The impact of DIP payment expansion on medical expenses for patients with inter-provincial medical insurance:Based on data from a teriary cardiovascular specialist hospital
10.3969/j.issn.1674-2982.2025.01.005
- VernacularTitle:DIP付费扩展对省内异地医保患者医疗费用的影响
- Author:
Hui LI
1
;
Ya-jie LI
;
Xiao-ping LIU
Author Information
1. 首都经济贸易大学劳动经济学院 北京 100070
- Publication Type:Journal Article
- Keywords:
DIP payment;
Patients with medical insurance;
Difference-in-Difference method;
Medical expenses
- From:
Chinese Journal of Health Policy
2025;18(1):34-42
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the impact of including intra-provincial medical insurance patients on medical expenses under the Diagnosis-Intervention Packet(DIP)payment management,and to provide a reference for promoting the policy in other provinces.Methods:Using data from a tertiary cardiovascular specialist hospital,the Difference-in-Difference method was applied to analyse medical expenses,cost structure,and patient burden.Results:The DIP payment extension had no significant effect on medical expenses or specific cost components,such as bed costs and drug costs.However,it significantly increased medical services costs while reducing checkups,examinations,and personal burden costs.Conclusions:While the DIP payment expansion has not controlled the total cost of care,it has increased the value of medical personnel's labour,reduced profit-driven tendencies for excessive testing,and reduced patients'burden.Other medical institutions should proactively control non-policy-targeted patient costs to reduce reform pressures.Accelerating the provincial co-ordination of medical insurance funds is critical for incorporating intra-provincial medical insurance patients into DIP payment management.
