World Bank2017-08-102017-08-102010https://hdl.handle.net/10986/27721This paper examines health provider payment reforms in China the present system and how it evolved, and changes that will improve it in the context of ongoing health reform. The paper begins with a brief introduction and background discussion followed by two substantive sections experiments with case-based payment systems, and experiments with alternative government budget payment methods. This is followed by an examination of what has worked in China and elsewhere. The concluding discussion considers lessons for China and next steps. Many policy instruments and reforms have been implemented to use National Cooperative Medical System (NCMS), Basic Medical Insurance (BMI), and government health budgets more efficiently. These include alternative payment systems, reduced drug prices, essential drug lists, controlled use of high technologies, and strengthening the primary healthcare system.en-USCC BY 3.0 IGOACUTE CAREADMINISTRATIVE MANAGEMENTAGEDAMBULATORY CAREAMBULATORY SURGERYBASIC HEALTH CAREBASIC POPULATIONBLOCK CONTRACTSBLOCK GRANTBUDGET ALLOCATIONCAPITATIONCAPITATION FEECAPITATION PAYMENTSCARE PURCHASERSCASE MANAGEMENTCHILD HEALTHCHRONIC CONDITIONSCHRONIC DISEASECHRONIC DISEASESCITIESCITIZENCLEAN WATERCLINICAL TEAMSCLINICSCOMMUNITY HEALTHCOMMUNITY HEALTH CARECOMPETITIVE ENVIRONMENTCOMPLICATIONSCONTRACTUAL ARRANGEMENTSCOST ANALYSISCOST CONTROLCOST OF HEALTH CARECOST SHARINGCOST-EFFICIENCYDELIVERY SYSTEMDIABETESDIAGNOSISDIAGNOSTIC SERVICESDISEASE CONTROLDOCTORSDRUGSELDERLY CAREEMPLOYMENTEQUAL ACCESSESSENTIAL HEALTH CAREEXPENDITURESFAMILIESFEE FOR SERVICEFEE SCHEDULEFEE SCHEDULESFEE-FOR-SERVICEFEE-FOR-SERVICE BASISFINANCIAL INCENTIVESFINANCIAL MANAGEMENTFINANCIAL RISKFLAT RATEFLAT-RATE FEEGENERAL PRACTICEGENERAL PRACTITIONERSGLOBAL BUDGETSGOVERNMENT AGENCIESHEALTH BUDGETSHEALTH CAREHEALTH CARE INSTITUTIONSHEALTH CARE ORGANIZATIONSHEALTH CARE PROVIDERSHEALTH CARE QUALITYHEALTH CARE SYSTEMHEALTH CARE SYSTEMSHEALTH CARE USEHEALTH CARE UTILIZATIONHEALTH CENTERSHEALTH CONDITIONSHEALTH EDUCATIONHEALTH EXPENDITURESHEALTH FACILITIESHEALTH INSURANCEHEALTH INSURANCE SCHEMESHEALTH MAINTENANCEHEALTH MAINTENANCE ORGANIZATIONHEALTH OUTCOMESHEALTH POLICYHEALTH PROMOTIONHEALTH PROVIDERSHEALTH REFORMHEALTH SECTORHEALTH SERVICEHEALTH SERVICESHEALTH SYSTEMHEALTH SYSTEMSHEALTH WORKERSHEALTHCAREHEALTHCARE SECTORHEALTHCARE SYSTEMHEART SURGERYHMOHOSPITAL ADMINISTRATIONHOSPITAL ADMISSIONSHOSPITAL BEDSHOSPITAL CAREHOSPITAL CONSULTANTSHOSPITAL COSTSHOSPITAL FUNDINGHOSPITAL INPATIENTHOSPITAL MANAGEMENTHOSPITAL PATIENTSHOSPITAL SECTORHOSPITAL SERVICESHOSPITALISATIONHOSPITALIZATIONHOSPITALSHUMAN RESOURCESIMMUNIZATIONINCOMEINCOME GROUPSINDIVIDUAL HEALTHINFECTIOUS DISEASE CONTROLINFORMATION ASYMMETRYINFORMATION SYSTEMINFORMATION SYSTEMSINPATIENT CAREINPATIENT HOSPITALINPATIENT HOSPITAL SERVICESINSURANCEINSURANCE SYSTEMINSURANCE SYSTEMSINSURERSINTERNATIONAL LABOR ORGANIZATIONLABORATORY SERVICESLAWSLEGAL ADVICEMANAGEMENT SYSTEMSMARGINAL COSTSMEDICAL CAREMEDICAL CARE COSTSMEDICAL CARE EXPENDITURESMEDICAL COLLEGEMEDICAL COSTSMEDICAL EQUIPMENTMEDICAL EXPENDITUREMEDICAL EXPENDITURESMEDICAL INSURANCEMEDICAL PERSONNELMEDICAL SERVICESMEDICAL SYSTEMMEDICAL TREATMENTMEDICAREMENTAL HEALTHMINISTRY OF HEALTHMORAL HAZARDNATIONAL DEVELOPMENTNATIONAL HEALTHNATIONAL HEALTH SERVICENURSESNURSINGNURSING CARENUTRITIONOCCUPATIONAL HEALTHOUTPATIENT CAREOUTPATIENT SERVICESPATIENTPATIENT CHOICEPATIENT COSTPATIENT SATISFACTIONPATIENTSPHYSICIANPHYSICIAN SERVICESPHYSICIANSPOCKET PAYMENTSPOLICY DOCUMENTPOLITICAL SUPPORTPOOR FAMILIESPOOR QUALITY CAREPRESCRIPTIONSPRIMARY CAREPRIMARY HEALTH CAREPRIVATE HOSPITALSPRIVATE SECTORPROGRAMS FOR HEALTHPROVIDER PAYMENTPROVISION OF HEALTH CAREPUBLIC HEALTHPUBLIC HEALTH CAREPUBLIC HEALTH POLICYPUBLIC HEALTH SERVICESPUBLIC HOSPITALPUBLIC HOSPITAL SYSTEMPUBLIC HOSPITALSPUBLIC PROVIDERSPUBLIC SECTORPURCHASER-PROVIDER SPLITQUALITY ASSURANCEQUALITY OF CAREQUALITY OF HEALTHQUALITY OF HEALTH CAREREFERRALSRESOURCE USERURAL COMMUNITIESRURAL COUNTIESRURAL POPULATIONRURAL RESIDENTSSICKNESS FUNDSSMOKERSSMOKINGSMOKING CESSATIONSOCIAL HEALTH INSURANCESOCIAL INSURANCESOCIAL SECURITYSOCIAL WELFARESURGERYTRANSPORTATIONTREATMENTSURBAN AREASURBAN COMMUNITYURBAN POPULATIONUSE OF RESOURCESUSER FEESVACCINATIONVISITSWORKERSWORKING CONDITIONSPolicy NoteWorld Bank10.1596/27721