The National Health Insurance Administration issued the “Fifteenth Five-Year Plan” for National Medical Insurance. Among them, it is proposed to deepen the reform of medical insurance payment methods. Continue to push forward the reform of multiple complex medical insurance payment methods, which mainly focus on payment by disease type, and strengthen total regional management. Dynamically adjust disease group plans and payment standards, and improve core element management mechanisms and supporting management mechanisms. Direct settlement of hospitalization expenses for medical treatment from other places is included in the scope of payment by disease type to facilitate payment connections. Improve the payment balance retention policy by disease type, and promote the integrated development of payment by patient group and disease type. Explore various payment methods, such as per bed day, for mental illness, medical rehabilitation, etc. that require long-term hospitalization and have a stable average daily cost. Promote a pilot reform of outpatient payment methods. Implement total payments for eligible close county medical communities, and give appropriate preferential treatment to close county medical communities formed under the leadership of traditional Chinese medicine medical institutions in terms of total amount. Gradually improve medical insurance payment methods that meet the characteristics of traditional Chinese medicine.

The National Health Insurance Administration issued the “Fifteenth Five-Year Plan” for National Medical Insurance. Among them, it is proposed to deepen the reform of medical insurance payment methods. Continue to push forward the reform of multiple complex medical insurance payment methods, which mainly focus on payment by disease type, and strengthen total regional management. Dynamically adjust disease group plans and payment standards, and improve core element management mechanisms and supporting management mechanisms. Direct settlement of hospitalization expenses for medical treatment from other places is included in the scope of payment by disease type to facilitate payment connections. Improve the payment balance retention policy by disease type, and promote the integrated development of payment by patient group and disease type. Explore various payment methods, such as per bed day, for mental illness, medical rehabilitation, etc. that require long-term hospitalization and have a stable average daily cost. Promote a pilot reform of outpatient payment methods. Implement total payments for eligible close county medical communities, and give appropriate preferential treatment to close county medical communities formed under the leadership of traditional Chinese medicine medical institutions in terms of total amount. Gradually improve medical insurance payment methods that meet the characteristics of traditional Chinese medicine.