Research on the Collaboration and Combination of Global Budget and Case-based Payment Based on Theoretical Analysis and Regional Experience
- VernacularTitle:基于理论分析与地区经验的住院总额预算与按病种付费协同衔接研究
- Author:
Chenhan SUN
1
;
Danqing QIAN
;
Xinhui WANG
;
Min HU
Author Information
1. 复旦大学公共卫生学院 上海 200232
- Keywords:
global budget;
cased-based payment;
collaboration;
regional experience
- From:
Chinese Health Economics
2024;43(7):32-35,51
- CountryChina
- Language:Chinese
-
Abstract:
China's healthcare payment reform seeks to combine a medical insurance point-system with a global budget.The focus and difficulty in implementing the payment reform is how to make effectively link.On the basis of theoretical analysis,it selects the regions that have implemented the payment by disease under regional total budget and the payment by disease under institutional total budget,and summarizes the synergistic mechanism of total budget and payment by disease,including the strict control of total budget at the regional level,the reasonable setup of the budget or the standard of expected service volume at the institutional level,and the rate fluctuation and discount mechanism for the settlement of excess service;and further sort out the additional incentive mechanism to support innovation and quality enhancement under the background of the total budget and the payment by disease.Lessons can be drawn from the experiences of typical regions to strengthen the synergy between regional budgets,institutional budgets and payment by type of disease,and cautiously deal with the risks of excessive competition and"punching points"that may arise from the regional point method.
