With an ageing population and increasing burden of chronic diseases, demand for rehabilitation services has surged. However, the current Diagnosis-Related Groups (DRG) /Big Data Diagnosis-Intervention Packet (DIP) payment system is not fully compatible with the characteristics of rehabilitation care. Meanwhile, per-diem payment systems have given rise to issues such as over-treatment. Against this backdrop, Nanjing City has drawn upon international and domestic experience to introduce the Value-based Rehabilitation Groups (VRG) payment model. The article first analyses existing rehabilitation payment practices globally and domestically, summarising approaches to establishing value-oriented rehabilitation payment systems. It then details Nanjing City's VRG design philosophy and operational mechanisms, and the value-based payment framework is introduced, alongside a preliminary effectiveness analysis using data from Nanjing City. Finally, it summarises the reform's achievements and shortcomings while proposing refinement strategies, aiming to provide valuable insights for China's rehabilitation medical insurance payment reforms.
Key words
rehabilitation care /
medical insurance payment /
value orientation /
VRG
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