Analysis of Policy Review, Implementation Difficulties and Breakthrough on Cost Calculation of Medical Service Price Items

doi:10.19546/j.issn.1674-3830.2023.4.005

China Health Insurance ›› 2023, Vol. 0 ›› Issue (4) : 31-40. DOI: 10.19546/j.issn.1674-3830.2023.4.005

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Abstract

Objective: By comparing the cost calculation methods, main practice and problems of medical service items in different regions, this paper puts forward some policy suggestions to optimize the management of newly-added medical service price items. Methods: By means of literature research and comparative analysis, this paper reviews the national cost calculation policies of medical service items, and presents the implementation progress and difficulties in various regions. Results: The cost composition and calculation criteria of medical service item varies in different regions, which affects the comparison of data between regions. Local governments have not motivated the public hospitals to participate in price adjustments based on cost calculation results. Conclusions: We should improve the top-level design of cost calculation for medical service items, and encourage public hospitals to participate in price formation and adjustment. Public hospitals should participate the cost calculation of medical service items and support the price formation and adjustment suggestions with reliable data.

Key words

medical service price item / cost calculation / value of technology and service / rational price

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Analysis of Policy Review, Implementation Difficulties and Breakthrough on Cost Calculation of Medical Service Price Items[J]. China Health Insurance. 2023, 0(4): 31-40 https://doi.org/10.19546/j.issn.1674-3830.2023.4.005

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