Not long ago, the National Healthcare Security Administration released the 2.0 version of the payment grouping scheme based on Disease Groups (DRG) and Disease Points (DIP). This new plan, known as the "upgraded version of medical insurance reform," has written a vivid footnote to the high-quality development of medical insurance. The traditional payment method for medical insurance in our country is to pay by project. The drugs, medical services, and medical consumables used in the diagnosis and treatment process are settled based on the amount used. Patients and medical insurance funds each bear their own part of the payment according to the actual cost. With the passage of time, the drawbacks of traditional payment methods have become increasingly apparent: it is easy to breed excessive medical behaviors such as "big prescriptions" and "big checks", resulting in the waste of medical resources, leading to insured persons spending more money and medical insurance funds spending more. After the establishment of the National Healthcare Security Administration, it implemented a diversified and composite medical insurance payment method mainly based on disease payment. It successively launched national pilot projects for DRG and DIP payment methods, and carried out the "Three Year Action Plan for DRG/DIP Payment Method Reform" on this basis. The so-called DRG payment refers to grouping patients based on disease diagnosis, severity of illness, treatment methods, and other factors, and grouping patients into diagnosis related groups with similar clinical symptoms and resource consumption. On this basis, medical insurance will be paid according to the corresponding payment standards. The so-called DIP payment refers to payment based on disease score. Under the total budget mechanism, the point value is calculated based on the annual medical insurance payment total, medical insurance payment ratio, and the total score of each medical institution case, forming payment standards and achieving standardized payment for each medical institution case. As of the end of 2023, over 90% of the coordinated regions in China have carried out this reform. Through reform, the medical insurance fund pays for medical outcomes, and the payment settlement is more scientific and reasonable, achieving positive results in reducing the burden on the masses, ensuring efficient use of funds, and regulating the behavior of medical institutions. With the deepening of payment method reform, some local medical insurance departments, medical institutions, and medical personnel have reported that the current grouping is not precise enough and not close enough to clinical practice, and hope to dynamically adjust the grouping. The new plan released this time is based on tens of millions of case data, dozens of clinical trials, and extensive solicitation and absorption of opinions and suggestions. Compared with versions 1.0 and 1.1, the DRG2.0 grouping plan optimizes and improves 13 disciplines such as critical care medicine and blood immunology, as well as joint surgery and composite surgery issues, while upgrading grouping methods and improving grouping rules; DIP2.0 version also adds common missing diseases, making grouping more refined and coverage more comprehensive. This upgraded version keeps pace with the times, is more scientific, effectively responds to concerns from all parties, and lays a solid foundation for deepening the reform of medical insurance payment. It should be noted that medical issues are complex. To promote the reform of medical insurance payment, professional grouping alone is not enough. The original intention of the payment method reform was to force hospitals to improve quality, control fees, and increase efficiency. However, some medical institutions simply decompose the task of cost control onto medical workers, resulting in clinical doctors holding a stethoscope in one hand and a calculator in the other, which affects normal diagnosis and treatment. At the same time, a few medical institutions are unable to fully understand the policies and are unwilling to adopt new technologies, equipment, or accept difficult patients in order to obtain more savings after medical insurance payments. All of these reflect insufficient education and training, inadequate empowerment of medical institutions, and lack of policy coordination, which have compromised the effectiveness of the reform. To deepen the reform of medical insurance payment, we must enhance our awareness of problems, face them directly, and solve them. The Office of the National Healthcare Security Administration, while introducing new groups, requires in-depth promotion of related work and strengthening reform coordination. Specific measures include: using a special case negotiation mechanism to address issues such as long hospital stays, high medical expenses, the use of new drugs and technologies, complex critical illnesses, or multidisciplinary joint diagnosis and treatment that are not suitable for payment according to DRG/DIP standards; Promote relevant participants to understand the DRG/DIP payment reform through training, and work together to improve the reform; Empower medical institutions, improve settlement and clearing levels, encourage localities to prepay about one month's advance payment based on fund balance, and alleviate the financial pressure on medical institutions; wait. At the same time, it is explicitly stated that medical institutions shall not use DRG/DIP disease group (disease category) payment standards as a limit to assess medical personnel, or link them to performance allocation indicators; Emphasize the importance of paying attention to opinions from clinical frontline and strengthen the collection and feedback of payment method opinions. Only by implementing various measures in detail can we ensure the smooth progress of reform and achieve the expected goals. The Decision of the Third Plenary Session of the 20th Central Committee of the Communist Party of China proposes to deepen the reform of medical insurance payment methods. The number of people participating in China's basic medical insurance exceeds 1.3 billion, and improving the efficiency of the use of medical insurance funds is related to the interests of all insured persons. By using practical methods to solve problems and efficiently promoting reforms through collaborative efforts, and allowing limited funds to be spent on the cutting edge, we can continuously enhance the public's sense of access to medical care, happiness, and security. (New Society)