ABSTRACT
Objective:To calculate the government and society financing limit under different compensation schemes in Inner Mongolia Autonomous Region,forecast the funding level for the next 5 years;to analyze the financing ability of government and society under different compensation schemes in the process of integration of basic medical insurance for urban and rural residents in Inner Mongolia Autonomous Region.Methods:Based on the Even Difference Grey model,it simulated and forecasted the government and social future financing levels for the next 5 years.Based on the Synthetic Degree of Incidence model,it analyzed the feasibility of government and society under different compensation schemes.Results:No matter under which type of compensation schemes,the funding body of government and society occupied a dominant position,and the amount of financing has increased rapidly.From 2011 to 2015,the growth rate was above doubled.In the next 5 years,the growth rate has reached to tripled.According to the calculation of 3 types of compensation schemes(30％ of outpatients and 60％ of hospitalized patients,30％ of outpatients and 70％ of hospitalized patients,40％of outpatients and 70％ of hospitalized),the government and society financing was more feasible under these three types of compensation schemes.Conclusion:The amount of government and social financing raising continues to increase,it faced enormous challenges.In terms of feasibility,there were 3 types of compensation programs which were more reasonable.
ABSTRACT
Objective:To calculate the individual financing amount of residents under different compensation schemes in Inner Mongolia Autonomous Region,and to analyze the feasibility of financing individual residents in the process of integration of basic medical insurance for urban and rural residents in Inner Mongolia Autonomous Region.Methods:Based on the absolute correlation model,the relative correlation model and the comprehensive correlation degree,it calculated the individual financing quota of different compensation schemes in Inner Mongolia Autonomous Region from 2011 to 2015,and analyzed the feasibility of its financing.Results:The increase in the amount of funds required for the residents in 5 years was more than 2 times,and the average annual growth rate was more than 25％.These three types of compensation programs(30％ outpatients + 70％ hospitalized).The correlation degree of the compensation scheme (40％ outpatient service + 70％ hospitalization) was between 0.60 and 0.85.The correlation degree of the compensation scheme was relatively high,which reached to 0.920.The correlation degree of these five compensation schemes was relatively low,which reached to 0.508.Conclusion:The amount of funding required for individual residents in Inner Mongolia Autonomous Region increased by years.The three types of compensation programs(30％ outpatient service + 70％ hospitalization) were more feasible than the four types of compensation programs(40％ outpatient service + 70％ hospitalization).
ABSTRACT
Objective:To calculate the medical compensation fee,management fee and risk reserve in the medical insurance fund of Inner Mongolia,calculate the total financing amount of the medical insurance fund under the different compensation scheme in 2011-2015 and the amount of fund-raising fund of the per capita health insurance fund,and study the financing feasibility of urban and rural areas in Inner Mongolia in the integration process of Basic Medical Insurance for urban and rural residents.Methods:The medical insurance fund under different compensation schemes in Inner Mongolia was calculated by using the residual qualified model,the correlation degree qualified model,the variance ratio qualified model and the small error probability qualified model.Results:The average health insurance fund under the five compensation schemes in 2011-2015 was between 521.43 yuan and 2012.27 yuan.The five compensation schemes were to be raised between 128.85 yuan and 49.73 billion yuan respectively.Based on different kinds of compensation program,the financing amount of basic medical insurance fund for urban and rural residents in Inner Mongolia increased by years.The average annual growth rate was 20％,the average annual growth rate of per capita health insurance fund financing was 10％.Conclusion:The amount of fund raising increased quickly by years with high financing pressure.This was a difficult task for the advancement of the integration of basic medical insurance for urban and rural residents in Inner Mongolia.Meanwhile,it provided a scientific and effective financing plan of insurance fund for promoting the integration of basic medical insurance in Inner Mongolia.
ABSTRACT
Objective:To estimate the medical compensation fees in medical insurance fund under different compensation schemes in Inner Mongolia,and to study the feasibility of financing in the integration process of basic medical insurance for urban and rural residents in Inner Mongolia Autonomous Region.Methods:Based on the method of ratio method,original difference GM (1,1) model,Delphi method and moving average,the medical compensation fees under different compensation schemes in Inner Mongolia in 2015 was calculated.Results:Ignoring the factors such as pay line and cap line,the total compensation for medical expenses under the five medical compensation schemes were 18.778 billion yuan,25.355 billion yuan,30.351 billion yuan,32.346 billion yuan and 46.04 billion yuan.Conclusion:Based on the measurement of medical compensation under different compensation schemes,it calculated the financing amount of the integration of medical insurance,analyzed the feasibility of the basic medical insurance financing in Inner Mongolia.In the treatment of growth factors,insurance factors and other indicators,the innovative use of a variety of methods combined approach,scientific and effective calculation of the growth factor and insurance factor,revised a part of the annual growth factor which had large growth,the insurance factor value was too high and other problem,in order to accurately assess the medical compensation.