Heilongjiang Province Basic Medical Insurance Payment Method Pilot Hospital Reform Research

One of the important contents of medical insurance is medical insurance payment.With the gradual enlarge of coverage scope of medical insurance payment,the selection of basic medical insurance payment method becomes important.It is related with all interested parties of medical insurance.The selection of medical insurance payment method has great influence on the interested parties;more over it is related with whether medical insurance can really plays its role.Recently,with the continuous increase of medical expenditure and the intensification of doctor-patient conflict,a lot of cities in China are actively exploring medical insurance payment method reform to control medical expenditure and enjoy the achievement of medical and health reform.A lot of experts and scholars are actively researching medical insurance payment method reform,including the status quo,implementation process and problems of medical insurance payment method in China to provide theoretical support for medical insurance payment method reform in China.The paper introduces several common medical insurance payment method.Through analyzing the related situation of pilot hospitals reform of Heilongjiang Province,the paper explains the payment method reform progress and implementation effect of payment by person-time,global budget,and taking hospitalization day as the principal thing and taking quota payment of specific disease as the supplement.Based on the experience of medical payment method reform,the countermeasures and thinking of medical insurance payment method of Heilongjiang Province are proposed.It is proposed that medical insurance payment reform should pay attention to the interested parties,including grasping the interest appeal of interested parties and balancing the interest of interested parties,that scientific and reasonable mixed payment system should be established,and that the related mechanism of medical insurance payment reform should be perfected.