Arbeitspapier
Provider payment reform for Chinese hospitals: Policy transfer and internal diffusion of international models
There are opposing views in the literature regarding the degree to which China's public administration adopted international models of administrative reform. Prospective payment systems constitute a formidable case for examining this question in the field of public hospital funding. In China's decentralized and fragmented health insurance system, different localities have chosen different approaches to replace retrospective with prospective payment models. Based on a relational case database, we analyzed how international payment reforms were introduced in a Chinese context as models with varying degrees of transfer and scopes of change. Furthermore, we reconstructed the process of diffusion, which was driven more by horizontal learning in the Urban Employees' Basic Medical Insurance (UEBMI), and more by hierarchical delegation in the New Rural Cooperative Medical Scheme (NRCMS). The two insurances were administered by different ministries, whose preferences facilitated the spread of different models of provider payment. Overall, the mainstream of reforms only achieved a limited displacement of retrospective payment: local governments often dropped the prospective payment aspect altogether or limited its application. In the NRCMS, more ambitious reforms were limited by state capacity, whereas the use of Medical Savings Accounts (MSAs) limited the potential of reforms in the UEBMI.
- Language
-
Englisch
- Bibliographic citation
-
Series: Working Papers on East Asian Studies ; No. 129/2021
- Classification
-
Wirtschaft
- Event
-
Geistige Schöpfung
- (who)
-
Müller, Armin
Ten Brink, Tobias
- Event
-
Veröffentlichung
- (who)
-
University of Duisburg-Essen, Institute of East Asian Studies (IN-EAST)
- (where)
-
Duisburg
- (when)
-
2021
- Handle
- Last update
-
10.03.2025, 11:43 AM CET
Data provider
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. If you have any questions about the object, please contact the data provider.
Object type
- Arbeitspapier
Associated
- Müller, Armin
- Ten Brink, Tobias
- University of Duisburg-Essen, Institute of East Asian Studies (IN-EAST)
Time of origin
- 2021
Other Objects (12)
Provider payment reform for Chinese hospitals : policy transfer and internal diffusion of international models
Development of package payment based on UNU-CBGs Casemix system for provider payment in Aceh Health Insurance, Indonesia
Effectiveness evaluation of quota payment for specific diseases under global budget: a typical provider payment system reform in rural China
Risk identification and prioritization in banking projects of payment service provider companies: an empirical study
Vertical Fiscal Imbalance, Transfer Payment and Local Government Governance
Practitioner Note 2: Inclusive transfer value, type and payment modalities
Preferences of healthcare workers for provider payment systems in The Gambia’s National Health Insurance Scheme
Does a provider payment method affect membership retention in a health insurance scheme? a mixed method study of Ghana’s capitation payment for primary care
Does a provider payment method affect membership retention in a health insurance scheme? a mixed method study of Ghana’s capitation payment for primary care
Transfer payment structure and local government fiscal efficiency: Evidence from China
Conditional Cash Transfers, Payment Dates and Labor Supply: Evidence from Peru
Transfer payment structure and local government fiscal efficiency: evidence from China
Provider payment reform for Chinese hospitals : policy transfer and internal diffusion of international models
Development of package payment based on UNU-CBGs Casemix system for provider payment in Aceh Health Insurance, Indonesia
Effectiveness evaluation of quota payment for specific diseases under global budget: a typical provider payment system reform in rural China
Risk identification and prioritization in banking projects of payment service provider companies: an empirical study
Vertical Fiscal Imbalance, Transfer Payment and Local Government Governance
Practitioner Note 2: Inclusive transfer value, type and payment modalities
Preferences of healthcare workers for provider payment systems in The Gambia’s National Health Insurance Scheme
Does a provider payment method affect membership retention in a health insurance scheme? a mixed method study of Ghana’s capitation payment for primary care
Does a provider payment method affect membership retention in a health insurance scheme? a mixed method study of Ghana’s capitation payment for primary care
Transfer payment structure and local government fiscal efficiency: Evidence from China
Conditional Cash Transfers, Payment Dates and Labor Supply: Evidence from Peru
Transfer payment structure and local government fiscal efficiency: evidence from China
Provider payment reform for Chinese hospitals : policy transfer and internal diffusion of international models
Development of package payment based on UNU-CBGs Casemix system for provider payment in Aceh Health Insurance, Indonesia
Effectiveness evaluation of quota payment for specific diseases under global budget: a typical provider payment system reform in rural China
Risk identification and prioritization in banking projects of payment service provider companies: an empirical study
Vertical Fiscal Imbalance, Transfer Payment and Local Government Governance
Practitioner Note 2: Inclusive transfer value, type and payment modalities
Preferences of healthcare workers for provider payment systems in The Gambia’s National Health Insurance Scheme
Does a provider payment method affect membership retention in a health insurance scheme? a mixed method study of Ghana’s capitation payment for primary care
Does a provider payment method affect membership retention in a health insurance scheme? a mixed method study of Ghana’s capitation payment for primary care
Transfer payment structure and local government fiscal efficiency: Evidence from China
Conditional Cash Transfers, Payment Dates and Labor Supply: Evidence from Peru