ArticleBMC health services research2025
Quantitative evaluation of China's new health insurance payment policy based on the policy modeling consistency (PMC) index model.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Quantitative evaluation of the medical resource allocation policy in China: a PMC-index model approach.Cost effectiveness and resource allocation : C/E · 2026Article
- Risk Governance of Payment Exceptions Under China's DRG/DIP Reform: A Structured Policy-Text Analysis of Special Case Negotiation Rules.Risk management and healthcare policy · 2026Article
- Empowering chronic disease management with smart healthcare in China: a policy effectiveness evaluation by PMC index model.Frontiers in public health · 2026Article
- Hierarchical differentiation and design gaps in China's Internet Plus Nursing Services Policies: a PMC index analysis.Frontiers in public health · 2026Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundEstablishing an efficient health insurance payment mechanism is a core objective of China's healthcare reform. The Chinese government has introduced numerous policy documents to refine the health insurance payment system. However, research on these new payment methods primarily relies on economic analysis such as cost-effectiveness and econometric studies, and has not systematically assessed the internal design and consistency of policy texts.
methodsThis study uses text mining methods and the Policy Modeling Consistency (PMC) Index model to construct a policy evaluation framework, which includes 9 primary variables and 39 secondary variables. The framework is used to conduct a quantitative evaluation of China's new health insurance payment policies.
resultsThe themes of China's new Health insurance payment policies are focused and continuously refined. Quantitative results from the PMC Index model show that the overall policy design is reasonable, although significant differences exist among them. Of the 9 policies, 1 is rated excellent, 4 are rated good, and 4 are rated acceptable.
conclusionsThe overall evaluation of health insurance payment policies is positive, though there is room for optimization between individual policies. Strengthening top-level design, improving policy effectiveness, timeliness, and the use of policy tools, as well as promoting localized and standardized reforms, are crucial to fostering high-quality development in healthcare.
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