Discussion on the Cost Pricing Mechanism of Medical Service Projects from the Perspective of Public Hospitals

Lü Houxia; Zhang Mei

Abstract：Objective:From the perspective of public hospital,to establish a scientific and reasonable cost pricing mechanism for medical service items in order to promote the reform of medical service price.Methods:By reviewing two cost-pricing approaches oriented to the value of skilled labor,it emphasizes the value of technical difficulty and level of risk in establishing a cost-pricing mechanism for healthcare service lines.Based on The Technical Specifications for National Medical Service Projects(Version 2023),the empirical analysis was used to calculate the pricing of 9 medical service projects with two optimized pricing models and compare the differences.Results:The value pricing model based on operational risk is more popular.The labor cost adjustment factor is a core element of the pricing mechanism and directly affects the value of the skilled labor of health care workers.Conclusion:It is suggested to promote the implementation of The Technical Specifications for National Medical Service Projects(Version 2023),clarity it relationship between the technology standard and charging items;strengthen the main responsibility of medical insurance department to promote the cost accounting of medical institutions,and promoting the Effective Use of Cost Information in Health care reform efforts.Public medical institutions should consolidate their cost information infrastructure to provide an accurate basis for pricing medical services and enhance their pricing negotiation capacity.