Two departments: Orderly promote the inclusion of hospitalization costs for medical treatment in other places in the province in the form of disease payment management

CCTV.com2025-04-28

CCTV News: The Office of the National Medical Insurance Administration and the General Office of the Ministry of Finance issued a notice on orderly promoting the inclusion of hospitalization costs for medical treatment in other places in the province in the payment management according to the disease type. The notice proposes to deepen the reform of medical insurance payment methods, standardize medical service behaviors in other places, promote reasonable diagnosis and treatment, and promote the establishment of a unified, standardized, internal and external coordination, coordinated, balanced, safe and efficient medical insurance payment mechanism for medical treatment in other places. Before the end of 2025, all provinces will include the direct settlement fee for hospitalizations in other places within the province in the medical treatment area in terms of disease payment management, including two forms: payment by disease group (DRG) and payment by disease score (DIP).

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