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Zheleznyakova I.A.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation;
Russian Medical Academy of Continuing Professional Education

Plakhotnik O.S.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation

Rumyantseva E.I.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation;
Financial Research Institute of the Ministry of Finance of the Russian Federation

Sidorova E.A.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation

Vakhrusheva T.S.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation

Yakina A.S.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation

Morkhodoeva S.B.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation

Zuev A.V.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation;
Russian Medical Academy of Continuing Professional Education

Fedyaev D.V.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation;
Russian Medical Academy of Continuing Professional Education;
Financial Research Institute of the Ministry of Finance of the Russian Federation

Avxentyeva M.V.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation;
Russian Medical Academy of Continuing Professional Education;
Financial Research Institute of the Ministry of Finance of the Russian Federation;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Omelyanovskiy V.V.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation;
Russian Medical Academy of Continuing Professional Education;
Financial Research Institute of the Ministry of Finance of the Russian Federation;
N.A. Semashko National Research Institute of Public Health

Changes in diagnosis-related group payment model in the Russian Federation in 2025

Authors:

Zheleznyakova I.A., Plakhotnik O.S., Rumyantseva E.I., Sidorova E.A., Vakhrusheva T.S., Yakina A.S., Morkhodoeva S.B., Zuev A.V., Fedyaev D.V., Avxentyeva M.V., Omelyanovskiy V.V.

More about the authors

Journal: Medical Technologies. Assessment and Choice. 2025;47(2): 18‑30

DOI: 10.17116/medtech20254702118

Read: 1831 times

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Table of contents

CHANGES IN DIAGNOSIS-RELATED GROUP PAYMENT MODEL IN THE RUSSIAN FEDERATION IN 2025
CHANGES IN DIAGNOSIS-RELATED GROUP PAYMENT MODEL IN THE RUSSIAN FEDERATION IN 2025

To cite this article:

Zheleznyakova IA, Plakhotnik OS, Rumyantseva EI, et al. . Changes in diagnosis-related group payment model in the Russian Federation in 2025. Medical Technologies. Assessment and Choice. 2025;47(2):18‑30. (In Russ.)
https://doi.org/10.17116/medtech20254702118

 
Подписка 2026 Медицинские технологии. Оценка и выбор (Medical Technologies. Assessment and Choice)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The content and/or weight coefficients of diagnosis-related groups (DRG) for payment for inpatient and day medical care for 2025 have been updated. Following clinical guidelines, changes have been made to the DRG in payment for drug therapy for malignant neoplasms in adults and treatment of transient ischemic attacks, vascular cerebral syndromes, cerebral hemorrhage, and cerebral infarction. For cerebrovascular disorders, the actualization resulted in a significant increase in the payment tariff. Weight coefficients of DRG to pay for the treatment of chronic viral hepatitis B and C using genetically engineered biological agents and selective immunosuppressants, as well as in vitro fertilization, were recalculated. New groups were formed according to the following profiles: “medical rehabilitation,” “neurology” (three DRGs for complex neurological diseases), “ophthalmology” (intravitreal administration of drugs), and a group “daily hospitalization for diagnostic purposes” was added.

Keywords:

payment for medical care
diagnosis-related group
weight coefficient
classification criterion
clinical guidelines
base rate
drug therapy of malignant neoplasms
genetically engineered biological agents
selective immunosuppressants
neurology
ophthalmology

Authors:

Zheleznyakova I.A.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation;
Russian Medical Academy of Continuing Professional Education

Plakhotnik O.S.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation

Rumyantseva E.I.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation;
Financial Research Institute of the Ministry of Finance of the Russian Federation

Sidorova E.A.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation

Vakhrusheva T.S.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation

Yakina A.S.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation

Morkhodoeva S.B.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation

Zuev A.V.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation;
Russian Medical Academy of Continuing Professional Education

Fedyaev D.V.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation;
Russian Medical Academy of Continuing Professional Education;
Financial Research Institute of the Ministry of Finance of the Russian Federation

Avxentyeva M.V.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation;
Russian Medical Academy of Continuing Professional Education;
Financial Research Institute of the Ministry of Finance of the Russian Federation;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Omelyanovskiy V.V.

Center for Healthcare Quality Assessment and Control of the Ministry of Health of the Russian Federation;
Russian Medical Academy of Continuing Professional Education;
Financial Research Institute of the Ministry of Finance of the Russian Federation;
N.A. Semashko National Research Institute of Public Health

Received:

28.02.2025

Accepted:

20.03.2025

Close metadata

References:

  1. Rumyantseva EI, Zheleznyakova IA, Plakhotnik OS, Nikitin FS, Vakhrusheva TS, Avyaeva TS, et al. Changes in diagnosis-related group payment model in the Russian Federation in 2024. Medical Technologies. Assessment and Choice. 2024;46(2):10-21. (In Russ.). https://doi.org/10.17116/medtech20244602110
  2. Plakhotnik OS, Trifonova GV, Zheleznyakova IA, et al. Main changes in payment model for diagnosis-related groups in the Russian Federation in 2023. Medical Technologies. Assessment and Choice. 2023;45(2):8-22. (In Russ.). https://doi.org/10.17116/medtech2023450218
  3. Omelyanovskiy VV, Avxentyeva MV, Zheleznyakova IA, Zuev AV, Zueva YuS, Lazareva ML, et al. Main changes in the model of diagnosis-related groups in 2022. Medical Technologies. Assessment and Choice. 2022;44(2):8-21. (In Russ.). https://doi.org/10.17116/medtech2022440218
  4. Omelyanovskiy VV, Avxentyeva MV, Zheleznyakova IA, Lazareva ML, Fedyaev DV, Zuev AV. Main changes in the model of diagnosis-related groups in 2021. Medical Technologies. Assessment and Choice. 2021;(2):9-21. (In Russ.). https://doi.org/10.17116/medtech2021430219
  5. Organizaciya i oplata medicinskoj pomoshhi pacientam so zlokachestvenny`mi novoobrazovaniyami. Pod red. VV Omelyanovskogo, MV Avxentevoj, IA Zheleznyakovoj. M.: Nauka; 2022. (In Russ.).
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