The National Healthcare Security Administration (NHSA) has released a set of regulations aimed at improving the management of Diagnosis Related Groups (DRG) and Diagnosis-Intervention Packet (DIP) payment methods under the multi-level medical security system of “1+3+N”. The document emphasizes the need for better coordination between payment methods and reforms in medical service pricing, volume-based procurement (VBP), National Reimbursement Drug List (NRDL) negotiations, commercial health insurance, fund supervision, and other areas. It also highlights the importance of real-time, direct, and synchronous settlements.<\/p>\n\n\n\n
Unified Management and Information Platform<\/strong>
The regulations clarify that DRG\/DIP payment methods will be included in the scope of agreement management. Handling agencies and designated medical institutions are required to sign medical security service agreements to define the rights and obligations of both parties. The government will accelerate the implementation of a unified national medical insurance information platform and build a full-process online management system. This includes standardizing the application of national medical insurance information business coding standards and ensuring data collection quality control and information security.<\/p>\n\n\n\n