Benefit distribution of social health insurance: evidence from china's urban resident basic medical insurance
Benefit distribution of social health insurance: evidence from china's urban resident basic medical insurance
复制标题
社会医疗保险待遇分配：来自中国城镇居民基本医疗保险的证据
DOI：
10.1093/heapol/czv141
复制
发表时间：
2016-09-01
影响因子：
3.2
通讯作者：
Han, Wei
中科院分区：
文献类型：
--
作者：
Pan, Jay;Tian, Sen;Han, Wei
公平是社会健康保险的基本目标之一。本文对覆盖3亿城镇人口的中国城镇居民基本医疗保险（URBMI）的福利分配进行了评估。利用2007 - 2011年的城镇居民收入指数入户调查数据，运用两部分模型对城乡居民收入指数的收益分配进行了估算，发现低收入群体的城乡居民收入指数受益程度低于高收入群体。换句话说，本应促进全民医保的政府补贴更多地流向了富人。我们的研究为中国医疗保险制度改革提供了新的证据，对其他在医疗保险全民覆盖道路上面临类似挑战的发展中国家具有重要的政策启示意义。
Equity is one of the essential objectives of the social health insurance. This article evaluates the benefit distribution of the China's Urban Residents' Basic Medical Insurance (URBMI), covering 300 million urban populations. Using the URBMI Household Survey data fielded between 2007 and 2011, we estimate the benefit distribution by the two-part model, and find that the URBMI beneficiaries from lower income groups benefited less than that of higher income groups. In other words, government subsidy that was supposed to promote the universal coverage of health care flew more to the rich. Our study provides new evidence on China's health insurance system reform, and it bears meaningful policy implication for other developing countries facing similar challenges on the way to universal coverage of health insurance.