城镇居民基本医疗保险筹资标准测算分析:以江苏省为例  

Estimation and Analysis on Financing Standard of Basic Medical Insurance for Urban Residents: Take Jiangsu as a Case

作　　者：徐伟[1] 曹晶晶[1] 

机构地区：[1]中国药科大学国际医药商学院,南京211198

出　　处：《中国卫生经济》2014年第6期40-42,共3页Chinese Health Economics

基　　金：国家自然科学基金面上项目(71273278);教育部人文社会科学规划基金项目(11YJA790173);国家社会科学基金后期资助项目(13FGL003)

摘　　要：目的:提出城镇居民基本医疗保险筹资标准的测算方法,并分析个人筹资的可负担性。方法:以江苏省为例,基于医疗需求测算出保证医保基金平衡的理论人均筹资标准,并按参保人群类别进行了筹资标准的细分。其次,依据当前各方筹资结构与筹资能力,分析个人筹资的可负担性。结果:2013年和2014年江苏省居民医保人均筹资标准分别为585元和765元。结论:测算所得筹资标准既能保证医保基金的正常支出水平,同时具有可负担性。Objective： To propose the estimation method of financing standard for basic medical insurance for urban residents and analyze the affordability of the individuals. Methods： Take Jiangsu as an example, basing on the medical needs, the balance of fund, calculating the average financing standard, subdividing the different financing standards of different people further. Then, according to the financing structure and financing capacity, it gets the reference range for individuals, Results： The average financing standard of the basic medical insurance for urban residents in 20i3 and 2014 were 585 yuan and 765 yuan. Conclusion： Not only could the financing standard meet the medical need, but also it was affordable.

关 键 词：城镇居民基本医疗保险 筹资标准 医疗需求 筹资能力 

分 类 号：F842.6[经济管理—保险]