疾病诊断相关分组的“乡—城”推广策略

基本医疗保险基金运行既存在刚性规模限制,也面临复杂的医疗服务供给与利用需求。支付方式改革希望通过调整医疗服务提供的激励机制,实现减少医疗资源浪费、降低医疗服务不合理利用等目标。2017年6月,国务院办公厅发布《关于进一步深化基本医疗保险支付方式改革的指导意见》,要求发挥医保对医疗服务供需双方特别是对供方的引导与制约作用。2018年12月,国家医疗保障局发布《关于申报按疾病诊断相关分组付费国家试点的通知》.     

医保支付方式改革对医院经济的影响研究

随着社会经济的发展和医疗体制的变革,医保支付方式作为医疗服务和医疗保险之间的重要桥梁,影响着医院的经济状况和医疗服务的质量。近年来,医保支付方式的改革通过调整支付机制来控制医疗费用的增长,优化医疗资源配置,提高医疗服务质量,给医院收入结构、成本控制以及医院经济运营带来了深远的影响。因此,本文针对医保支付方式改革对医院经济的影响展开探讨,以期为医院管理者、政策制定者以及相关卫生经济研究者提供理论参考。     

医保支付制度改革对医院管理的影响与对策研究

伴随着国内科学技术的进步,与社会经济的发展,医疗事业也得到了显著的提升,而社会经济形式的不断转变,也促使了医疗事业的改革浪潮.医疗事业改革中重要的一项是医疗保险,而改革中所涉及到的关键点是支付方式的改革,现阶段的支付方式需要应对医疗事业发展需求,做出改革与优化.其目的是规划医院的财务管理,同时也在一定程度上保护患者的利益.文中主要讲述的是医保支付制度进行改革的必要性、医保制度改革对医院管理造成的影响,以及院方该如何进行医保支付制度的有效改革,通过对医保支付制度改革整体的分析,总结理论经验,为医疗事业的改革举措提供理论参考意见.     

DRG支付改革下公立医院成本核算的思考与探索

随着社会的不断发展,我国公立医院改革也在不断地进行中,当前在我国公立医院改革中较为重要的一项就是对医保支付的改革,而医保支付的改革对实现医院高质量发展有着重要作用.本文集中讨论关于DRG的医保支付方式,明确DRG医保支付的宗旨是降低医疗费用,控制医疗成本和保证医疗质量.为此,需要医院将各科室医疗项目的成本管控作为重点事...     

倒逼的改革还是资源的优势?——医疗保险控制医疗费用增长的动力及其地区差异

国家医疗保障局的成立使得医保治理的重要性凸显出来。作为医保治理的重要方面,通过医疗保险第三方购买控制医疗费用增长在各地不断被实践。在对医保控费动力的解释中,"倒逼改革"和"资源优势"作为两种截然不同的论点同时出现。本研究检验了两种论点在医保控费动力机制中的真实性,并探索其地区差异。通过省际面板数据分析,本研究发现医保基金结余低或医保行政经费高都是抑制医疗费用增长的重要因素。各省在"倒逼改革"和"资源优势"方面存在四种类型——资源驱动型、危机驱动型、双重驱动型和非资源或危机驱动型。政府未来应改革医保治理激励机制,加强医保第三方建设。     

公立医院应对医保支付方式改革的对策研究

医保支付方式改革是当前我国医药卫生体制和医疗保险制度改革的核心内容。本文通过研究医保支付方式及改革进程,探讨医保支付方式改革对公立医院的影响,以及公立医院如何应对医保支付方式改革的对策。     

公立医院应对医保支付方式改革的对策研究

医保支付方式改革是当前我国医药卫生体制和医疗保险制度改革的核心内容.本文通过研究医保支付方式及改革进程,探讨医保支付方式改革对公立医院的影响,以及公立医院如何应对医保支付方式改革的对策.     

医保支付方式改革对医院财务管理的影响

医疗保险是国家的福利政策,在整个社会越发注重医疗保险的过程中,医保支付方式适时出炉,成为是医疗保险制度的核心内容之一,是医疗保险过程中涉及各方经济利益的最直接、最敏感的环节。对于医院财务管理而言,医保支付方式的影响是非常宏观的,在医院财务管理工作中,应该全面把握医保支付方式的影响,以此来提升医院财务管理的安全和高效。     

医保支付方式改革的影响及医院应对策略

国务院办公厅印发《关于进一步深化基本医疗保险支付方式改革的指导意见》(国办发[2017]55号),对今后全面推进医保支付方式改革作出部署,推行以按病种付费为主的多元复合式医保支付方式。本文从三个维度对不同支付方式进行比较,分析在不同支付方式下给供、需、保三方所造成的影响。并从医院角度提出应对复合式医保支付方式的策略~([1]),推进成本核算,降低运行成本,落实临床路径,规范医疗行为,调整收入结构,控制逐利冲动,完善考核机制,提高运行效率,优化服务流程,满足就医获得感,建立谈判机制,兼顾三方利益。     

海峡两岸医疗保险管理（支付方面）交流研讨会

7月10日，海峡两岸医保管理（支付方面）交流研讨会在福建省福州市召开。本次会议由福建省社会医疗保险协会主办，来自台湾、福建、江苏、浙江的80会名参会人员就支付方式进行了交流和探讨。     

Debt and Taxes and Uncertainty

With a graduated personal tax schedule, Miller showed that there could be an equilibrium debt supply for the corporate sector as a whole. In the presence of uncertainty there is also a unique debt/equity ratio for each individual firm, and this ratio is related to the firm's operational risk characteristics. However, if firms merge and spin off in response to tax incentives, the identity of firms is ambiguous and only the corporate sector is a meaningful construct. These arguments are developed in both discrete and continuous models that employ extensions of the arbitrage-free pricing theory.     

教育与资本怎样的前景怎样的现实

来自政府的声音: "动员各种社会资源,发展教育" 此次论坛上财政部长助理张少春的发言是最受关注的发言之一.他的演讲传达出的信息有这样几方面:第一,谈到现实,他认为全社会对教育的巨大需求与我国公共投入不足已成为我国教育事业发展的突出矛盾.近年来,以公共部门投入为主,多渠道筹措教育经费的教育投入机制成为解决这一问题的重要途径,也使得公共部门与私营部门在教育领域的合作日益密切.第二,谈到前景,他认为,1.中国经济持续、快速的增长对高技能人才产生巨大的需求,这为私营部门的参与提供了广阔空间.2.随着公共财政职能的不断完善,财政资金将在各项教育事业中重新进行分配,进一步优化财政支出结构,提高资金的使用效率.在"十一五"期间,我国将把公共支出的重点转移到农村.我们将逐步把全体农村适龄儿童的义务教育全部纳入公共财政体制.     

Director gender and mergers and acquisitions

Does director gender influence CEO empire building? Does it affect the bid premium paid for target firms? Less overconfident female directors less overestimate merger gains. As a result, firms with female directors are less likely to make acquisitions and if they do, pay lower bid premia. Using acquisition bids by S&P 1500 companies during 1997–2009 we find that each additional female director is associated with 7.6% fewer bids, and each additional female director on a bidder board reduces the bid premium paid by 15.4%. Our findings support the notion that female directors help create shareholder value through their influence on acquisition decisions. We also discuss other possible interpretations of our findings.     

Political corruption and mergers and acquisitions

This research examines the relation between political corruption and mergers and acquisitions (M&As). We find that local corruption increases firm acquisitiveness but decreases firm targetiveness. The levels of corruption in acquirer areas relate positively to the bid premiums and negatively to the likelihood of deal completion. Corruption motivates acquiring firms to use excess cash for payment, which mitigates the negative effect of corruption on acquirer shareholder value. The evidence indicates that acquisitions help acquiring firms convert cash into hard-to-extract assets and relocate assets from the high to low corruption areas, thereby shielding their liquid assets from expropriation by local officials.     

Trust and cross-border mergers and acquisitions

A number of studies suggest that social trust matters for investment. Using different measures of trust from World Values Survey, we show that countries where people display higher levels of trust engage in more cross-border M&A activities. When they do, these acquirers pay lower premiums. To the extent that these acquirers also tend to engage in larger acquisitions as well, our findings suggest that a larger selection pool of potential targets and higher value targets enable these acquirers to negotiate for lower premiums. We do not find evidence of the significant effect for target country trust levels. Hence, trust may benefit those acquiring firms in cross-border transactions.     

Tournament-based incentives and mergers and acquisitions

This research examines the relation between tournament-based incentives, which are proxied by the difference between a firm's CEO pay and the median pay of the senior managers, and mergers and acquisitions (M&As). We find that tournament-based incentives are positively related to firm acquisitiveness and acquiring firms' stock and operating performance. Further analysis indicates that positive acquisition performance increases the likelihood of the CEO being promoted from inside the acquiring firm. Our evidence is consistent with the view that tournament-based incentives motivate acquiring firms' managers to make greater efforts and take more risk that result in superior acquisition performance.     

Corporate Innovations and Mergers and Acquisitions

Using a large and unique patent‐merger data set over the period 1984 to 2006, we show that companies with large patent portfolios and low R&D expenses are acquirers, while companies with high R&D expenses and slow growth in patent output are targets. Further, technological overlap between firm pairs has a positive effect on transaction incidence, and this effect is reduced for firm pairs that overlap in product markets. We also show that acquirers with prior technological linkage to their target firms produce more patents afterwards. We conclude that synergies obtained from combining innovation capabilities are important drivers of acquisitions.     

East and west and north and south : A preliminary model

The Brandt report and other proposals for a new North-South world order continue to be the focus of lively debate, yet it is often argued that little concrete has emerged from their recommendations. A major reason for this, the author argues, is that the East-West conflict component is not sufficiently taken into consideration-East-West tensions are a severe constraint on and a determining factor of North-South relations. Using influence diagrams, the author develops a flexible framework for discussion and assessment of N/S-E/W relations.