"Discussion on the outcomes of the""Settlement by disease scoring""reform in medical insurance of Yinchuan"
10.3760/cma.j.issn.1000-6672.2016.09.007
- VernacularTitle:银川市医保实行按病种分值结算效果探析
- Author:
Juan DU
;
Ying LI
;
Manlu GUAN
;
Jun ZHANG
- Publication Type:Journal Article
- Keywords:
Yinchuan;
Medical insurance;
Payment;
Settlement by disease scoring;
Merits
- From:
Chinese Journal of Hospital Administration
2016;32(9):659-662
- CountryChina
- Language:Chinese
-
Abstract:
An introduction to the background of theSettlement by disease scoringpolicy in Yinchuan,concept and principles of the policy,and the medical insurance payment practice according to this policy.The authors compared the year-end settlement of medical insurance of a tertiary hospital in Yinchuan before the policy came into practice,expense growth per visit for inpatients of medical insurance,ratio of reimbursement,and ratio of complete out-of-pocket payment.These data were analyzed regarding the merits of such a policy and problems incurred,along with recommendations.
