A Study on the Effectiveness of the Global Budget Payment Model for Medical Insurance in County-Level Medical Communities

This study focuses on evaluating the implementation effectiveness of the global budget payment model for medical insurance within county-level medical communities. Drawing on empirical cases from Guangdong Province and other regions, the research employs a difference-in-differences (DID) methodology to assess the outcomes of the reform in pilot areas across five dimensions: medical expenses, tiered diagnosis and treatment, medical service quality, medical insurance expenditure, and individual financial burden. The results indicate that the global budget payment model significantly reduces both the average outpatient cost per visit and the average inpatient cost per admission, effectively alleviating patients out-of-pocket burden. It also substantially improves the utilization rate of primary healthcare services. The study concludes that the global budget payment model is an effective mechanism for curbing the irrational growth of healthcare expenditures, reducing patients financial burden, and promoting the implementation of tiered diagnosis and treatment. To further enhance the performance of county-level medical communities, it is necessary to refine the medical insurance payment mechanisms and establish corresponding supporting policies.