Transformation of Medical Insurance Payment Mode from Disease Treatment to HealthA Preliminary Study
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Abstract
To systematically discuss the possibility and practical model of the transformation of medical insurance payment methods from disease treatment to health promotion, this article selects the Objectives-Keys Perspective Matrix as the analytical framework, taking chronic diseases as the entry point, based on the case of bundled payment for chronic diseases in the Anhui Provincial Medical Consortium, explores the paths and methods of reforming health-oriented medical insurance payment methods in the Chinese context. The research found that, with changes in population structure and social needs, at the ideological level, medical insurance payment policies have shown a trend towards the transformation from treating diseases to promoting health. The content, form, and carriers of medical insurance payment policies are becoming more diverse. Currently, China has established a comprehensive medical insurance payment framework, but the content and progress of the reform are unbalanced, and it has not yet played a leading role in stimulating the transformation towards health. Continuously advancing the reform of medical insurance payment methods and making adaptive adjustments to the reform content will be the focus of the next stage of work.
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