nearly half, but the number of cases covered increased from 92% to 95%. The main reason for the decrease is the combination of some outpatients and some surgical procedures. That is, based on continuous observation and analysis of disease data, accumulation of local reform experience, changes in treatment operations brought about by the application of new clinical technologies, etc., some diseases are merged based on the principles of similar clinical characteristics and similar resource consumption.