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

World Bank Open Knowledge Repository (formerly "World Bank E-Library Publications") Available online

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Format:
Book
Government document
Author/Creator:
World Bank.
Series:
Policy Notes
World Bank e-Library.
Language:
English
Subjects (All):
Block Contracts.
Child Health.
Cities.
Clean Water.
Cost Sharing.
Diabetes.
Doctors.
Drugs.
Employment.
Expenditures.
Financial Management.
Health Economics & Finance.
Health Education.
Health Insurance.
Health Law.
Health Monitoring & Evaluation.
Health Outcomes.
Health Policy.
Health Systems Development & Reform.
Health, Nutrition and Population.
Hospitals.
Human Resources.
Information Asymmetry.
Insurance.
Laboratory Services.
Law and Development.
Medicare.
Mental Health.
Moral Hazard.
Nurses.
Nutrition.
Physicians.
Population Policies.
Private Sector.
Public Health.
Public Hospitals.
Public Sector.
Quality Assurance.
Quality of Health Care.
Referrals.
Rural Population.
Social Health Insurance.
Social Insurance.
Surgery.
Urban Areas.
Urban Population.
User Fees.
Workers.
Local Subjects:
Block Contracts.
Child Health.
Cities.
Clean Water.
Cost Sharing.
Diabetes.
Doctors.
Drugs.
Employment.
Expenditures.
Financial Management.
Health Economics & Finance.
Health Education.
Health Insurance.
Health Law.
Health Monitoring & Evaluation.
Health Outcomes.
Health Policy.
Health Systems Development & Reform.
Health, Nutrition and Population.
Hospitals.
Human Resources.
Information Asymmetry.
Insurance.
Laboratory Services.
Law and Development.
Medicare.
Mental Health.
Moral Hazard.
Nurses.
Nutrition.
Physicians.
Population Policies.
Private Sector.
Public Health.
Public Hospitals.
Public Sector.
Quality Assurance.
Quality of Health Care.
Referrals.
Rural Population.
Social Health Insurance.
Social Insurance.
Surgery.
Urban Areas.
Urban Population.
User Fees.
Workers.
Other Title:
Health Provider Payment Reforms in China
Place of Publication:
Washington, D.C. : The World Bank, 2010.
System Details:
data file
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.

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