The National Health Insurance Administration, the National Health Commission and other departments revealed yesterday that in the upcoming DRG/DIP 3.0 grouping plan, the establishment of primary disease types is recommended for the first time. Among them, there are 31 DRG primary diseases and 127 DIP primary diseases. In the future, all regions will explore and implement “same payment for the same disease” for primary diseases within the same health insurance co-ordinated area. Of the 31 DRG primary diseases this time, it covered 27 types of internal medicine diseases, including high blood pressure, diabetes, respiratory infections, neck, lower back disease, and coronary heart disease, and 4 types of first-level and second-level surgeries with mature technology and conditions at the grassroots level. The 127 diseases that are paid per disease type cover common diseases of various systems such as breathing, digestion, circulation, urinary, and skeletal muscles. Yan Bing, deputy director of the Beijing Municipal Health Insurance Administration, said that the selection criteria are first and foremost “appropriate.” Positioning it as a “common disease, frequent disease” means that the benefits are wider, and a large number of insured people can meet their medical needs at the grassroots level.

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