Medical Service Price Reform and DRG Point Payment Reform Based on the Stakeholder Theory

doi:10.19546/j.issn.1674-3830.2026.3.005

China Health Insurance ›› 2026, Vol. 0 ›› Issue (3) : 41-48. DOI: 10.19546/j.issn.1674-3830.2026.3.005

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Medical Service Price Reform and DRG Point Payment Reform Based on the Stakeholder Theory

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Abstract

Through medical service pricing reform and DRG point payment, the healthcare security administration aims to refine the medical service compensation mechanism for medical institutions, safeguard the stable operation of the healthcare insurance fund, and provide the insured population with affordable and diversified healthcare services. Taking the healthcare security reform in Nanjing City as a case study, this paper introduces a game model to analyze the economic behaviors of insured patients, healthcare security administrations, and medical institutions in medical activities from the perspective of stakeholders, analyzes lag effects, compensation mechanisms, and linkage between medical service price reform and DRG point payment, and derives insights for synergistic development, so as to offer new perspectives for forging policy synergy between the two reforms..

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stakeholder theory / medical service price reform / DRG point payment reform

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Medical Service Price Reform and DRG Point Payment Reform Based on the Stakeholder Theory[J]. China Health Insurance. 2026, 0(3): 41-48 https://doi.org/10.19546/j.issn.1674-3830.2026.3.005

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