Analysis on the Implementation Effect of Medical Insurance Expenditure Prepayment System / 中国卫生经济

ABSTRACT

Objective:To compare and analyze the changes of\the full implementation of relevant indicators before and after implementing the medical insurance payment in the total prepaid amount in Harbin,evaluate the implementation effects of total prepayment method and propose the reasonable suggestion on better implementation of medical insurance policy.Methods:Using SPSS Software for data collection and conduct descriptive analysis so as to compare the related indicators of hospitalization patients under municipal medical insurance before and after the implementation of medical insurance prepayment system.Results:2 years after the implementation,there were significant changes in the amount of medical insurance,the amount of inpatient care,and the average hospitalization expenses of patients.The overall municipal medical insurance and the average hospitalization expenses were on negative growing.Conclusion:After the implementation of the total amount of prepayment medical system,the control effect with the average cost was significantly,but it also exposed some problems.It needed to have some appropriate adjustments in the policy so as to adapt to the national health care reform in depth and to alleviate the current situation of "difficult and expensive to get medical service".