The Impact of the Cross-Regional Medical Treatment Direct Settlement Policy on Migrant Health and Interprovincial Medical Insurance Fund Flows
- VernacularTitle:异地就医直接结算政策对流动人口健康的影响与省际医保基金流动测算
- Author:
Jinming ZHANG
1
;
Mengcen QIAN
1
Author Information
1. 复旦大学公共卫生学院 上海 200032;国家卫生健康委卫生技术评估重点实验室(复旦大学) 上海 200032
- Publication Type:Journal Article
- Keywords:
cross-region healthcare-seeking behavior direct settlement;
migrant;
health outcome;
medical insurance fund
- From:
Chinese Health Economics
2025;44(7):24-29
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To examine the impact and mechanisms of the direct settlement of nonlocal medical expenses policy on migrant health and quantify its inter-provincial medical insurance fund flow effects.Methods:Using China Labor-Force Dynamics Survey data and city-level policy implementation data,a staggered difference-in-differences model evaluates the policy's health benefits for migrants.Models based on migrant distribution,medical costs,and reimbursement rates estimate 2023 provincial medical fund changes and forecast future expenditure shares from 2026-2030.Results:The policy increases the likelihood of migrants reporting good health by approximately 4.4%,likely through higher reimbursement rates,increased education spending,and improved social integration.Guizhou and Anhui face the highest migrant-related net expenditure shares.Conclusion:The policy significantly enhances migrant health,with rigid costs ensuring equal rights in destination regions.However,inter-provincial disparities call for a regional balance mechanism to manage fund expenditures in high-quality urbanization.
