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 the introduction, the new version of the grouping scheme is more refined. ADRG core groups were increased from 409 groups in version 2.0 to 492 groups, adding 83 groups; DRG subgroups were increased from 634 to 825, adding 191 groups. This is like splitting the original cases in a “big basket” into different “small baskets” according to more detailed standards, which is more in line with clinical reality. Second, pay more attention to the specificity of “one old, one young.” China is in a period of accelerated population aging, and at the same time, the special nature of medical services for children and mothers is receiving more and more attention. The 3.0 version breaks down cases younger than 6 years and older than 70, accounting for one-tenth of the total DRG group. Painless delivery also has 3 separate payment groups. This move is a positive response to the health needs of the “one old, one young” key group, and is another important measure to support the construction of a childbirth-friendly society. Third, support for innovative technology is more clear. A clear “support signal” for version 3.0 is a segmentation of robot-assisted surgery, providing clear and positive payment expectations for technological innovation and application.

Zhitongcaijing · 4d ago
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 the introduction, the new version of the grouping scheme is more refined. ADRG core groups were increased from 409 groups in version 2.0 to 492 groups, adding 83 groups; DRG subgroups were increased from 634 to 825, adding 191 groups. This is like splitting the original cases in a “big basket” into different “small baskets” according to more detailed standards, which is more in line with clinical reality. Second, pay more attention to the specificity of “one old, one young.” China is in a period of accelerated population aging, and at the same time, the special nature of medical services for children and mothers is also receiving more and more attention. The 3.0 version breaks down cases younger than 6 years and older than 70, accounting for one-tenth of the total DRG group. Painless delivery also has 3 separate payment groups. This move is a positive response to the health needs of the “one old, one young” key group, and is another important measure to support the construction of a childbirth-friendly society. Third, support for innovative technology is more clear. A clear “support signal” for version 3.0 is a segmentation of robot-assisted surgery, providing clear and positive payment expectations for technological innovation and application.