Impact of diagnosis-intervention packet payment on the consistency of hospitalization expenses across different medical insurance schemes in China

BackgroundThe Diagnosis-Intervention Packet Payment (DIP) system is regarded as a localized cost-control strategy in China. It aims to improve healthcare efficiency, curb the growth of medical expenses, and optimize the allocation of medical resources among diverse groups.ObjectiveThis study aims to...

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Main Authors: Jin Zi-Qian, Li Yi-Le, Tao Ying-Ying, Shen Ke-Yi, Lin Xin-Hao, Pei Tong, Li Cheng-Cheng, Wu Dan, Meng Xue-Hui
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1556234/full
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author Jin Zi-Qian
Li Yi-Le
Tao Ying-Ying
Shen Ke-Yi
Lin Xin-Hao
Pei Tong
Li Cheng-Cheng
Wu Dan
Meng Xue-Hui
author_facet Jin Zi-Qian
Li Yi-Le
Tao Ying-Ying
Shen Ke-Yi
Lin Xin-Hao
Pei Tong
Li Cheng-Cheng
Wu Dan
Meng Xue-Hui
author_sort Jin Zi-Qian
collection DOAJ
description BackgroundThe Diagnosis-Intervention Packet Payment (DIP) system is regarded as a localized cost-control strategy in China. It aims to improve healthcare efficiency, curb the growth of medical expenses, and optimize the allocation of medical resources among diverse groups.ObjectiveThis study aims to assess the impact of DIP payment reforms on differential changes in patients’ hospitalization expense and to explore the degree of concentration of hospitalization expense for patients with different insurance schemes undergoing treatment for typical diseases, with a view to providing policy recommendations for improving the medical insurance system.MethodsData were collected from patients with cerebral infarction (CI) and coronary atherosclerotic heart disease (CAD) treated at primary, secondary, and tertiary hospitals in S City of China, from 2020 to 2023. Patients were classified into the Urban Employees’ Basic Medical Insurance (UEBMI) group and the Urban and Rural Residents’ Medical Insurance (URRMI) group based on two health insurance schemes. Propensity Score Matching (PSM) was employed to ensure a balanced sample. The changes and trends in hospitalization expenses across different groups were analyzed using the interquartile Range (IQR), standard deviation (SD), and concentration index.ResultsPost-DIP reform, hospitalization expenses for patients with different diseases at various levels of hospitals have decreased annually. Regarding expenses variation, the standard deviation (SD) of hospitalization expenses for both UEBMI and URRMI exhibited a downward trend, with a decrease in the double-difference value each year. From the perspective of expenses concentration, all concentration indices were less than 0 (statistically significant, p < 0.01), indicating a higher concentration in hospitalization expenses for UEBMI.ConclusionThe DIP reform can effectively increase the concentration of hospitalization expenses, reduce the variability of changes in hospitalization expenses for both UEBMI and URRMI, and drive medical practices toward standardization and consistency. However, the degree of this expense reduction varies among the hospitals at all levels.
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spelling doaj-art-ab83ddaa2fca4c83ae18843369112dbf2025-08-20T02:14:50ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-05-011310.3389/fpubh.2025.15562341556234Impact of diagnosis-intervention packet payment on the consistency of hospitalization expenses across different medical insurance schemes in ChinaJin Zi-QianLi Yi-LeTao Ying-YingShen Ke-YiLin Xin-HaoPei TongLi Cheng-ChengWu DanMeng Xue-HuiBackgroundThe Diagnosis-Intervention Packet Payment (DIP) system is regarded as a localized cost-control strategy in China. It aims to improve healthcare efficiency, curb the growth of medical expenses, and optimize the allocation of medical resources among diverse groups.ObjectiveThis study aims to assess the impact of DIP payment reforms on differential changes in patients’ hospitalization expense and to explore the degree of concentration of hospitalization expense for patients with different insurance schemes undergoing treatment for typical diseases, with a view to providing policy recommendations for improving the medical insurance system.MethodsData were collected from patients with cerebral infarction (CI) and coronary atherosclerotic heart disease (CAD) treated at primary, secondary, and tertiary hospitals in S City of China, from 2020 to 2023. Patients were classified into the Urban Employees’ Basic Medical Insurance (UEBMI) group and the Urban and Rural Residents’ Medical Insurance (URRMI) group based on two health insurance schemes. Propensity Score Matching (PSM) was employed to ensure a balanced sample. The changes and trends in hospitalization expenses across different groups were analyzed using the interquartile Range (IQR), standard deviation (SD), and concentration index.ResultsPost-DIP reform, hospitalization expenses for patients with different diseases at various levels of hospitals have decreased annually. Regarding expenses variation, the standard deviation (SD) of hospitalization expenses for both UEBMI and URRMI exhibited a downward trend, with a decrease in the double-difference value each year. From the perspective of expenses concentration, all concentration indices were less than 0 (statistically significant, p < 0.01), indicating a higher concentration in hospitalization expenses for UEBMI.ConclusionThe DIP reform can effectively increase the concentration of hospitalization expenses, reduce the variability of changes in hospitalization expenses for both UEBMI and URRMI, and drive medical practices toward standardization and consistency. However, the degree of this expense reduction varies among the hospitals at all levels.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1556234/fullDiagnosis-Intervention Packet (DIP)Chinapayment reformhealth insurance schemesexpense consistency
spellingShingle Jin Zi-Qian
Li Yi-Le
Tao Ying-Ying
Shen Ke-Yi
Lin Xin-Hao
Pei Tong
Li Cheng-Cheng
Wu Dan
Meng Xue-Hui
Impact of diagnosis-intervention packet payment on the consistency of hospitalization expenses across different medical insurance schemes in China
Frontiers in Public Health
Diagnosis-Intervention Packet (DIP)
China
payment reform
health insurance schemes
expense consistency
title Impact of diagnosis-intervention packet payment on the consistency of hospitalization expenses across different medical insurance schemes in China
title_full Impact of diagnosis-intervention packet payment on the consistency of hospitalization expenses across different medical insurance schemes in China
title_fullStr Impact of diagnosis-intervention packet payment on the consistency of hospitalization expenses across different medical insurance schemes in China
title_full_unstemmed Impact of diagnosis-intervention packet payment on the consistency of hospitalization expenses across different medical insurance schemes in China
title_short Impact of diagnosis-intervention packet payment on the consistency of hospitalization expenses across different medical insurance schemes in China
title_sort impact of diagnosis intervention packet payment on the consistency of hospitalization expenses across different medical insurance schemes in china
topic Diagnosis-Intervention Packet (DIP)
China
payment reform
health insurance schemes
expense consistency
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1556234/full
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