Evaluation of the outpatients risk pooling of capitation payment under basic medical insurance in China
10.3760/cma.j.issn.1000-6672.2015.04.008
- VernacularTitle:我国基本医疗保险门诊统筹按人头付费方案分析
- Author:
Ronghai WU
;
Liyang WANG
;
Zhihui CAO
;
Li XIAO
;
Zhiguo ZHANG
- Publication Type:Journal Article
- Keywords:
Capitation;
Basic medical insurance;
Risk pooling of outpatient services
- From:
Chinese Journal of Hospital Administration
2015;(4):266-270
- CountryChina
- Language:Chinese
-
Abstract:
An analysis is made according to policy documents of localities on capitation payment, and by means of literature review and the analysis framework of the World Bank,this paper reviewed studied the following:definition of service package,per capita rate,designated institutions,design of financial regulations,and service supervision.Given the attempts made at localities,most of the schemes are incomplete in design,and defective in capitation measurement methods and dynamic adjustment mechanisms.The authors recommend a systematic design of the capitation payment scheme for better outcomes.
