摘要
医保招标采购拥有逐级支付和并行支付两种不同的支付流程。在一次结算周期内,以幂函数衡量基本药物供需关系,结合零差率销售特征,考虑资金增值作用,构建了两种支付流程的基本药物供应链收益及差值函数,分析了资金收益率和结算时间的单调性质,得出了收益提升的实现条件。数值检验表明:若不考虑资金增值,则两者收益一致;若考虑资金增值,则两者收益发生变化,且资金收益率越高,并行支付流程的改进效果越明显;医保结算时间是影响基本药物供应链运作的关键要素;在维持当前基本药物价格体系的情况下,并行支付流程更有可能创造更多价值。
The bidding and procurement by medical insurance has two different kinds of payment process, namely step by step payment and parallel payment. In their one settlement cycle,the supply-demand relationship of essential drugs is described by power function. Following the zero-profit characteristic of essential drugs, this paper considers the capital appreciation, constructs the profit model of essential drugs supply chain in above two payment processes, analyses the monotonicity of D-value profit function about capital return and settlement time, obtains the realization conditions of improving the essential drugs supply chain profit. The numerical study shows that if take no account of the capital appreciation, the profit is not changed. Whereas, the profit changement is obvious if take account of the capital appreciation, and the higher the capital return rate grow, the more obvious improvement the parallel payment has. In addition, the settlement time of medical insurance is a key factor affects the essential drugs supply chain operation, and the parallel payment process could create more value more likely if that the price system of essential drugs is not changed.
出处
《工业工程与管理》
CSSCI
北大核心
2017年第3期62-68,共7页
Industrial Engineering and Management
基金
国家自然科学基金资助项目(71573109)
教育部高等学校博士点专项科研基金资助项目(20123227110023)
江苏省社科基金资助一般项目(13GLB009)
江苏省普通高校学术学位研究生科研创新计划项目(KYZZ_0282)
关键词
基本药物
医疗保险
招标采购
资金增值
药品供应链
essential drugs
medical insurance
bidding and procurement
capital appreciation
medicine supply chain