国家医保局出台方案 启动首批全国统一医保医疗服务项目目录编制

格隆汇
Yesterday
国家医保局正式印发《国家基本医疗保险医疗服务项目目录(第一批)制定工作方案》,我国将首次制定全国统一的医保医疗服务项目目录,进一步规范医保支付范围,提升保障公平性与基金使用效能。方案明确,坚持“保基本”定位,综合考量各地基金承受能力、临床实际需求,按照“分类制定、动态完善”推进。首批将覆盖心血管、呼吸、眼科、妇科、放疗、麻醉、护理、康复、口腔种植、辅助生殖等13个类别。目录落地后,将率先应用于跨省异地就医结算,再逐步和各省支付范围衔接。方案划定准入标准,临床必需、安全有效、价格适宜、基金风险可控的项目方可纳入;美容保健、非功能性整容、健康体检等非疾病治疗项目,以及效果不确定、风险较高的项目不予纳入。此举将推动医保支付更加规范高效,更好守护群众看病就医权益。

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