The Impact of Settlement Platform for Out-of-city Healthcare: An Empirical Analysis of Jilin Province
This paper described the changes brought to healthcare system by settlement platform for out-of-city healthcare. We also examined its potential implications for patients and health insurance organizations. The insured benefit from the simplification of the reimbursement procedure and they dont need to pay the full cost or submit the expense account to the health insurance organization anymore. The healthcare organizations benefit from the automation of material review but the maintenance work will increase their cost.Its clear that the number of out-of-city inpatient in Jilin province has increased a lot over 6 years and the percentage of settled by platform has risen significantly, from 1% in August 2013 to 86% in August 2015. Meanwhile the platform had achieved time saving of 44,848 hours and expense saving of 1,751,077 yuan for the out-of-city inpatients and time saving of 47,654 hours for health insurance organizations. We also analyzed the total healthcare expenses and couldnt see any dramatic increase after the platform was introduced.
Out-of-city healthcare Settlement platform Empirical analysis
CUI Jia LIU Hong-liang
School of Politics and Law, Northeast Normal University, Changchun, P.R.China, 130117 Health Insurance Bureau of Jilin Province, Changchun, P.R.China, 130000
国际会议
加纳
英文
266-272
2017-11-01（万方平台首次上网日期，不代表论文的发表时间）