时间：2021年9月22日（周三）10：00-11：30

地点： 承泽园246教室

主讲人：石菊（北京大学经济学院副教授，全球健康发展研究院双聘副教授）

报告题目：医保支付制度改革：来自中国的证据

Provider Payment Reform in China: Evidence from the Diagnosis Related Group (DRG) Implementation

报告摘要：

This paper investigates the impact of China’s reform of the system for medical payments from traditional fee-for-service to prospective payment in the form of diagnosis-related group. The paper explores comprehensive aspects of the reform, taking advantage of a large-scale administrative data set from a pilot city in China. It finds that total reimbursable medical expenditure per admission dropped by 7.6 percent, with greater impact on patients who spent a larger amount. To better understand the changes, further decompositions find that the reduction in total reimbursable expenditure is fully explained by reduction in the quantity of services instead of using cheaper ones, and by reduction in the use of drugs but not reduction in other types of services, including examination, treatment, and nursing care. In addition, no evidence is found on quality deterioration or behavioral responses, including upcoding and cream skimming. Hospitals maintained their revenue through attracting more patients to contend with cost containment induced by the payment reform

主讲人简介：

石菊博士是北京大学经济学院副教授，全球健康发展研究院双聘副教授。她的专业是健康经济学，长期致力于我国医疗卫生体制改革研究。她的研究关注医疗保险制度的制定与评估，包括医保支付制度的设计与政策评估、医疗保险报销制度的设计与对患者行为的影响，以及药品政策对医疗系统的影响。石菊博士本科毕业于清华大学，博士毕业于美国波士顿大学。加入北京大学之前，曾在美国哈佛大学担任博士后研究员。她的多篇研究论文发表于国际国内顶级期刊，并承担了多项国家级和省部级课题研究。她同时担任北京外国经济学说研究会副秘书长。