Today, the National Health Insurance Administration officially issued the “National Basic Medical Insurance Medical Service Project Catalogue Formulation Work Plan”. For the first time, China will formulate a unified national medical insurance and medical service project catalogue, further standardize the scope of medical insurance payments, and enhance the fairness of protection and the effectiveness of fund use. The plan is clear, adheres to the “basic protection” position, comprehensively considers the affordability of local funds and actual clinical needs, and is promoted according to “classification formulation and dynamic improvement”. The first batch will cover 13 categories, including cardiovascular, respiratory, ophthalmology, gynecology, radiotherapy, anesthesia, nursing, rehabilitation, oral implants, and assisted reproduction. After the catalogue is launched, it will first be applied to settlement for medical treatment from other places across provinces, and then gradually linked to the scope of payment in each province. The plan defines entry criteria, and only clinically necessary, safe and effective, affordable, and manageable fund risk can be included; non-disease treatment programs such as aesthetic health care, non-functional plastic surgery, health examinations, etc., as well as projects with uncertain results and high risk, are not included. This move will promote more standardized and efficient medical insurance payments, and better protect the public's rights and interests to seek medical treatment.

Zhitongcaijing · 2d ago
Today, the National Health Insurance Administration officially issued the “National Basic Medical Insurance Medical Service Project Catalogue Formulation Work Plan”. For the first time, China will formulate a unified national medical insurance and medical service project catalogue, further standardize the scope of medical insurance payments, and enhance the fairness of protection and the effectiveness of fund use. The plan is clear, adheres to the “basic protection” position, comprehensively considers the affordability of local funds and actual clinical needs, and is promoted according to “classification formulation and dynamic improvement”. The first batch will cover 13 categories, including cardiovascular, respiratory, ophthalmology, gynecology, radiotherapy, anesthesia, nursing, rehabilitation, oral implants, and assisted reproduction. After the catalogue is launched, it will first be applied to settlement for medical treatment from other places across provinces, and then gradually linked to the scope of payment in each province. The plan defines entry criteria, and only clinically necessary, safe and effective, affordable, and manageable fund risk can be included; non-disease treatment programs such as aesthetic health care, non-functional plastic surgery, health examinations, etc., as well as projects with uncertain results and high risk, are not included. This move will promote more standardized and efficient medical insurance payments, and better protect the public's rights and interests to seek medical treatment.