2011Hospital managementRequires access

Impact of Medical Insurance Payment Mechanism to Hospital Management

Peng Ming-qiang

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Abstract

Medical insurance payment mechanism is one of the core of the medical insurance system,which involves doctors,patients and insurance.It is the most immediate and sensitive point involving every party's economic benefit.With the expansion of health insurance coverage,medical expenditures are growing rapidly,and it is imperative to reform health insurance payment mechanism.Diagnosis related group medical insurance prepaid payment method is the trend of reform.The reform will have a significant impact on hospital management,involving hospital management strategies,adjustment of functions and sections related to insurance payment,related staff training and so on.

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What this paper is about

Medical insurance payment mechanism is one of the core of the medical insurance system,which involves doctors,patients and insurance.It is the most immediate and sensitive point involving every party's economic benefit.With the expansion of health insurance coverage,medical expenditures are growing rapidly,and it is imperative to reform health insurance payment mechanism.Diagnosis related group medical insurance prepaid payment method is the trend of reform.The reform will have a significant impact on hospital management,involving hospital management strategies,adjustment of functions and sections related to insurance payment,related staff training and so on.

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Available abstract

Medical insurance payment mechanism is one of the core of the medical insurance system,which involves doctors,patients and insurance.It is the most immediate and sensitive point involving every party's economic benefit.With the expansion of health insurance coverage,medical expenditures are growing rapidly,and it is imperative to reform health insurance payment mechanism.Diagnosis related group medical insurance prepaid payment method is the trend of reform.The reform will have a significant impact on hospital management,involving hospital management strategies,adjustment of functions and sections related to insurance payment,related staff training and so on.

Key concepts: Payment, Business, Actuarial science, Medical insurance, Health insurance, Self-insurance, Point (geometry), Medical underwriting

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