Urban Health Insurance Reform in China and the Impact on Out-of-Pocket Payment

Citation

Liu, Gordon G. & Zhao, Zhongyun (2006). Urban Health Insurance Reform in China and the Impact on Out-of-Pocket Payment. International Journal of Health Planning and Management, 21, 211-28.

Abstract

Since the middle of the 1990s, China has undertaken a significant reform in urban employee health insurance programs. Using data from the pilot experiment conducted in Zhenjiang, this study examines changes in the pre- and post-reform distributions of out-of-pocket (OOP) expenditures across four representative groups by chronic disease, income, education, and job status. Major findings suggested increased OOP expenditures for all groups after the reform. However, the redistributions in OOP appear to be in favor of the disadvantaged groups, suggesting a more equitable change led by the reform. This study concludes that the post-reform insurance model did not compromise equity in cost-sharing while containing cost inflation and increasing insurance coverage for the urban population.

URL

http://dx.doi.org/10.1002/hpm.846

Reference Type

Journal Article

Year Published

2006

Journal Title

International Journal of Health Planning and Management

Author(s)

Liu, Gordon G.
Zhao, Zhongyun