A Pathway Study on Promoting the Reform of Medical Insurance Payment Methods for Traditional Chinese Medicine in Zhejiang Province Driven by"Three-Medicine"Synergy
Rong Chao
Liu Lin
Wang Yanlong
Tong Xin
Chen Yajing
Zhao Feng
Fan Penghao
Lei Tingting
Zhang Siyuan
Ye Lingling
Huang Wenxiu
Abstract：Accurately reflecting the value of Traditional Chinese Medicine (TCM) within emerging health-insurance payment models has become pivotal.Analyzing Zhejiang Province's TCM medical insurance payment reform from a"three-medicine"synergy perspective:reviewing regulations and practices revealss challenges with DRG payment systems,including inadequate adaptation to TCM,insufficient weighting for minor surgical procedures,undervaluation of TCM service items,and outdated pricing standards for herbal medicine prescriptions.Drawing on experiences from Shanghai,Guangdong,and other regions,it proposes solutions such as refining TCM diagnostic groupings,adjusting weighting factors,improving pricing mechanisms,and implementing dynamic updates for herbal medicine costs.By optimising the payment architecture,it aims to enhance both accessibility and therapeutic effectiveness of TCM services,thereby offering policy guidance for the high-quality development of TCM and its deeper integration into the modern healthcare system.
Keywords："three-medicine" synergyTraditional Chinese Medicinereform of medical insurance payment methodsZhejiang
Publication Date：2026-02-05
Online Publishing Date：2026-03-12(First online date of this platform, not the publication date of the document)
Pages：4( 42-45 )