Health Provider Payment Reforms in China : What International Experience Tells Us

This paper examines health provider payment reforms in China the present system and how it evolved, and changes that will improve it in the context of ongoing health reform. The paper begins with a brief introduction and background discussion follo...

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Bibliographic Details
Main Author:	World Bank
Format:	Policy Note
Language:	English en_US
Published:	Washington, DC 2017
Subjects:	ACUTE CARE ADMINISTRATIVE MANAGEMENT AGED AMBULATORY CARE AMBULATORY SURGERY BASIC HEALTH CARE BASIC POPULATION BLOCK CONTRACTS BLOCK GRANT BUDGET ALLOCATION CAPITATION CAPITATION FEE CAPITATION PAYMENTS CARE PURCHASERS CASE MANAGEMENT CHILD HEALTH CHRONIC CONDITIONS CHRONIC DISEASE CHRONIC DISEASES CITIES CITIZEN CLEAN WATER CLINICAL TEAMS CLINICS COMMUNITY HEALTH COMMUNITY HEALTH CARE COMPETITIVE ENVIRONMENT COMPLICATIONS CONTRACTUAL ARRANGEMENTS COST ANALYSIS COST CONTROL COST OF HEALTH CARE COST SHARING COST-EFFICIENCY DELIVERY SYSTEM DIABETES DIAGNOSIS DIAGNOSTIC SERVICES DISEASE CONTROL DOCTORS DRUGS ELDERLY CARE EMPLOYMENT EQUAL ACCESS ESSENTIAL HEALTH CARE EXPENDITURES FAMILIES FEE FOR SERVICE FEE SCHEDULE FEE SCHEDULES FEE-FOR-SERVICE FEE-FOR-SERVICE BASIS FINANCIAL INCENTIVES FINANCIAL MANAGEMENT FINANCIAL RISK FLAT RATE FLAT-RATE FEE GENERAL PRACTICE GENERAL PRACTITIONERS GLOBAL BUDGETS GOVERNMENT AGENCIES HEALTH BUDGETS HEALTH CARE HEALTH CARE INSTITUTIONS HEALTH CARE ORGANIZATIONS HEALTH CARE PROVIDERS HEALTH CARE QUALITY HEALTH CARE SYSTEM HEALTH CARE SYSTEMS HEALTH CARE USE HEALTH CARE UTILIZATION HEALTH CENTERS HEALTH CONDITIONS HEALTH EDUCATION HEALTH EXPENDITURES HEALTH FACILITIES HEALTH INSURANCE HEALTH INSURANCE SCHEMES HEALTH MAINTENANCE HEALTH MAINTENANCE ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH PROMOTION HEALTH PROVIDERS HEALTH REFORM HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEALTHCARE HEALTHCARE SECTOR HEALTHCARE SYSTEM HEART SURGERY HMO HOSPITAL ADMINISTRATION HOSPITAL ADMISSIONS HOSPITAL BEDS HOSPITAL CARE HOSPITAL CONSULTANTS HOSPITAL COSTS HOSPITAL FUNDING HOSPITAL INPATIENT HOSPITAL MANAGEMENT HOSPITAL PATIENTS HOSPITAL SECTOR HOSPITAL SERVICES HOSPITALISATION HOSPITALIZATION HOSPITALS HUMAN RESOURCES IMMUNIZATION INCOME INCOME GROUPS INDIVIDUAL HEALTH INFECTIOUS DISEASE CONTROL INFORMATION ASYMMETRY INFORMATION SYSTEM INFORMATION SYSTEMS INPATIENT CARE INPATIENT HOSPITAL INPATIENT HOSPITAL SERVICES INSURANCE INSURANCE SYSTEM INSURANCE SYSTEMS INSURERS INTERNATIONAL LABOR ORGANIZATION LABORATORY SERVICES LAWS LEGAL ADVICE MANAGEMENT SYSTEMS MARGINAL COSTS MEDICAL CARE MEDICAL CARE COSTS MEDICAL CARE EXPENDITURES MEDICAL COLLEGE MEDICAL COSTS MEDICAL EQUIPMENT MEDICAL EXPENDITURE MEDICAL EXPENDITURES MEDICAL INSURANCE MEDICAL PERSONNEL MEDICAL SERVICES MEDICAL SYSTEM MEDICAL TREATMENT MEDICARE MENTAL HEALTH MINISTRY OF HEALTH MORAL HAZARD NATIONAL DEVELOPMENT NATIONAL HEALTH NATIONAL HEALTH SERVICE NURSES NURSING NURSING CARE NUTRITION OCCUPATIONAL HEALTH OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENT CHOICE PATIENT COST PATIENT SATISFACTION PATIENTS PHYSICIAN PHYSICIAN SERVICES PHYSICIANS POCKET PAYMENTS POLICY DOCUMENT POLITICAL SUPPORT POOR FAMILIES POOR QUALITY CARE PRESCRIPTIONS PRIMARY CARE PRIMARY HEALTH CARE PRIVATE HOSPITALS PRIVATE SECTOR PROGRAMS FOR HEALTH PROVIDER PAYMENT PROVISION OF HEALTH CARE PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH POLICY PUBLIC HEALTH SERVICES PUBLIC HOSPITAL PUBLIC HOSPITAL SYSTEM PUBLIC HOSPITALS PUBLIC PROVIDERS PUBLIC SECTOR PURCHASER-PROVIDER SPLIT QUALITY ASSURANCE QUALITY OF CARE QUALITY OF HEALTH QUALITY OF HEALTH CARE REFERRALS RESOURCE USE RURAL COMMUNITIES RURAL COUNTIES RURAL POPULATION RURAL RESIDENTS SICKNESS FUNDS SMOKERS SMOKING SMOKING CESSATION SOCIAL HEALTH INSURANCE SOCIAL INSURANCE SOCIAL SECURITY SOCIAL WELFARE SURGERY TRANSPORTATION TREATMENTS URBAN AREAS URBAN COMMUNITY URBAN POPULATION USE OF RESOURCES USER FEES VACCINATION VISITS WORKERS WORKING CONDITIONS
Online Access:	http://documents.worldbank.org/curated/en/328141468242108352/Main-report http://hdl.handle.net/10986/27721

Description
Summary:	This paper examines health provider payment reforms in China the present system and how it evolved, and changes that will improve it in the context of ongoing health reform. The paper begins with a brief introduction and background discussion followed by two substantive sections experiments with case-based payment systems, and experiments with alternative government budget payment methods. This is followed by an examination of what has worked in China and elsewhere. The concluding discussion considers lessons for China and next steps. Many policy instruments and reforms have been implemented to use National Cooperative Medical System (NCMS), Basic Medical Insurance (BMI), and government health budgets more efficiently. These include alternative payment systems, reduced drug prices, essential drug lists, controlled use of high technologies, and strengthening the primary healthcare system.

Health Provider Payment Reforms in China : What International Experience Tells Us

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