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The Impact of the Dual-track Reform of Payment on Hospital Financial Management
Author(s): 
Pages: 68-71
Year: Issue:  9
Journal: Health Economics Research

Keyword:  收付费双轨制财务管理DRG按项目付费;
Abstract: 目的:评估医保基金端与患者端两种支付方式的双轨制管理对医院财务管理的影响.方法:调取2017年7月至2018年6月陕西省榆林市两家试点医院非单病种新农合住院患者医疗费用结算数据,分析比较各病组收付费差额情况.结果:结余主要集中在低费用病组,中等费用病组对结余的贡献较大;亏损主要存在于高费用病组.结论:收付费双轨制淡化了支付方式改革对医院的压力;DRG的财务风险主要集中在高费用病组;低费用病组贡献收益可能导致医院选择轻症患者;"三保合一"有利于医院收付费并轨.
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