Study On China’s Urban Workers’ Basic Medical Insurance Payment Way

Under the basic medical insurance system for urban workers,"expensive and difficulty of see a doctor" is serious problem. Excessive growth of medical costs, the burden on patients, doctors and patients a serious contradiction.To achieve universal health care, China’s medical insurance system faster and better run and sustainable development continues, start from the Medicare payment methods to solve the problem is the key to the reform of the health care system.The cost of health insurance payment system in the medical insurance system has an important leverage. Its legitimacy directly determine the effect of the medical insurance system, Also determines the supply side, the demand side and the health of payment of health insurance in the health care services policy-oriented relationship. A good payment method can not only control the growth of health care costs within a reasonable range, but also inspire the designated medical institutions to improve efficiency, to promote medical health insurance and medical services coordinated development.This paper introduces the basic medical insurance for urban workers in China’s reform process payment methods and issues, but also in presentation in Japan, Taiwan, Medicare payment methods, based on the conclusion, given China mainland urban basic medical suggestions insurance payment methods: Adhere to the insurance and patient co-payment mechanisms to determine the insured person pays a reasonable proportion; Integration of health care resources, to develop community health service system; Improve the medical supervision system; Introduction of social capital, the formation of multi-party competition pattern of medical institutions; Increase the proportion of government health spending; Establish and improve medical care, the negotiations mechanism; Explore the "total prepaid capitation+Prepaid by number+DRG s," a combination of the road.