城镇居民医疗保障分析模式与路径选择-analysis model and path selection of medical security for urban residents.docxVIP

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城镇居民医疗保障分析模式与路径选择-analysis model and path selection of medical security for urban residents.docx

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城镇居民医疗保障分析模式与路径选择-analysis model and path selection of medical security for urban residents

1 1 Abstract Due to a long period of reform, the Chinese public health insurance has spread its coverage, with over 180 million urban employees covered by Urban Employee Basic Medical Insurance (UEBMI), which was established in 1998, and about 700 million farmers benefiting from the New Rural Cooperation Medical System (NRCMS) that was reconstructed in 2003. But that’s only a part of the whole population, many urban residents of informal sectors are not covered. So it’s an urgent and significant task to establish a national health insurance system that will cover all the citizens. In order to achieve this goal, the Chinese government has tried, since 2007, to put into practice a new policy called Urban Residents Basic Medical Insurance (URBMI). The full implementation of the UEBMI, the NRCMS and the URBMI will constitute a national health insurance system that covers the whole population in China. Now there is a key question in front of us--how to fix the URBMI policy to perfect the Chinese national health insurance system? To answer this question and give some constructive advice is the aim and significance of this paper. This paper is based on the research of health care security for urban residents in China. The urban residents refer to the uncovered (or unorganized) by UEBMI in Chinese urban area, exactly including three types of people namely the children, the elderly, and the unemployed. The children include the primary, secondary, and high school students, infants as well as other under 18 years old. The elderly are limited to the population who are beyond the retirement age and without the security of UEBMI. The unemployed include the students who have not graduated from college or university, and other people who are at the working age without jobs. The research aims to find an appropriate model and specific route of health care financing for urban residents. In this goal, the framework of the paper is divided into four chapters. Chapter One is the prea