中国大病医疗保险基金未来支付能力研究——以安徽省为例  

Future Payment Capacity of Serious Illness Insurance Fund in China: Taking Anhui Province as an Example

作　　者：张志来[1] 秦立建[1,2] 

机构地区：[1]安徽财经大学财政与公共管理学院,安徽蚌埠233030 [2]安徽大学中国三农问题研究中心,安徽合肥230039

出　　处：《财贸研究》2015年第3期112-119,共8页Finance and Trade Research

基　　金：国家社科基金项目"农民工基本医疗保险的异地转接研究"(13CGL102);教育部人文社科项目"新型农村合作医疗与城镇居民基本医疗保险两制衔接研究"(12YJC790152);安徽大学校级项目"安徽省大病医疗保险基金支付能力研究"(ADNY2014031)

摘　　要：中国的大病保险政策是一项以省级统筹为主的医疗保障政策,安徽省的医疗改革一直走在全国前列。通过预测分析恶性肿瘤此类大病医药总费用,根据其占安徽省所有大病医药费的支出比重,评估大病保险基金未来支付能力。研究发现:2012—2021年,安徽省大病保险基金结余总额先降后升,2015年到达低谷,随后逐渐提升。但由于环境污染加剧以及医疗费用的上涨,人们在重大疾病方面的花费也日益增多,大病保险基金未来的支付压力将越来越大。China' s serious illness insurance policy is a medical insurance policy at provincial level,w hile Anhui provincial medical reform has been at the forefront of the country. Through the analysis and prediction of medical cost of such serious illness as malignant tumor,according to its percentage of all patient medical expenses in Anhui province,future payment capability of serious illness insurance fund is assessed. The study finds that: 2012—2021,the total illness insurance fund in Anhui province drops first and then rises the next ten years,reaches the bottom in 2015,then gradually increases. How ever,w ith the aggravation of environmental pollution and rising medical cost,serious illness spending is increasing,w hich results in grow ing payment pressure of serious illness insurance fund.

关 键 词：大病医疗保险基金 支付能力 恶性肿瘤 

分 类 号：F842.684[经济管理—保险] R197.1[医药卫生—卫生事业管理]