In the final year of the three-year reform of medical insurance payment methods, the "2.0 version" DRG grouping scheme will be "released".

The year 2024 is the final year of the three-year action plan for the reform of medical insurance payment methods. Huang Xinyu, director of the Medical Service Administration Department of the National Medical Insurance Bureau, said at the Global Health Forum of the Boao Asian Forum on June 16 that, as of now, 26 provinces have achieved full coverage of the reform of payment methods in all integrated areas. It is expected that the reform will be completed by the end of this year. That is, by the end of this year, all integrated areas in the country will carry out the reform of DRG (disease-related grouping)/DIP (disease grouping score) payment methods. The starting point and end point of the reform of DRG/DIP is to “establish a medical insurance payment and incentive and restraint mechanism that is effective and manageable for medical institutions” —— under the premise of total control of medical insurance funds, improve the efficiency of fund use, and force medical institutions to improve quality, control costs, and increase efficiency. Since the pilot in 2019, the reform has shown initial results. However, at the same time, discussions about “hospital losses in most departments due to the reform”, doctors’ “experts turning into accountants”, patients’ “hospital refusal of severe diseases”, and pharmaceutical companies’ “difficult admission of high-value innovative drugs” also occur from time to time.