Optimizing the healthcare settlement system 3.0 version to avoid a one-size-fits-all approach for complex cases.

Yesterday, it was learned from the National Health Insurance Administration that the 3.0 version grouping plan for payment by disease will be released in July this year, and will officially be implemented in January next year. The settlement method of medical insurance funds to hospitals will be further optimized. The 3.0 version grouping plan for payment by disease will set up special or separate groups for complex surgeries, critical illnesses, tumors, newborns, elderly comorbidities, etc., to avoid a "one size fits all" approach. The "special case single negotiation" mechanism will be continued and optimized, allowing for separate negotiations for cases with a hospital stay of more than 30 days, use of innovative technologies, multidisciplinary collaborative treatment, and other cases with high resource consumption.