As for the problem of "expensive medical treatment", not only ordinary people think it is expensive, but also the local medical insurance bureau has been troubled by the rising medical expenses every year. Medical insurance and hospitals have been quarreling for nearly 20 years.

Finally, in October 2016, the "Healthy China 2030" Plan outline proposed the active exploration of grouping payment by disease diagnosis (DRG).

DRGs (Diagnosis Related Groups) : Diagnosis Related Groups refers to a system in which patients are divided into several Groups according to the Diagnosis, treatment, age, comorbidities, complications, gender and other factors. To build a relatively fair evaluation platform for different service providers and provide a data basis for the establishment of payment standards.

Drgs-related diagnostic group is essentially a set of "medical management tools", which is the most widely used among many "case combination" tools in the field of medical management. Its main purpose is to improve the "comparability" of cases and facilitate the reasonable settlement of medical expenses. Suitable for acute inpatient cases.

The advantages of DRGs are mainly reflected in three aspects

First, prepaid

DRGs sorted out the charging standard of the same clinical pathway by sorting out the clinical pathway of patients' treatment, so as to provide reasonable data reference for the pre-payment of inpatients.

Second, the quality of medical care

By unified management of the clinical pathway when patients seek medical treatment, misdiagnosis caused by doctors' personal reasons can be reduced in terms of procedures, unnecessary losses can be avoided, and patients can feel more at ease in the process of seeking medical treatment.

Third, overall medical expenses

With a clear clinical path and standardized treatment, the usual phenomena such as overprescription, excessive examination and excessive medical treatment can be greatly curbed, and patients can get more reasonable treatment plans and cure the disease at the minimum cost.

At present, more than 30 countries and regions in the world use DRGs in various fields of medical management, and the principles and methods of DRGs application have become increasingly mature. In the new round of health system reform in China to the in-depth development of today, active research and development of DRGs-related management tools, to promote China's health system management towards the scientific, standardized and systematic.

Recently, Zhejiang province also issued the Opinions on Promoting the Reform of The Payment Method of The Basic Medical Insurance of the Whole Province

The Opinions require that Zhejiang comprehensively implement total budget management throughout the province. For in-patient medical services, payment is mainly based on DRGs points; For long-term and chronic hospital medical services, we will gradually introduce pay-per-bed per day; For outpatient medical services, we will explore the combination of family doctor contracted services and implement the per-head payment.

Zhejiang will become the first province in China to introduce drGs-based payment for hospital admissions across the province.