The medical insurance reform DRG refers to changing the medical insurance payment method from traditional payment by project to payment by disease diagnosis-related grouping.

DRG refers to disease diagnosis related grouping. It divides patients into several diagnostic groups for management based on factors such as the patient's age, disease diagnosis, comorbidities, complications, treatment methods, disease severity and outcome, and resource consumption.

In this way, the medical insurance fund can more accurately pay for each case, avoiding the problems of over-treatment and waste of resources that may have been caused by project-based payment in the past.

The advantage of the DRG payment model is that it encourages medical institutions to provide more reasonable and efficient diagnosis and treatment services, because hospitals can only obtain corresponding medical insurance payments after providing diagnosis and treatment services that meet the DRG grouping standards.

At the same time, for patients, the DRG payment model makes treatment costs more transparent and predictable, helping to reduce their financial pressure.

The benefits of paying medical insurance are as follows: 1. It is conducive to improving labor productivity and promoting the development of production.

Medical insurance is the inevitable result of social progress and production development.

In turn, the establishment and improvement of the medical insurance system will further promote social progress and production development.

On the one hand, medical insurance relieves workers from worries and allows them to work with peace of mind, thereby improving labor productivity and promoting the development of production; on the other hand, it also ensures the physical and mental health of workers and the normal reproduction of the labor force; 2. Adjusts income differences

, reflecting social fairness.

Medical insurance adjusts income differences by collecting medical insurance premiums and reimbursing medical insurance service fees. It is an important means of income redistribution for the government; 3. It is an important guarantee for promoting economic system reform, especially the reform of state-owned enterprises.

To sum up, the medical insurance reform DRG is a kind of active exploration and innovation. It helps to optimize the medical insurance payment method, improve the efficiency of the use of medical insurance funds, and promote the improvement and promotion of medical services.

Legal basis: Article 23 of the "Social Insurance Law of the People's Republic of China" requires employees to participate in employee basic medical insurance, and the employer and employees shall jointly pay basic medical insurance premiums in accordance with national regulations.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other people with flexible employment can participate in the basic medical insurance for employees, and individuals must pay the basic medical insurance premiums in accordance with national regulations.