Document Detail


Health insurance and catastrophic illness: a report on the New Cooperative Medical System in rural China.
MedLine Citation:
PMID:  19551747     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The overall goal of the paper is to understand the progress of the design and implementation of China's New Cooperative Medical System (NCMS) program between 2004 (the second year of the program) and 2007. In the paper we seek to assess some of the strengths and weaknesses of the program using a panel of national-representative, household survey data that were collected in 2005 and early 2008. According to our data, we confirm the recent reports by the Ministry of Health that there have been substantial improvements to the NCMS program in terms of coverage and participation. We also show that rural individuals also perceive an improvement in service by 2007. While the progress of the NCMS program is clear, there are still weaknesses. Most importantly, the program clearly does not meet one of its key goals of providing insurance against catastrophic illnesses. On average, individuals that required inpatient treatment in 2007 were reimbursed for 15% of their expenditures. Although this is higher than in 2004, on average, as the severity of the illness (in terms of expenditures on health care) rose, the real reimbursement rate (reimbursement amount/total expenditure on medical care) fell. The real reimbursement rate for illnesses that required expenditures between 4000 and 10,000 yuan (over 10,000 yuan) was only 11% (8%). Our analysis shows that one of the limiting factors is constrained funding.
Authors:
Hongmei Yi; Linxiu Zhang; Kim Singer; Scott Rozelle; Scott Atlas
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Health economics     Volume:  18 Suppl 2     ISSN:  1099-1050     ISO Abbreviation:  Health Econ     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-29     Completed Date:  2009-09-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9306780     Medline TA:  Health Econ     Country:  England    
Other Details:
Languages:  eng     Pagination:  S119-27     Citation Subset:  IM    
Affiliation:
Center for Chinese Agricultural Policy, Institute of Geographical Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, China. yihm.05b@igsnrr.ac.cn
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MeSH Terms
Descriptor/Qualifier:
Catastrophic Illness*
China
Humans
Insurance, Health / economics*
National Health Programs / economics,  organization & administration*
Patient Satisfaction
Rural Health Services / economics,  organization & administration*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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