Research On The Reform Of Basic Medical Insurance Payment Methods In Hebei Province

Since the implementation of the medical insurance reform in China,the reform of medical insurance payment methods has been the focus of medical insurance reform.With the comprehensive development of the reform of the medical and health system,the "three medical linkages" have put forward new requirements for the reform of medical insurance payment methods.At present,Hebei's medical insurance system has basically achieved full coverage,and the issue of enrollment has been basically solved.However,the demands of medical insurance participants have also changed,and high-quality and high-level medical services are what they hope to obtain.The future reform of the medical insurance payment method is based on the payment of various types of medical insurance payment methods,from focusing on medical cost control to improving the quality of medical services based on cost control,promoting the rational and efficient use of medical insurance funds and medical service resources Reasonable configuration to provide high-quality medical services for insured persons.The reform of the medical insurance payment method plays a fundamental role in the new medical insurance reform.This article reviews the history of the reform of the basic medical insurance payment method reform policy in Hebei Province,and analyzes the payment by disease type,payment by disease type(point method),payment by disease diagnosis-related grouping(DRG),and dominant Chinese medicine diseases in Hebei Province The pilot operation of the payment method.Through the analysis of the reasons for the reform of the basic medical insurance payment method in Hebei Province,we found that the reform of the basic medical insurance payment method in Hebei Province has a high proportion of payment based on service items,insufficient service capacity of primary medical institutions,and excessive emphasis on medical expenses.Problems such as control,difficulty in meeting the actual needs of insured persons,and lack of supporting supervision and management mechanisms.In this regard,it analyzes and compares the practices and effects of the reform of the basic medical insurance payment methods outside the province,sums up the experience and enlightenment of thereform of the medical payment methods outside the province,and puts forward the suggestions for the reform and improvement of the basic medical insurance payment methods in Hebei Province.Hebei Province should implement “package payment” for medical consortiums,establish a medical insurance prepayment system for medical institutions,accelerate the implementation of multiple and complex medical insurance payment methods,take into account medical cost control and service quality improvement,improve the supervision and evaluation mechanism of medical institutions,and accelerate medical insurance information Efforts should be made to improve the construction of medical services,standardize the behavior of medical services,control the unreasonable increase in medical expenses,and allow Hebei medical insurance participants to enjoy the fruits of the reform and increase their sense of gain.