DOI: 10.7664/CHE20170709
The Empirical Evaluation of Capitation Payment Policy Intervention in New Rural Cooperative Medical System
Abstract：Object:To empirically evaluate the effect of capitation payment policy intervention in new rural cooperative medical system(NCMS).Methods:Evaluate the overall impact of policy intervention on the fund operation,compensation,and medical-care-seeking behavior by collecting relative data on capitation payment policy intervention in NCMS in Pudong New Area from the year of 2011 to 2015,which duration includes data before and after the reform.Results:The financing level was improved unceasingly,in 2015 the per capita financing standard has reached 2 000 yuan;the operation risk was under control,the balance rate was 8.84％;the medical service demand of insured was released by year,in 2015 the per capita service was up to 20 times per year,and yearly hospitalization rate was 10％;the trend of rapid growth of medical expense was contained,especially the growth of average hospitalization expenses dropped significantly;in the year of 2015,the actual subsidy proportion of medical expenses for insured outpatient and inpatient were 60％ and 55％ respectively.Conclusion:After over 3 years' capitation payment reform in NCMS,good results have been achieved in terms of cost control.However,under the background of the integration of urban and rural basic medical insurance,the actual subsidy proportion of medical expenses for insured remains to be further improved.
Keywords：new rural cooperative medical systempayment reformcapitation paymentpolicy interventioneffect evaluation
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 35-37 )