Analysis on the Practice of Overall Planning and Adjustment of the Employees' Basic Medical Insurance Fund in Fujian Province

China Health Insurance ›› 2024, Vol. 0 ›› Issue (6) : 68-72.

China Health Insurance ›› 2024, Vol. 0 ›› Issue (6) : 68-72. DOI: 10.19546/j.issn.1674-3830.2024.6.009
Management Platform

Analysis on the Practice of Overall Planning and Adjustment of the Employees' Basic Medical Insurance Fund in Fujian Province

Author information +
History +

Abstract

The fund management model is the key policy design of the provincial overall planning, and the pre-adjustment model is a fund management method widely adopted worldwide. Fujian is the only province adopting this model in China. This paper analyzes the background, system design, guarantee measures, effectiveness and shortcomings of this model in Fujian Province, and puts forward policy suggestions for improving provincial overall planning and enlightenments for the whole country.

Key words

employees' basic medical insurance / provincial planning / fund adjustment

Cite this article

Download Citations
Analysis on the Practice of Overall Planning and Adjustment of the Employees' Basic Medical Insurance Fund in Fujian Province[J]. China Health Insurance. 2024, 0(6): 68-72 https://doi.org/10.19546/j.issn.1674-3830.2024.6.009

References

[1] 郑功成.中国医疗保障基金:政策演进、实践评估与可持续发展[J].江淮论坛,2022(05):5-14+2.
[2] 袁涛.基本医疗保险省级统筹的科学内涵与路径优化[J].中州学刊,2022(12):85-94.
[3] 申宇鹏.统筹层次对职工医保运行效率的影响研究[J].中国医疗保险,2023(03):53-63.
[4] 王宗凡.风险平衡:事后调剂与事前调节[J].中国社会保障,2019(05):84.
[5] 王琬,张怡然.医保风险调剂金的国际经验及启示[J].中国医疗保险,2023(01):117-121.
[6] 王增文,姚金.委托代理下的医保困境:省级统筹对基金收支的影响——以城镇职工基本医疗保险为例[J].保险研究,2023(11):104-118.
[7] 朱凤梅,贺方兴.基本医保省级统筹风险调剂机制研究——基于结构性风险与管理风险相分离视角[J].中国医疗保险,2023(06):32-38.
[8] 付海龙,陈雯雯,王群.基于垂直公平的职工医保省级统筹实施路径研究[J].中国医疗保险,2023(06):26-31.

Accesses

Citation

Detail

Sections
Recommended

/