Study On The Effect Of New Health Payment Scheme On Medical Costs

"Too expensive to go to a doctor" has been a serious problem in China with the current medical insurance system.The increasing medical charges will become greater financial burden of the patients and it will deteriorate the current relationship between patients and doctors.To make every citizen have a health insurance and make China medical security system develop in a better way,it is important to find out a better payment method of the medical insurance.Currently New Cooperative Medical System in China is facing a serious developing problem that it must solve the citizens' healthcare problem with insufficient medical fund.The healthcare developing experience of some developed country shows that Diagnosis-related group,use its pricing ability and disease grouping ability as its core technology,can obviously improve the medical service and inhibit the increasing medical charges.The medical fund of Anhui New Cooperative Medical System is now facing the risk to overdraft.Weather the fixed subsidy to hospitals Anhui New Cooperative Medical System once used is really reasonable and weather the medical fund was used properly has now been discussing and the problems are urgent to be solved.According to the problems Anhui New Cooperative Medical System now facing,this research made some county-level hospitals as the research subject through the research methods which conclude theoretical analysis,difference-in-differences analysis and robustness check.Firstly,this research analyzes the payment methods Anhui New Cooperative Medical System has used for now.Anhui New Cooperative Medical System has built a new disease code system to make sure Anhui diagnosis-related group system can be promoted smoothly.The new disease code system Anhui New Cooperative Medical System built has a corresponding relationship with ICD-10.Secondly,this research analyzes the impact Anhui diagnosis-related group system made on Anhui county-level hospitals' medical charges and get quantitative results.Thirdly,this research make robustness checks to test weather the results are robust or not,and the robustness checks also find out that different diseases get different kinds of impact.Finally,this research gives the direction for further research and offer Anhui New Cooperative Medical System some seasonable suggestions.