National Healthcare Security Administration: Last year, the proportion of inpatient discharges paid by disease type accounted for 91.8% of all medical insurance discharges

The National Healthcare Security Administration held a press conference in Beijing on September 2. Huang Xinyu, Director of the Medical Administration Department of the National Healthcare Security Administration, said that in 2025, cases paid by diseasespecific payment accounted for 91.8% of all medical insurance inpatient discharges. Huang Xinyu introduced that since its establishment, the National Healthcare Security Administration has continuously advanced the reform of a diversified and compound medical insurance payment system centered on diseasespecific payment. Related reforms began with the launch of national DRG pilot programs in 2019 and national DIP pilot programs in 2020, and were gradually expanded to more coordinated regions and medical institutions. He said that after three years of pilot programs and three years of special actions, diseasespecific payment has basically achieved full coverage of eligible regions and medical institutions. The changes brought by the reform include a reduction in patients' personal burden and a more reasonable structure of inpatient expenses. At the same time, the specialcase separate review mechanism has also provided safeguards for the treatment of critically ill patients and the application of innovative drugs, consumables, and technologies.