The National Medical Insurance Administration has clarified that medical consumables are included in medical insurance payments
Medical consumables involve over 95% of the diagnosis and treatment business activities within medical institutions, accounting for 15% to 20% of the total revenue of large comprehensive medical institutions, and have been increasing year by year. In particular, the annual market growth rate of high-value medical consumables has reached 26%. How can the charging, pricing, and payment management of medical consumables be more systematic and standardized? Today, the National Medical Insurance Administration issued a notice on the management of payment for medical consumables in basic medical insurance.
The National Medical Insurance Administration requires all regions to solidly promote the application of national medical insurance medical consumables codes, timely update the medical consumables classification and code database formulated by the National Medical Insurance Administration, improve the accuracy and standardization of medical consumables code application, achieve the procurement, use, settlement, and supervision of medical consumables with codes, and ensure the national unity of medical consumables classification and codes.
Clearly define the scope of consumables included in medical insurance payments. We need to adapt to the principle of separating technical labor and material consumption in the reform of medical service prices, strengthen the linkage between medical service price items and medical consumables payment management, and gradually include disposable medical consumables that are not included in the price structure of medical service items in the scope of medical insurance payment management according to regulations.
The National Medical Insurance Administration will study and establish a management system for the common names of medical consumables under medical insurance, gradually develop naming rules for different categories of medical consumables, and compile medical insurance common names.
