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Global Budget Payment System

In order to provide efficient high-quality medical services given limited resources available from National Health Insurance, the National Health Insurance Administration has been promoting a global budget payment system for dentistry, traditional Chinese medicine, primary care, and hospitals since 1998. The comprehensive global budget payment system has been available since 2002 and has been keeping the annual growth rate for medical expenses to less than 5%.

 

Global budget income and payment pegging for National Health Insurance medical expenses

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Historical coordinated medical expense growth rates for respective departments within the National Health Insurance global budget payment system

 

Sector

Total

Dental

Traditional Chinese Medicine

Clinics

Hospitals

2009

3.87%

3.03%

2.95%

3.76%

4.89%

2010

3.32%

2.52%

2.06%

2.74%

3.26%

2011

2.86%

1.78%

2.55%

1.87%

3.17%

2012

4.31%

2.26%

2.86%

2.99%

4.68%

2013

4.44%

1.42%

2.19%

2.82%

5.59%

2014

3.28%

1.89%

2.42%

2.39%

3.28%

2015

3.43%

2.14%

2.12%

3.19%

3.66%

2016

4.91%

3.46%

3.93%

4.27%

5.67%

2017

5.64%

3.25%

4.07%

5.16%

6.02%

2018

4.71%

4.00%

3.70%

4.05%

4.80%

2019

4.42%

3.43%

4.43%

4.07%

4.43%