1. The implementation of the capitation budget system will make the health insurance funds more rationally distributed, avoiding waste and abuse.2. The comprehensive adjustment of medical service prices will help to solve the problem of irrational medical service prices and improve the efficiency of the use of health insurance funds.3. The centralized procurement and use of medicines will help to reduce the prices of medicines and alleviate the burden on the patients.4. The implementation of the hierarchical diagnostic and treatment system will help optimize the allocation of medical resources and improve the quality of medical services.
Will the implementation of the capitation budget system affect the scope of medical insurance reimbursement? After the implementation of the capitation budget system, the scope of reimbursement will not be affected, but the amount of reimbursement may change.
The changes in health insurance in Shanxi Province in 2023 will help improve the quality of medical services, optimize the allocation of medical resources, and reduce the burden on patients, but it is also necessary to pay attention to various problems during the implementation process to ensure the smooth implementation of the changes.
Legal basis:
Article 18 of the Regulations on Medical Insurance in Shanxi Province The medical insurance fund shall implement a capitation budget system, and the budget of the medical insurance fund shall be formulated by the provincial financial department in accordance with the income and expenditure of the medical insurance fund and the management needs of the medical insurance fund.