2013•Zhonghua yiyuan guanli zazhiRequires access

How to better the medical insurance compensation mechanism in China

Yuanyi Cai, Yang Song, Huazhang Wu

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Abstract

Given the significant improvement in terms of its coverage and compensation depth,China's basic medical insurance system has inherent setbacks in its structure as held by the authors.They hold that the medical insurance as the most important source of compensation for medical institutions,should further reform its structure of financing and reasonably raise the percentage of compensation; adjust the time reference and space reference for prepayment estimation such as the total prepaid amount; deepen supportive reforms for the payment manner.All these measures aim at minimizing impact of the payment control mechanism on routine medical activities and exploring diversified payment manners that are feasible. Key words: Basic medical security system; Payment manner reform; Compensation mechanism; Policy recommendation

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What this paper is about

Given the significant improvement in terms of its coverage and compensation depth,China's basic medical insurance system has inherent setbacks in its structure as held by the authors.They hold that the medical insurance as the most important source of compensation for medical institutions,should further reform its structure of financing and reasonably raise the percentage of compensation; adjust the time reference and space reference for prepayment estimation such as the total prepaid amount; deepen supportive reforms for the payment manner.All these measures aim at minimizing impact of the payment control mechanism on routine medical activities and exploring diversified payment manners that are feasible. Key words: Basic medical security system; Payment manner reform; Compensation mechanism; Policy recommendation

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Available abstract

Given the significant improvement in terms of its coverage and compensation depth,China's basic medical insurance system has inherent setbacks in its structure as held by the authors.They hold that the medical insurance as the most important source of compensation for medical institutions,should further reform its structure of financing and reasonably raise the percentage of compensation; adjust the time reference and space reference for prepayment estimation such as the total prepaid amount; deepen supportive reforms for the payment manner.All these measures aim at minimizing impact of the payment control mechanism on routine medical activities and exploring diversified payment manners that are feasible. Key words: Basic medical security system; Payment manner reform; Compensation mechanism; Policy recommendation

Key concepts: Prepayment of loan, Compensation (psychology), Payment, Actuarial science, China, Business, Indemnity, Mechanism (biology)

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