The effect of delayed retirement on the sustainability of the employees' medical insurance pooling fund and fiscal responsibility:A simulation study based on flexible retirement age selection interval
10.3969/j.issn.1674-2982.2025.06.001
- VernacularTitle:渐进式延迟退休对职工医保统筹基金可持续与财政责任的影响
- Author:
Hua-lei YANG
1
;
Shun-zi CAO
1
;
Xin-yi YI
1
;
Li-li TANG
1
Author Information
1. 中南财经政法大学公共管理学院 湖北 武汉 430073
- Publication Type:Journal Article
- Keywords:
Employees'medical insurance;
Pooling fund;
Delayed retirement;
Fiscal responsibility
- From:
Chinese Journal of Health Policy
2025;18(6):1-8
- CountryChina
- Language:Chinese
-
Abstract:
This article takes as its starting point the gradual postponement of the statutory retirement age outlined in the"State Council's Measures on Gradually Delaying the Legal Retirement Age,"issued on September 13,2024.An actuarial model is constructed to evaluate the effect of this policy on the sustainability of the employees'medical insurance pooling fund and associated fiscal responsibility.Based on these findings,relevant policy recommendations are proposed.The results indicate that,in the absence of a retirement delay policy,the employees'medical insurance pooling fund will be depleted by 2043,with total fiscal responsibility amounting to CNY 17 261.38 billion over the projection period.If all individuals retire in accordance with the stipulated policy,the depletion of the fund is delayed by four years,and overall fiscal responsibility decreases by 46.97%.Further analysis incorporating flexible retirement choices reveals that variations in individual willingness to delay retirement have relatively minor effects on both fund sustainability and fiscal responsibility compared to full compliance with the policy.Conclusion:While the implementation of the gradual retirement age extension policy contributes to enhancing the sustainability of the employees'medical insurance pooling fund and alleviating fiscal responsibility,long-term financial viability remains at risk.