Medical Consumables Charging,Medical Insurance Directory Access and Payment Collaborative Management Based on the Item Initiation Guidelines
- VernacularTitle:基于立项指南的医用耗材收费、医保目录准入和支付协同管理
- Author:
Daxi ZHENG
1
;
Dian WU
1
Author Information
1. 华中科技大学同济医学院附属同济医院 湖北 武汉 430030
- Publication Type:Journal Article
- Keywords:
medical consumables;
separate charges;
medical insurance directory access;
separate material consumption from technical labor;
medical service price item set up guide
- From:
Chinese Health Economics
2025;44(11):79-85
- CountryChina
- Language:Chinese
-
Abstract:
With the implementation of the medical service price item guidelines in various places,it is particularly urgent to follow up the coordinated policies of consumables that can be charged separately and their medical insurance catalog access and payment management.On the basis of reviewing the management policy of medical consumables charge and medical insurance catalogue,it introduces the practice of typical provinces,including making a catalogue list of consumables that can be charged separately to patients or forming a negative list of consumables based on basic consumption;formulating a unified payment management plan for medical consumables and a catalogue of medical consumables for medical insurance in the province;innovative medical consumables clinical application item fees and medical insurance payment policy coordination.The practice of typical provinces has implications for other regions to standardize consumables charges,medical insurance catalog access and payment:combing and screening,standardizing and integrating the content of price items in different places to form a list of consumables that can be separately charged;clearly defining the scope of access and meet the conditions,and classifying the consumables that can be charged separately into the medical insurance catalogue management according to the procedures.
