Calculation on Medical Insurance Fund Based on the Integration of Basic Medical Insurance for Urban and Rural Residents in the Inner Mongolia Autonomous Region
- VernacularTitle:基于内蒙古自治区城乡居民基本医疗保险一体化的医疗保险基金的测算
- Author:
Qing-Yuan XUE
1
,
2
;
Cai-Xia YU
;
Yan-Cun FAN
Author Information
- Keywords: health insurance; fund risk reserve; urban and rural residents; Integration of Basic Medical Insurance; Inner Mongolia
- From: Chinese Health Economics 2018;37(3):39-41
- CountryChina
- Language:Chinese
- Abstract: Objective:To calculate the medical compensation fee,management fee and risk reserve in the medical insurance fund of Inner Mongolia,calculate the total financing amount of the medical insurance fund under the different compensation scheme in 2011-2015 and the amount of fund-raising fund of the per capita health insurance fund,and study the financing feasibility of urban and rural areas in Inner Mongolia in the integration process of Basic Medical Insurance for urban and rural residents.Methods:The medical insurance fund under different compensation schemes in Inner Mongolia was calculated by using the residual qualified model,the correlation degree qualified model,the variance ratio qualified model and the small error probability qualified model.Results:The average health insurance fund under the five compensation schemes in 2011-2015 was between 521.43 yuan and 2012.27 yuan.The five compensation schemes were to be raised between 128.85 yuan and 49.73 billion yuan respectively.Based on different kinds of compensation program,the financing amount of basic medical insurance fund for urban and rural residents in Inner Mongolia increased by years.The average annual growth rate was 20％,the average annual growth rate of per capita health insurance fund financing was 10％.Conclusion:The amount of fund raising increased quickly by years with high financing pressure.This was a difficult task for the advancement of the integration of basic medical insurance for urban and rural residents in Inner Mongolia.Meanwhile,it provided a scientific and effective financing plan of insurance fund for promoting the integration of basic medical insurance in Inner Mongolia.
