DRG/DIP payment will have a "induced effect" of reform, because medical institutions will respond to the new payment method based on profit motive and trigger alienation behaviour, which could result in a serious regulatory situation for the medical insurance fund. This paper clarifies the connotation of DRG/DIP payment alienation behavior and their external manifestations from three dimensions of data quality control, medical behavior and hospital management, and accordingly proposes policy recommendations on how to conduct precise and targeted regulation.
Key words
DRG/DIP payment /
alienation behavior /
insurance fraud /
the medical insurance fund regulation
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