Study of negotiation mechanism at designated hospitals at provincial level for catastrophic diseases

Abstract

Stakeholder theory and game theory were applied to analyze the stakeholders, role definition, participation, interest, power, position and the shift of positions under different conditions in the negotiation. Use SPSS 17.0 to analyze the database of NCMS in 2009~2010 in three counties of Hubei province, and then employ Linear programming method to do a case study of price negotiation.It is difficult to meet all stakeholders' expectations under the current condition of catastrophic disease insurance pooled at municipal-level. Medical cost differences in tertiary hospitals at provincial level are small for different regions, which constitute a basis for price negotiation at provincial level. Besides, the negotiation at province level can effectively address the conflicts of interest, and promote the negotiations. Negotiation at provincial level for such diseases, and formulating unified pricing standards for multi-wins. Key words: Catastrophic disease; Designated hospitals at provincial level; Stakeholder; Game theory