城乡居民大病保险基金的运营绩效及承受能力研究——基于H省的实证分析
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湖北省社会科学基金一般项目“基于家庭发展能力的社会保障制度实施效果研究”(BSY15021)。


Study on Operational Performance and Capacity of Critical Illness Insurance Funds for Urban and Rural Residents——An Empirical Study in H Province
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    摘要:

    大病保险作为商业保险参与社会医疗保险的最佳结合方式,被誉为是以中国智慧解决长期存在的“看病难、看病贵”问题的创新途径。大病保险能否稳定持续发展,依赖于大病保险基金能否实现收支当期平衡和中期平衡。H省大病保险制度试运行以来,保障效果显现,明显缓解了参保人员的医疗费用负担,但从长期来看,城乡居民大病保险基金面临着收支失衡的危机。因此,须提升商业保险机构的参与积极性、加大政府的资金投入与政策扶持、构建多渠道的大病保险筹资体系,并加强大病保险基金的动态监管,保证大病保险基金实现基本收支平衡,为大病保险制度的持续运营提供有力支撑和可靠保障。

    Abstract:

    Critical illness insurance is the best combination of commercial insurance participation in social medical insurance which is known as an innovative way to resolve long standing “proper health care is difficult to get” and “proper health care is expensive”. problems in China. The stability and sustainability of critical illness insurance depends on current and mediumterm balance of payments of insurance funds. Since the implementation of critical illness insurance in H Province,the preliminary security effect has been shown up,which is reflected in the clear alleviation of the medical expenses of the insured. But in the long run,both urban and rural residents’ health insurance funds are facing a financial crisis of balance of payments. Therefore,it is necessary to enhance the participation enthusiasm of commercial insurance institutions,increase government investment and policy support,build a multichannel financing system for critical illness insurance,and strengthen the dynamic supervision of critical illness insurance funds. In this way,we can ensure the basic balance of payment of the insurance funds and provide strong support and reliable guarantee for the sustainable operation of the critical illness insurance system.

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梅乐.城乡居民大病保险基金的运营绩效及承受能力研究——基于H省的实证分析[J].华中农业大学学报(社会科学版),2017(6):133-139

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  • 在线发布日期: 2017-10-24
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