Research on the impact of supply side policy coordination of medical insurance on cost control under DIP payment method
10.3969/j.issn.1674-2982.2024.05.003
- VernacularTitle:DIP支付方式下医保供给侧政策协同对费用控制的影响研究
- Author:
Kun-He LIN
1
;
Ye-Sheng SHANGGUAN
;
Ya-Qi RAO
;
Jing PENG
;
Yi CHEN
;
Yi-Fan YAO
;
Ying-Bei XIONG
;
Li XIANG
Author Information
1. 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030
- Keywords:
DIP payment method;
Supply side reform;
Price adjustment of medical services policy;
National centralized drug/material procurement policy
- From:
Chinese Journal of Health Policy
2024;17(5):17-24
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aims to explore the synergistic effects of DIP and other medical insurance supply-side policies.Method:City A that has piloted DIP reform was set as the treatment group,and City B without reform was set as the control group.A total of 1 120 public medical institution samples from 2019 to 2022 were collected.The total medical expenses during hospitalization and some structural expenses were analyzed using DID method.Result:DIP had a significant inhibitory effect on the medical expenses,and the expenses of checkups and examinations during hospitalization in city A,but had no impact on the drug and the material expenses during hospitalization.Conclusion:DIP played a significant cost control role and effectively controlled the total medical expenses during hospitalization.The synergistic effects of price adjustment of medical services policy and national centralized drug/material procurement policy on cost control were insufficient.DIP synergized with other supply-side policies to promote rational medical cost structure.It is suggested that medical insurance departments should focus on the synergistic effects of medical insurance supply-side policies to jointly improve the efficiency of medical insurance fund utilization.
