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Impacts of Health Insurance Benefit Design on Percutaneous Coronary Intervention Use and Inpatient Costs among Patients with Acute Myocardial Infarction in Shanghai, China

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Listed:
  • Suwei Yuan
  • Yan Liu
  • Na Li
  • Yunting Zhang
  • Zhe Zhang
  • Jingjing Tao
  • Lizheng Shi
  • Hude Quan
  • Mingshan Lu
  • Jin Ma

Abstract

Our results suggest that the benefit policy change did not impact life-saving procedures or reduce patients’ burden of disease among AMI patients. The effect of ‘provider gaming’ was the strongest for the high reimbursement group as a result of the global budget cap pressure. The current FFS with a global budget cap is of low efficiency for cost containment and equity improvement. Payment method reforms with alignment of financial incentives to improve provider behaviour in practicing evidence-based medicine are needed in China. Copyright Springer International Publishing Switzerland 2014

Suggested Citation

  • Suwei Yuan & Yan Liu & Na Li & Yunting Zhang & Zhe Zhang & Jingjing Tao & Lizheng Shi & Hude Quan & Mingshan Lu & Jin Ma, 2014. "Impacts of Health Insurance Benefit Design on Percutaneous Coronary Intervention Use and Inpatient Costs among Patients with Acute Myocardial Infarction in Shanghai, China," PharmacoEconomics, Springer, vol. 32(3), pages 265-275, March.
    • Handle: RePEc:spr:pharme:v:32:y:2014:i:3:p:265-275
    DOI: 10.1007/s40273-013-0079-9
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    References listed on IDEAS

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    1. Winnie Yip & Karen Eggleston, 2001. "Provider payment reform in China: the case of hospital reimbursement in Hainan province," Health Economics, John Wiley & Sons, Ltd., vol. 10(4), pages 325-339, June.
    2. Yip, Winnie & Eggleston, Karen, 2004. "Addressing government and market failures with payment incentives: Hospital reimbursement reform in Hainan, China," Social Science & Medicine, Elsevier, vol. 58(2), pages 267-277, January.
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    Cited by:

    1. Darius Erlangga & Marc Suhrcke & Shehzad Ali & Karen Bloor, 2019. "The impact of public health insurance on health care utilisation, financial protection and health status in low- and middle-income countries: A systematic review," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-20, August.
    2. Junfang Xu & Jian Wang & Madeleine King & Ruiyun Liu & Fenghua Yu & Jinshui Xing & Lei Su & Mingshan Lu, 2018. "Rural–urban disparities in the utilization of mental health inpatient services in China: the role of health insurance," International Journal of Health Economics and Management, Springer, vol. 18(4), pages 377-393, December.
    3. Yuan Xu & Ning Li & Mingshan Lu & Elijah Dixon & Robert P Myers & Rachel J Jelley & Hude Quan, 2017. "The effects of patient cost sharing on inpatient utilization, cost, and outcome," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-16, October.
    4. András Kiss & Norbert Kiss & Balázs Váradi, 2023. "Do budget constraints limit access to health care? Evidence from PCI treatments in Hungary," International Journal of Health Economics and Management, Springer, vol. 23(2), pages 281-302, June.

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