医保付费改革让医生做减法

长期以来,我国的医保付费一直是按服务项目进行的。这是世界上最落后的医保付费方式,也是一种浪费型医疗制度,即医生做一个项目,医保就付一次费。医生做得越多、浪费越多,获利也就越多。其弊端主要是出现了多用药多获利,多消耗多获利,多检查多获利的现象。我国现行的按服务项目付费属于后付制,因此使得节约没好处,浪费有收益。在这种畸形的激励机制下,医生总倾向于做加法,从而导致过度医疗、小病大治、分解收费等乱象屡禁不     

浅议三甲医院单病种付费方式

近年来,我国三甲医院在发展的同时依然存在这诸多的弊端,其中,针对于收取费用方面,我国三甲医院给予了不小的改革及手段。特别是单病种的付费方式,我国三甲医院在积极改革的同时,对于其中所存在的一些问题更是给予了重大的完善与创新。     

医疗保险定额付费方式有效性的探讨

医疗保险中的定额付费方式指不论实际发生了多少医疗费用,均以事先确定的标准向医疗机构支付费用,这种支付方式的有效运作意味着可以在控制医疗费用的同时又确保医疗质量.本文认为可能对定额付费方式有效性产生影响的因素包括服务质量对患者诊疗需求的影响程度;医疗机构增加患者诊疗需求的意愿;医疗机构的拒诊和撇脂行为;经办机构在合同签订...     

付费方式改革谋篇布局

2011年是深化医药卫生体制改革的攻坚之年,＂改革医疗保险支付方式,大力推行按人头付费、按病种付费、总额预付＂是国务院医改办确定的重要工作,也是人社部年度重点工作之一。如何推动付费方式改革？2月12日,医疗保险付费方式改革经办管理专题研究启动会在北京应时而开。     

激励方式、行长权力强度与绩效

文章选取2006～2010年中国A股市场16家上市银行为样本,研究不同激励方式与银行绩效的关系,并进一步检验行长权力强度是否使这一关系发生变化。同时,基于Oaxaca分解法分析行长权力强度对不同激励方式的解释能力。结果发现:(1)在三种激励方式中,政治激励能显著地提高绩效,但股权激励与绩效却没有明确的关系;(2)在行长权力强度较高时,薪酬激励与绩效的关系由负相关转变为正相关,政治激励、股权激励与绩效的关系却没有发生变化;(3)行长权力强度对薪酬激励差异的解释能力最强,政治激励次之,股权激励最弱。     

金融监管中的激励冲突、金融企业家行为与金融脆弱性

金融企业家是金融系统中最为活跃的能动因素,金融企业家利用系统中的非对称信息、金融市场参与者的心理偏差进行的市场操控、过度创新是导致金融脆弱性的微观基础;金融监管制度设计中的激励冲突是扭曲金融企业家行为进而导致金融脆弱性的制度根源.基于这一框架,本文对美国次贷危机成因进行了重新认识,并从监管激励冲突的角度分析了当前我国金融系统的脆弱性及其对我国金融监管体系改革的启示.     

DRGs付费方式下公立医院绩效管理分析

本文简略阐述了公立医院绩效管理的意义,探析了公立医院绩效管理的发展进程,研究了DRGs在公立医院绩效管理的应用,从病案首页信息质量不高以及DRGs体系存在欠缺两方面着手对DRGs在应用过程中存在的问题进行了详细分析,并针对性地提出了几点建议。     

基于DRGs付费方式的公立医院成本控制策略探析

随着我国社会经济的不断发展,公立医院的医保支付方式也跟随着社会经济的发展而发展,在这个过程中进行了不断地改造.随着社会在不断进步,DRGs的付费方式慢慢得到了普及,它让我国医疗企业的市场竞争能力得到了提高,同时也提高了医疗行业的竞争能力.所以本文对DRGs付费方式的公立医院成本控制策略进行了分析,首先本文阐述了DRGs...     

资本约束、激励相容与银行业监管

金融风险可以划分为商业性金融风险和制度性金融风险。制度性金融风险是我国银行业面临的最主要风险，因此银行监管激励相容度是更适合我国国情的概念。在银行发展史上，呈现出两种迥异的银行成长模式：一种是资金约束型的数量成长模式；一种是资本约束型的质量成长模式，资本约束型的质量成长模式是商业银行的必然选择。资本约束机制与激励相客机制共同发挥作用是银行监管激励与约束机制有效运作的必要条件。激励相容和资本约束要以监管绩效为基础协调发挥作用、不可分割。资本约束与激励相容理念不仅体现在理论研究中，而且体现在国际银行业监管实践中。     

资产注入：支付手段与市场反应

本文以股改后我国上市公司控股股东对上市公司资产注入事件为样本，运用市场模型检验不同支付手段资产注入的市场反应。研究发现，在控制注入资产的规模、注入前上市公司流通市值的大小、注入前机构投资者持有公司股票的比例等因素影响的情况下，市场对采用股权作为支付手段的资产注入反应强烈；投资者对资产注入方案已经具备较强的辨别能力。本文据此提出了有关政策建议。     

制度环境、银企关系与企业并购支付方式

以2007~2012年上市公司的并购事件为样本,考察银企关系的不同形态对企业并购支付方式选择的影响。研究发现,具有良好银企关系的企业更倾向于采取现金并购支付方式,但是银企关系的不同形态对企业并购支付方式的选择具有不同的影响。与企业持股银行(股权式银企关系)相比,企业高管的银行背景(信任式银企关系)更倾向于采取现金支付方式。加入制度环境(货币政策以及地区金融发展水平)进一步检验后发现,在货币紧缩时期和金融发展水平低的地区,以上结论依然成立。     

Using Cash to Monitor Liquidity: Implications for Payments,Currency Demand,and Withdrawal Behavior

This paper provides one explanation why cash is still used for transactions despite a broad diffusion of noncash payment instruments. In particular, we argue that a distinctive feature of cash—a glance into one's pocket gives a signal of the remaining budget and past expenses—provides utility to some consumers. Using payment survey data, we show that consumers who need to keep control over their remaining liquidity and who have elevated costs of information processing conduct a larger percentage of payments using cash, withdraw less often, and hold larger cash balances than other consumers.     

关于我国国库集中支付制度改革的思考

当前我国财政改革的重点是支出管理改革，而国库集中支付制度是支出管理改革的内容之一，该文首先分析了当前国国库管理体制存在的主要问题和建立国库集中支付制度的必要性，在此基础上提出了建立这一制度的指导,了后提出了关于建立我国国库集中支付制度的一些具体设想。     

Glamour Acquirers, Method of Payment and Post‐acquisition Performance: The UK Evidence

We study the effect of different acquirer types, defined by financial status and their payment methods, on their short and long‐term performance, in terms of abnormal returns using a variety of benchmark models. For a sample of 519 UK acquirers during 1983–95, we examine the abnormal return performance of acquirers based on their pre‐bid financial status as either glamour or value acquirers using both the price to earnings (PE) ratio and market to book value ratio (MTBV). Value acquirers outperform glamour acquirers in the three‐year post‐acquisition period. One interpretation is that glamour firms have overvalued equity and tend to exploit their status and use it more often than cash to finance their acquisitions. As we move from glamour to value acquirers, there is a greater use of cash. Our results are broadly consistent with those for the US reported by Rau and Vermaelen (1998). However, in contrast to their study, we find stronger support for the method of payment hypothesis than for extrapolation hypothesis. Cash acquirers generate higher returns than equity acquirers, irrespective of their glamour/ value status. Our conclusions, based on four benchmark models for abnormal returns, suggest that stock markets in both the US and the UK may share a similar proclivity for over‐extrapolation of past performance, at least in the bid period. They also tend to reassess acquirer performance in the post‐acquisition period and correct this overextrapolation. These results have implications for the behavioural aspects of capital markets in both countries.     

Capital Adequacy, Bank Mergers, and the Medium of Payment

We examine how banks' capital requirements affect the way bank mergers are financed, as well as the stock-market reaction to the merger announcement. We find that the capital position of the acquirer is one of the two factors most strongly influencing the choice of financing method; the other is the relative size of the merging banks. The smaller the acquirer in relation to the target bank and the higher the acquirer's capital adequacy ratio, the more likely it is that the acquisition will be financed by a stock swap. The capital requirements also affect the market reaction, through their effect on the financing method choice. The value of the acquirer's equity decreases more at the time of the merger announcement if the method of payment is stock. Like prior studies, we find that the abnormal return on the target banks' stock is positive.     

Corporate Takeovers: Mode of Payment, Returns and Trading Activity

This paper examines the impact of takeover bids and, in particular, the method of payment to the shareholders of the target firms on the returns, trading activity and bid-ask spreads of target and bidding firms traded on the London Stock Exchange. It suggests that the shareholders of target firms benefit substantially from takeover activity while the shareholders of bidding firms do not suffer. The combined value of the firms engaged in takeover activity increases by a small percentage during the event period. However, the benefit from a takeover announcement to the shareholders of the target firm varies from year to year and has declined in the recent past. The magnitude of excess returns available to the shareholders is also dependent on the mode of payment. Prices of target (bidding) firms increase (decrease) most if the shareholders of the target firms are given an option to receive payment in shares or in cash. The findings also reveal that during the event period trading activity in target and bidding companies increases depending on the form in which payments to shareholders are made. In response to this increased liquidity, the bid-ask spreads of target and bidding firms decline during the event period.     

支付清算系统数据治理现状、问题及对策

为贯彻落实国家信息化发展战略要求,打造“数字央行”,中国人民银行近年来已经陆续开展金融数据标准化以及大数据平台建设的相关工作。如何实现数据对业务的价值创造,最大程度地发挥数据的价值,使其为提升金融服务与监管水平服务,是当前支付清算系统数据治理工作面临的主要问题。     

人脸识别支付用户使用意愿研究

基于用户个人角度,依据问卷调查数据,运用结构方程模型,考量人脸识别支付用户使用意愿。结果表明：社会影响、感知风险、感知易用性和感知有用性对使用意愿有直接影响;使用情境和个人创新对使用意愿有间接影响,其中使用情境通过感知易用性和感知有用性间接影响使用意愿的影响因素,个人创新通过感知易用性间接影响使用意愿。     

会计政策选择的契约动因研究--来自我国上市公司低值易耗品摊销方法选择的经验证据

会计政策的可选择性为企业真实反映经济业务实质创造条件的同时,也为企业管理当局操纵会计盈余提供了机会.分析和检验会计政策选择的动因对企业会计准则的完善与企业会计行为的监管均具有十分重要的现实意义.本文以低值易耗品摊销方法选择为切入点,选取符合我国企业特征的契约变量,运用均值检验和Logistic回归方法对低值易耗品摊销方法的选择动因进行了实证检验,结果证实了实证会计理论中的政治成本假设和报酬契约假设.