探索符合中医药特点的医保支付方式是医保促进中医药传承创新发展的重要内容。本文结合中医优势病种、中医编码、临床路径等付费基础,总结分析当前医保支付方式改革背景下中医按病种分值付费的经验做法,提出明晰中西医诊断编码的对应关系等建议,为推进中医医保支付方式改革提供参考。

Exploring medical insurance payment methods that conform to the characteristics of traditional Chinese medicineis an important part of medical insurance to promote the inheritance, innovation, development of TCM. Based on the payment basis of TCM dominant diseases, TCM codes, clinical pathways, the paper summarizes, analyzes the experience, practice of TCM diseases paid by DIP under the background of the current reform of medical insurance payment methods, puts forward suggestions for clarifying the correspondence between TCM, western medicine diagnosis codes, providing reference for the reform of TCM medical insurance payment method