Implementation and Experience of the Item Setting Guides for Medical Service Price

doi:10.19546/j.issn.1674-3830.2026.3.006

China Health Insurance ›› 2026, Vol. 0 ›› Issue (3) : 49-56. DOI: 10.19546/j.issn.1674-3830.2026.3.006

Observation & Discussion

Implementation and Experience of the Item Setting Guides for Medical Service Price

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Abstract

Objective:The paper reviews the introduction and implementation progress of the item setting guides for medical service price and summarizes the experiences and challenges. Methods:Using policy document analysis and literature review, the background of the introduction of the item setting guides was reviewed, and typical provinces were selected. In-depth interviews were conducted to summarize the main experiences. Results:The working models of typical regions in the implementation of the item setting guides were summarized, and experiences in item mapping, price setting, separation of technology and consumables, and the introduction of new items were introduced. Conclusion:The implementation of the item setting guides has led to the formation of preliminary mature experiences. However, there are still unresolved issues with price setting and adjustment, and the charging of consumables.

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medical service price item standard / item setting guides / policy background / implementation

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Implementation and Experience of the Item Setting Guides for Medical Service Price[J]. China Health Insurance. 2026, 0(3): 49-56 https://doi.org/10.19546/j.issn.1674-3830.2026.3.006

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