Analysis of the Effect of Traditional Chinese Medicine Medical Insurance Payment by the Diagnosis-Intervention Packet: Based on the Medical Insurance Reform Practice in Liuzhou

Corresponding author: TUO Hongwu, tuohongwu@163.com

DOI: 10.12201/bmr.202306.00002

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  Abstract: Liuzhou is the first city in China to form the medical insurance payment standard for Traditional Chinese Medicine (TCM) diseases based on TCM disease settlement data. It is of great significance in encouraging TCM medical institutions to actively adopt the TCM method and promoting the development of TCM. Based on the inpatient settlement data of medical institutions in Liuzhou, the paper evaluates the reform of the medical insurance payment method of Liuzhou city for the TCM dominant diseases. The evaluation results showed that: (1)The accessibility of services for strictly selected TCM diseases gradually improved; (2)For degenerative spine changes disease, the cost management of the TCM group was generally better than that of the Western Medicine group, and for lower respiratory tract infectious disease, the cost management of the TCM group needed to be further strengthened; (3)TCM treatment was able to better control the growth of drug expenditures and examination expenses, and patients had a better experience and guaranteed medical safety and quality. Furthermore,This paper also summarized the experience of the TCM disease payment reform in Liuzhou and puts forward policy recommendations to further improve the TCM diagnosis-intervention packet of medical insurance payment reform.

  Key words: traditional Chinese medicine medical insurance payment reform diagnosis-intervention packet; ; 

  Submit time: 5 June 2023

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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