Mechanism of the medical insurance negotiations: obstacles and countermeasures
10.3760/cma.j.issn.1000-6672.2017.09.005
- VernacularTitle:医保谈判机制运行障碍因素与对策探讨
- Author:
Xiaobin LI
- Keywords:
Medical insurance negotiation;
Operation;
Obstacle;
Countermeasure;
Game
- From:
Chinese Journal of Hospital Administration
2017;33(9):655-657
- CountryChina
- Language:Chinese
-
Abstract:
Introduced in the paper are the connotation and current operations of the medical insurance negotiation mechanism.The authors also discussed obstacles blocking operations of the mechanism, including insufficient coordination capacity of the medical insurance institution over the negotiation, and lack of motivation of the institution for curbing costs and the contradiction against the profit pursuit of drug companies.Corresponding countermeasures and suggestions are put forward in the end, namely system reform for inter-governmental functions, enhancement of the capacity of both medical institutions and doctors against risks, and perfecting the restraint and incentive mechanism for medical institutions, aiming at smooth operation and optimization of the medical insurance negotiation mechanism.
