台湾地区全民健保总额预算制度设计与运行效果评述

总额预算制作为医保对供方主要支付方式之一在国际上得到广泛应用,我国的上海、北京等地区也开始在不同程度上通过总额预算方式实现支付方式改革。总额预算作为一种控制医疗费用过快增长的方式既有优势也存在弊端。以我国台湾地区为例,介绍总额预算制度的运行机制和总额制定方式,并探讨总额预算制的实施效果,分析总额预算达到效果最优化的制度设计,为改革提供政策借鉴。

Design and Assessment of Global Budget System in National Health Insurance in Taiwan Region

Global budget system is widely used as one of the main payment methods of medical insurance. Shanghai, Beijing and other regions has begun to use it to achieve payment reform in different degrees. As a method of cost control, global budget has both advantages and disadvantages. Through taking Taiwan as an example, the mechanism and design of global budget are introduced, and its effectiveness is explored, the optimized design is analyzed and policy reference is provided for the reform.