Research on the Framework of Negotiation and Dispute Resolution for the Reform of Medical Insurance Payment Methods——Taking Xiamen City as an Example

China Health Insurance ›› 2023, Vol. 0 ›› Issue (11) : 98-102.

China Health Insurance ›› 2023, Vol. 0 ›› Issue (11) : 98-102. DOI: 10.19546/j.issn.1674-3830.2023.11.013
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Research on the Framework of Negotiation and Dispute Resolution for the Reform of Medical Insurance Payment Methods——Taking Xiamen City as an Example

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Abstract

Negotiation and dispute resolution mechanism between medical insurance management institutions and medical institutions is the key link to improve the medical insurance payment method reform. This paper discusses the policy basis, principle, objective, content and flow of negotiation and dispute resolution in the process of payment reform with specific examples of negotiation and dispute resolution in Xiamen DIP payment, and puts forward suggestions to improve the negotiation mechanism and deepen the reform of medical insurance payment methods.

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negotiation / dispute resolution / medical insurance payment method / adjustment of core elements

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Research on the Framework of Negotiation and Dispute Resolution for the Reform of Medical Insurance Payment Methods——Taking Xiamen City as an Example[J]. China Health Insurance. 2023, 0(11): 98-102 https://doi.org/10.19546/j.issn.1674-3830.2023.11.013

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