cover image: Analysis of Provider Payment Reforms on Advancing China’s Health (APPROACH) : An Evaluation of County Hospitals

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Analysis of Provider Payment Reforms on Advancing China’s Health (APPROACH) : An Evaluation of County Hospitals

7 Jun 2019

In April 2009, the Chinese government launched a national health care reform program, with the goal to provide affordable, equitable, and effective health care for all by 2020. Since then, government spending on health care has more than tripled. By 2012, with substantial government subsidies, 97 percent of the Chinese population were covered by one of the three basic medical insurance schemes in China. The Chinese government has highlighted provider payment reform as a top priority. They aim to improve efficiency and reduce health expenditure growth in order to ensure affordable health care and reduce the risk of catastrophic medical expenditure. The reform is particularly focused on the public hospitals, as they account for over 70 percent of total national health spending. This project’s primary objective therefore aims to test and evaluate an innovative provider payment method that attempts to reduce health expenditure and therefore patients’ out-of-pocket (OOP) payments. prospective payment method can provide hospitals with important financial incentives for behavior change. However, these external incentives need to be supported by certain hospital organizational structures such as autonomy over hiring and firing, discretion over savings, and aligned physician incentives.
china rural area social security health care system natural disaster inequality government spending data quality medical insurance health insurance industry maternal and child health medical equipment organizational structure personnel management pharmaceuticals rural health rural population health service international standard poverty reduction strategic management organizational capacity summing up length of stay medical records quality of care herbal medicine quality improvement performance assessment allocative efficiency health policies quality indicators financial statement market competition survey design national health care market reform adverse events clinical practice average treatment effect standard error market strategy public hospital medical practitioner inpatient care fiscal capacities budget constraint health care facility government subsidy medical professional health care facilities health care services industry nutrition and population public health facility east asia and pacific intermediate outcome original contract vulnerable group high probability local population data availability health and sanitation severe cases diagnosis and treatment behavior change quality assessment geographic location health economics & finance pharmaceuticals industry pharmaceuticals & pharmacoeconomics management capacity rural resident high share degree of competition target setting populous country financial pressure local resident road condition capacity constraint baseline survey production process small population higher expenditure poverty headcount quality datum descriptive statistic village clinic efficiency improvement affordable health care municipality level administrative datum financial incentive risk selection county health fixed effect institutional objectives health condition central regions smaller number reduction in poverty low-income area patient feedback hospital staff clinical management differential treatment international study coefficient estimate hospital admission urban resident fiscal expenditure degree of autonomy pilot program hospital using health care delivery system hospital managers benefit package financial allocation hospital level hospital performance disaggregated level managerial capability black box effective policies efficiency of delivery inpatient service pocket payment rural income pilot testing study design outpatient service volume of services management style private hospitals administrative offices share of revenue general hospitals tertiary hospitals differential impact social function patient flow state treasury power transfer recorded information net effect level analysis profit margin global budget health expenditure growth provider payment method medical expenditure fee schedule public health needs evaluation design aforementioned policy funding pool hospital plan reimbursement rates government budgetary inpatient admission hospital cost local implementer retaining talent distribution of revenue model estimation hospital treatment labor-intensive services direct competitors national health spending medical service cost cost shifting public insurance scheme hospital model market exposure external incentive residual claim clinical efficacy employee incentive
Disclosure Status
Disclosed
Doc Name
An Evaluation of County Hospitals
Document Date
2019-06-05
Originating Unit
HNP EAP Region (GHN02)
Published in
United States of America
Rel Proj ID
CN-Impact Evaluation Of Provider Payment Reforms On Advancing Chin -- P133779
Total Volume(s)
2
Unit Owning
HNP EAP Region (GHN02)
Version Type
Final
Volume No
1

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An-Evaluation-of-County-Hospitals.pdf

An-Evaluation-of-County-Hospitals.txt

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