Discussion on capitation payment system reform based on case analysis
10.3760/cma.j.issn.1000-6672.2019.05.002
- VernacularTitle:基于案例分析的按人头付费支付方式改革探讨
- Author:
Jiajun QIAO
1
;
Zhaofang ZHU
;
Qi JING
;
Shaohua KUANG
;
Mengxuan ZOU
;
Jing GAO
;
Bin CUI
;
Yingchun CHEN
;
Jingjing CHANG
Author Information
1. 中国人民健康保险股份有限公司
- Keywords:
Capitation;
Payment system reform;
Medical insurance;
Challenges;
Strategies
- From:
Chinese Journal of Hospital Administration
2019;35(5):358-361
- CountryChina
- Language:Chinese
-
Abstract:
Pilot areas have achieved initial success in capitation reform. On the other hand, challenges remain unsolved in terms of practical pathways, change of national medical insurance management system, related measures, incentives and allocative mechanism for implement of the reform. With the concerning on progress, practice, effects and challenges of typical areas, this article established an institutional framework. On such basis, we propose to design and refine a scheme in terms of 5 aspects, namely strengthening the basic medical care packages′financing, setting contents and standard of the basic medical care packages rationally, establishing effective evaluation system and formulating supporting measures.
