Discussions on the business strategy against total reimbursement control of medical insurance for large public hospitals
10.3760/cma.j.issn.1000-6672.2015.01.003
- VernacularTitle:医保总额控制下大型公立医院经营策略探讨
- Author:
Zhenzheng YU
;
Minfang CHEN
- Publication Type:Journal Article
- Keywords:
Basic medical insurance;
Payment reform;
Total reimbursement control;
Large public hospitals;
Hospital management strategy
- From:
Chinese Journal of Hospital Administration
2015;31(1):8-10
- CountryChina
- Language:Chinese
-
Abstract:
To address such challenges as the rapid rise in health care costs,insufficient constraints on supply-side behavior by medical insurance,and rising risk exposure of the insurance foundation,the Ministry of Human Resources and Social Security has proposed a payment mode reform featuring total reimbursement control.Such a total control policy will affect significantly the business operation of urban public hospitals.To adapt to the impacts so incurred,a three-level transformation strategy is recommended as follows.A development strategy calling for a new growth model,greater role of hospital-health alliances for greater service coverage; a business management strategy to ensure quality of care and safety,clinical pathways in place and optimize service processes; an administrative strategy to enhance cost control,strengthen information technology,and transform the management functions.
