Abstract:Abstract: OBJECTIVE To conduct a quantitative analysis of the content of eight policy documents related to medical insurance payment method reform in Ningxia,thereby providing a basis for the formulation and improvement of relevant policies regarding medical insurance payment method reform in Ningxia and nationwide. METHODS Using the ROSTCM 6.0 text analysis tool,it had established a PMC index evaluation model for Ningxia's medical insurance payment reform policies based on eight relevant policy documents from June 2017 to September 2025.It conducted a quantitative evaluation of these eight policies through 9 primary indicators and 42 secondary indicators.RESULTS The average PMC index score for the eight policies was 5.234,indicating that the overall quality of the sample policies was at an acceptable level or higher,and that the policy design was relatively reasonable.Notably,the policies demonstrated significant strengths in policy evaluation(0.969)and policy nature(0.950);however,scores were lower in policy level(0.200)and policy incentives(0.250),indicating considerable room for improvement.CONCLUSION The policies for medical insurance payment method reform in Ningxia were generally sound and feasible.The policies have clear objectives,comprehensive content,and scientific planning.Shortcomings include a relatively low policy level,predominantly long-term timeframes that lack flexibility,and limited policy incentive mechanisms.It is recommended to enhance the effectiveness of policy implementation by raising the level of policy formulation and diversifying policy incentive mechanisms.