Research on the Characteristics and Problems of Several Medical Insurance Payment Methods in China
Abstract
safeguarding the rights and interests of doctors, insurance, and patients are the top priorities of medical insurance reform. At present, China’s
medical insurance fund is imbalanced in revenue and expenditure, medical expenses are growing too fast, and medical quality is difficult to
guarantee. Therefore, China attempts to leverage the payment method of medical insurance to protect the rights and interests of three parties.
This article summarizes the characteristics of mainstream medical insurance payment methods in China (such as project based payment, head
based payment, service unit based payment, and disease based payment) and proposes suggestions to solve the current difficulties of medical
insurance payment methods, providing a theoretical basis for promoting diversified and composite medical insurance payment methods.
Keywords
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DOI: http://dx.doi.org/10.18686/fm.v8i6.11713
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