Analysis of Economic Effect and Mechanism of Basic Medical Insurance for Urban Employees in China

The purpose of social basic medical insurance is to solve the problem that “medical treatment is difficult and expensive.” With the implementation of new technologies and new diagnosis and treatment methods, the price of medicine has risen sharply. Under this background, can basic medical insurance...

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Main Authors: Yi Li, Xia Zhang, Xia Yang
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Discrete Dynamics in Nature and Society
Online Access:http://dx.doi.org/10.1155/2021/8423836
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author Yi Li
Xia Zhang
Xia Yang
author_facet Yi Li
Xia Zhang
Xia Yang
author_sort Yi Li
collection DOAJ
description The purpose of social basic medical insurance is to solve the problem that “medical treatment is difficult and expensive.” With the implementation of new technologies and new diagnosis and treatment methods, the price of medicine has risen sharply. Under this background, can basic medical insurance still relieve the economic pressure of patients? Based on the tracking data of China Health and Nutrition Survey (CHNS) from 2006 to 2015, by constructing Heckman sample selection model, the paper finds that the basic medical insurance for urban employees (UEBMI) leads to an increase in medical expenses, among which only 0.61% can be attributed to the release of normal medical demand and 114.47% can be attributed to moral hazard; for flexible employees, 249.52% increase can be attributed to adverse selection. Based on this, the paper puts forward two suggestions: first, promoting Hierarchical Treatment Model to control the growth of medical expenses and second, guiding flexible employees to participate in the UEBMI.
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publishDate 2021-01-01
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series Discrete Dynamics in Nature and Society
spelling doaj-art-8a07ec161c9047efa2037f973cc78bdd2025-02-03T01:27:02ZengWileyDiscrete Dynamics in Nature and Society1026-02261607-887X2021-01-01202110.1155/2021/84238368423836Analysis of Economic Effect and Mechanism of Basic Medical Insurance for Urban Employees in ChinaYi Li0Xia Zhang1Xia Yang2School of Finance, Hubei University of Economics, Wuhan, Hubei 430205, ChinaSchool of Finance, Zhongnan University of Economics and Law, Wuhan, Hubei 430073, ChinaEconomics and Management School, Wuhan University, Wuhan, Hubei 430072, ChinaThe purpose of social basic medical insurance is to solve the problem that “medical treatment is difficult and expensive.” With the implementation of new technologies and new diagnosis and treatment methods, the price of medicine has risen sharply. Under this background, can basic medical insurance still relieve the economic pressure of patients? Based on the tracking data of China Health and Nutrition Survey (CHNS) from 2006 to 2015, by constructing Heckman sample selection model, the paper finds that the basic medical insurance for urban employees (UEBMI) leads to an increase in medical expenses, among which only 0.61% can be attributed to the release of normal medical demand and 114.47% can be attributed to moral hazard; for flexible employees, 249.52% increase can be attributed to adverse selection. Based on this, the paper puts forward two suggestions: first, promoting Hierarchical Treatment Model to control the growth of medical expenses and second, guiding flexible employees to participate in the UEBMI.http://dx.doi.org/10.1155/2021/8423836
spellingShingle Yi Li
Xia Zhang
Xia Yang
Analysis of Economic Effect and Mechanism of Basic Medical Insurance for Urban Employees in China
Discrete Dynamics in Nature and Society
title Analysis of Economic Effect and Mechanism of Basic Medical Insurance for Urban Employees in China
title_full Analysis of Economic Effect and Mechanism of Basic Medical Insurance for Urban Employees in China
title_fullStr Analysis of Economic Effect and Mechanism of Basic Medical Insurance for Urban Employees in China
title_full_unstemmed Analysis of Economic Effect and Mechanism of Basic Medical Insurance for Urban Employees in China
title_short Analysis of Economic Effect and Mechanism of Basic Medical Insurance for Urban Employees in China
title_sort analysis of economic effect and mechanism of basic medical insurance for urban employees in china
url http://dx.doi.org/10.1155/2021/8423836
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