The Localization Reform Process of Medical Insurance Payment Method in China and Value-based Suggestions of Improvement

doi:10.19546/j.issn.1674-3830.2023.12.002

China Health Insurance ›› 2023, Vol. 0 ›› Issue (12) : 13-20. DOI: 10.19546/j.issn.1674-3830.2023.12.002

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Abstract

Since the establishment of the social medical insurance system in 1998, China has carried out various forms of localized medical insurance payment method reform from the state to the local level on the basis of absorbing foreign experience to cope with the rapid increase of medical expenses and maintain the sustainable operation of the medical insurance fund, which has achieved remarkable accomplishment. Based on a brief review of the process of international medical insurance payment reform since World War II, this paper analyzes the localization process of China's medical insurance payment reform and its interaction with the international payment reform, summarizes the effect of China's medical insurance payment reform, and provides suggestions on increasing the value orientation of China's medical insurance payment methods.

Key words

medical insurance payment reform / localization / diagnosis-related groups / diagnosis-intervention packet / payment for value

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The Localization Reform Process of Medical Insurance Payment Method in China and Value-based Suggestions of Improvement[J]. China Health Insurance. 2023, 0(12): 13-20 https://doi.org/10.19546/j.issn.1674-3830.2023.12.002

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