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创新医疗技术收费立项、定价与医保目录准入

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加快创新医疗技术立项、规范收费定价与医保准入是支持技术创新的体现.本文在回顾国家层面新增医疗服务价格项目与医保准入文件的基础上,比较各地支持创新医疗技术实践做法,并提出规范创新医疗技术收费立项、定价与医保准入管理的相关建议.即进一步厘清技术规范、立项指南与新增医疗服务价格项目申报的关系,做好工作流程对接;按医疗技术创新程度设置绿色通道与常规通道兼备的新增项目申报通道;综合运用成本定价、价值定价和参考定价法,促进新增项目价格合理形成;明确转归核定医疗服务价格项目医保支付目录准入的申报、评价、遴选规则等.
Charging Items Approval,Pricing and Medical Insurance Catalogue Access of Innovative Medical Technology
Accelerating the establishment of innovative medical technology items,and standardizing charging,pricing and medical insurance admission is to support technological innovation.On the basis of reviewing the new medical service price items and medical insurance access documents at the national level,this paper compares the practice of supporting innovative technology across different regions,and proposes relevant suggestions for standardizing the approval,pricing,and medical insurance access management for innovative medical technology charging items.We should further clarify the relationship between technical specifications,approval guidelines,and the application for new medical service pricing items,and ensure proper coordination of workflow;establish new item application channels that combine green and conventional channels based on the level of medical technology innovation;comprehensively utilize cost pricing,value pricing,and reference pricing methods to promote the reasonable formation of new item prices;clarify the application,evaluation,and selection rules for admission to the medical insurance catalogue for medical service price items with approved transfer.

innovative medical technologyprice of medical service itemspricing for medical service itemsmedical insurance catalogue access

郑大喜

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华中科技大学同济医学院附属同济医院 武汉 430030

创新医疗技术 医疗服务价格 医疗服务定价 医保目录准入

2024

中国医疗保险
中国医疗保险研究会

中国医疗保险

影响因子:0.492
ISSN:1674-3830
年,卷(期):2024.(11)