HSRA2011 The Impacts of Health Insurance on Health Care Utilization Among the Elderly in China

Size: px
Start display at page:

Download "HSRA2011 The Impacts of Health Insurance on Health Care Utilization Among the Elderly in China"

Transcription

1 The Impacts of Health Insurance on Health Care Utilization Among the Elderly in China Xin Li, PhD Shanghai Jiao Tong University, China

2 Outline Background Literature Objectives Methods Results Conclusions

3 Background China s economic reforms have changed its health care system dramatically. Dramatic drop in the health insurance coverage

4 Health insurance system in China Urban employee basic medical insurance (UEBMI) Urban resident basic medical insurance (URBMI) New cooperative medical scheme (NCMS)

5 Health insurance system (cont d) Urban employee basic medical insurance (UEBMI) Launched in 1998 Employees in the state owned enterprises, the governme t and State institutions, all private and smaller public enterprises funding Two accounts Benefits structure Employer 6% of wage Employee 2% SRP 4.2% MSA 3.8% Inpatient Outpatient (MSA 3.8%)

6 Health insurance system (cont d) Urban resident basic medical insurance (URBMI) Launched in 2007 Primary and secondary school students, young children, and other unemployed urban residents funding Individual (majority) Government (no less than 40RMB) Benefits structure inpatient Outpatient services for chronic or fatal diseases

7 Health insurance system (cont d) New cooperative medical scheme (NCMS) Launched in 2003 Rural population funding Individual (up to 20RMB in 2008) Government (no less than 80RMB in 2008) two accounts MSA SRP Benefits structure Outpatient services for chronic or fatal diseases Inpatient

8 Literature Description of the system Liu. Health Policy 2002 You and Kobayashi. Evaluation of the system Wagstaff and Lindelow Lei and Lin Health Policy 2009 Henderson et al. Social Science & Medicine 1998 Liu et al. International Journal of Economic Development 1999 Gao et al. Health Policy 2007 Health Economics 2009 J of Health Economics 2008

9 Motivation Few have focused on the elderly China is on the fast track of aging Main users of health care services Less financial support

10 Objectives To examine how different types of health insurance programs (UEBMI, URBMI, NCMS and no insurance) affect the health care utilization among the elderly in China: the number of outpatient visits individual out-of-pocket (OOP) expenditure for the most recent doctor visit the length of stay (LOS) individual OOP expenditure for the last hospitalizatio

11 Data The survey of the China Health and Retirement Longitudinal Study (CHARLS Pilot) A broad-purposed social science and health survey of the elderly in China Data collected from July to September 2008 People aged 45 or older from two provinces of China: Zhejiang and Gansu Seven sections: Demographic Background; Family; Health Status and Functioning; Health Care and Insurance; Work, Retirement and Pension; Income, Expenditure and Assets; Interviewer Observation.

12 Survey design Within each province 16 county level units were randomly selected, stratified by regions and urban/rural Within each county 3 village level units were randomly selected as PSU Within each PSU dwelling units were randomly selected

13 Study sample CHARLS data includes 2685 respondents We have excluded: Respondents who had more than one insurance type Respondents who were younger than 45 years old Our sample includes 2377 respondents

14 Dependent variables The number of outpatient visits The individual outpatient OOP expenditure The number of nights spent (LOS) The individual inpatient OOP expenditure

15 Independent variables Key variables of interest: Insurance type (UEBMI, URBMI, NCMS, no insurance) Other variables Predisposing: age, gender, marital status, education and family size Enabling: region of country, household per-month living expenditure, health insurance Need: self-reported health status, disability, chronic diseases Life-style variables: physical activity, smoking behavior

16 Methods We employed two-part model to estimate the impacts of insurance For the number of outpatient visits and the LOS In the first part, we used a logistic model In the second part, we used zero-truncated Poisson model For the outpatient and inpatient OOP expenditures The first part was a logistic model The second part was generalized linear model (GLM) with a gamma distribution and a log link

17 Methods (cont d) We reported marginal effects of having UEBMI, URBMI, or no insurance vs. NCMS on the health care utilization We considered the design characteristics of survey data in the analysis Individual sample weights were used Regressions were run with weights Standard errors were estimated by bootstrapping

18 Respondents characteristics UEBMI URBMI NCMS No insurance Total Sample size (n) Population (n) 2,587, ,980 19,192,746 2,063,748 24,656,822 Proportion Age (y) 59.5 (10.0) 60.2 (10.3) 60.2 (10.1) 62.5 (13.1) 60.3 (10.4) Age Age Age Age= Male Province Zhejiang Gansu Education Illiterate Can read/writing Finish elementary school Junior high and above Married Monthly household expense ( ) 4,333.8 (1,423.61) 2,196.7 (237.65) 1,775.2 (92.60) 1,571.5 (215.09) 2,037.6 (186.28)

19 Health information UEBMI URBMI NCMS No insurance Total Sample size (n) Population (n) 2,587, ,980 19,192,746 2,063,748 24,656,822 Proportion Poor health status Having chronic diseases Having disabilities Physical activity Smoker

20 Health care utilization UEBMI URBMI NCMS No insurance Total Outpatient visit % of outpatient visit No. of visit (among those 2.4 (0.32) 1.8 (0.19) 2.3 (0.17) 2.1 (0.34) 2.3 (0.13) who had outpatient visit) OOP expenditure for the most recent visit ( ) Inpatient visit % of being hospitalized LOS for the last 15.3 (2.84) 14.4 (2.83) 12.9 (1.57) 6.7 (1.29) 13.2 (0.00) hospitalization OOP expenditure for the last hospitalization ( ) ( ) (564.33) ( ) (938.33)

21 Two-part economic model No. of outpatient visit last month UEBMI URBMI Part one: P(Y>0) Part two: Y Y>0 Overall ( )** ( )** ( ) ( )* ( )** ( ) No insurance ( ) ( ) ( ) Outpatient OOP for the recent visit UEBMI ( )** ( )** ( ) URBMI ( )** ( ) ( ) No insurance ( ) ( ) ( )*

22 Two-part economic model (cont d) LOS for the recent stay UEBMI URBMI Part one: P(Y>0) Part two: Y Y>0 Overall ( )* ( ) ( ) ( ) ( ) ( ) No insurance ( ) ( )** ( ) Inpatient OOP for the recent stay UEBMI ( )* -4, (-7, ,542.23) ( ) URBMI ( ) -4, (-6, ,818.37) ( ) No insurance ( ) (-5, ,615.04) ( )

23 Summary For the outpatient service People with UEBMI and URBMI are more likely to have outpatient visits compared with people with NCMS Among those who had at least one outpatient visit, people with UEBMI had significantly less OOP expenditure than people with NCMS The overall number of outpatient visits was significantly higher for people with UEBMI than for people with NCMS

24 Summary (cont d) For the inpatient care People with UEBMI are more likely to be hospitalized compared with people with NCMS Among those who had at least one inpatient visit, people without insurance had significant less LOS than people with NCMS There was no significant difference in inpatient spending for the four groups.

25 Thank You! 25

An Impact Evaluation of China s Urban Resident Basic Medical Insurance on Health Care Utilization and Expenditure

An Impact Evaluation of China s Urban Resident Basic Medical Insurance on Health Care Utilization and Expenditure An Impact Evaluation of China s Urban Resident Basic Medical Insurance on Health Care Utilization and Expenditure Hong Liu China Economics and Management Academy Central University of Finance and Economics

More information

The Household Level Impact of Public Health Insurance. Evidence from the Urban Resident Basic Medical Insurance in China. University of Michigan

The Household Level Impact of Public Health Insurance. Evidence from the Urban Resident Basic Medical Insurance in China. University of Michigan The Household Level Impact of Public Health Insurance Evidence from the Urban Resident Basic Medical Insurance in China University of Michigan Jianlin Wang April, 2014 This research uses data from China

More information

Health Care Financing in China

Health Care Financing in China Health Care Financing in China Social vs. private insurance Jin MA, Professor, MSc, MA, PhD Shanghai Jiao Tong University School of Public Health April 11, 2011, Atlanta, USA Outline Health Financing bet

More information

Hai Fang, PhD Professor China Center for Health Development Studies Peking University

Hai Fang, PhD Professor China Center for Health Development Studies Peking University Hai Fang, PhD Professor China Center for Health Development Studies Peking University Presentation for Asia Health Policy Program at Stanford University November 7th, 2014 Outline Introduction Background

More information

Health Care and Insurance Among the Elderly in China: Evidence from the CHARLS Pilot

Health Care and Insurance Among the Elderly in China: Evidence from the CHARLS Pilot Health Care and Insurance Among the Elderly in China: Evidence from the CHARLS Pilot John Strauss University of Southern California Hao Hong Penn State University Xiaoyan Lei Peking University Lin Li Peking

More information

Health Care Utilization and Health Status of NCMS Elderly Enrollees in China: Evidence from CHARLS Data

Health Care Utilization and Health Status of NCMS Elderly Enrollees in China: Evidence from CHARLS Data Health Care Utilization and Health Status of NCMS Elderly Enrollees in China: Evidence from CHARLS Data Amy Li Pengpeng Wang Professor Frank Sloan, Faculty Advisor Professor Kent Kimbrough, Seminar Instructor

More information

THE RELATIONSHIP BETWEEN URBAN RESIDENT BASIC MEDICAL INSURANCE AND HEALTH UTILIZATION OF THE URBAN UNEMPLOYED IN CHINA

THE RELATIONSHIP BETWEEN URBAN RESIDENT BASIC MEDICAL INSURANCE AND HEALTH UTILIZATION OF THE URBAN UNEMPLOYED IN CHINA THE RELATIONSHIP BETWEEN URBAN RESIDENT BASIC MEDICAL INSURANCE AND HEALTH UTILIZATION OF THE URBAN UNEMPLOYED IN CHINA A Thesis submitted to the Faculty of the Graduate School of Arts and Sciences of

More information

Harmonization of Health Insurance Schemes in China

Harmonization of Health Insurance Schemes in China Harmonization of Health Insurance Schemes in China Hai Fang Professor of Health Economics China Center for Health Development Studies Peking University China Presentation at the First National Conference

More information

Health and Rural Cooperative Medical Insurance in China: An empirical analysis

Health and Rural Cooperative Medical Insurance in China: An empirical analysis Health and Rural Cooperative Medical Insurance in China: An empirical analysis Song Gao and Xiangyi Meng Abstract China abandoned its free universal health care system and privatized it since 1980s. The

More information

Individual and province inequalities in health among older people in China: evidence and policy implications

Individual and province inequalities in health among older people in China: evidence and policy implications Individual and province inequalities in health among older people in China: evidence and policy implications Prof Maria Evandrou, Prof Jane Falkingham, Dr Zhixin Frank Feng, Dr Athina Vlachantoni Centre

More information

The Effect of China s New Cooperative Medical Scheme. on Rural Utilization of Preventive Medical Care. and Rural Households Health Status

The Effect of China s New Cooperative Medical Scheme. on Rural Utilization of Preventive Medical Care. and Rural Households Health Status The Effect of China s New Cooperative Medical Scheme on Rural Utilization of Preventive Medical Care and Rural Households Health Status Li Xin Master of Pacific International Affairs 2011 UC San Diego

More information

Do Different Health Insurance Plans in China Create Disparities in Health Care Utilization and Expenditures?

Do Different Health Insurance Plans in China Create Disparities in Health Care Utilization and Expenditures? Fang, Meng and Rizzo, International Journal of Applied Economics, 11(1), March 2014, 118 1 Do Different Health Insurance Plans in China Create Disparities in Health Care Utilization and Expenditures? Hai

More information

Basic social medical insurance in China

Basic social medical insurance in China Basic social medical insurance in China Ni Yuan,MD Senior lecturer Dalian Medical University Dalian, China BSMI 1 The basic social medical insurance scheme for urban employees Launched by the central government

More information

Impact of China s Urban Resident Basic Medical Insurance on Health Care Utilization and Expenditure

Impact of China s Urban Resident Basic Medical Insurance on Health Care Utilization and Expenditure DISCUSSION PAPER SERIES IZA DP No. 6768 Impact of China s Urban Resident Basic Medical Insurance on Health Care Utilization and Expenditure Hong Liu Zhong Zhao July 2012 Forschungsinstitut zur Zukunft

More information

THE NEW COOPERATIVE MEDICAL SCHEME IN RURAL CHINA: DOES MORE COVERAGE MEAN MORE SERVICE AND BETTER HEALTH?

THE NEW COOPERATIVE MEDICAL SCHEME IN RURAL CHINA: DOES MORE COVERAGE MEAN MORE SERVICE AND BETTER HEALTH? HEALTH ECONOMICS Health Econ. 18: S25 S46 (2009) Published online in Wiley InterScience (www.interscience.wiley.com)..1501 THE NEW COOPERATIVE MEDICAL SCHEME IN RURAL CHINA: DOES MORE COVERAGE MEAN MORE

More information

Can Expanded Health Insurance and Improved Quality Protect Against Out-of-Pocket Payments?

Can Expanded Health Insurance and Improved Quality Protect Against Out-of-Pocket Payments? Can Expanded Health Insurance and Improved Quality Protect Against Out-of-Pocket Payments? Experimental Evidence from the Philippines SA. Quimbo University of the Philippines School of Economics N Wagner

More information

Development of Health Insurance Scheme for the Rural Population in China

Development of Health Insurance Scheme for the Rural Population in China Development of Health Insurance Scheme for the Rural Population in China Meng Qingyue China Center for Health Development Studies Peking University DPO Conference, NayPyiTaw, Feb 15, 2012 China has experienced

More information

For More Information

For More Information CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND HEALTH CARE INFRASTRUCTURE AND TRANSPORTATION INTERNATIONAL AFFAIRS LAW AND BUSINESS NATIONAL SECURITY POPULATION AND AGING

More information

Consumption Structure Evolutions in an Aging Society and Implications for the Social Security System

Consumption Structure Evolutions in an Aging Society and Implications for the Social Security System Consumption Structure Evolutions in an Aging Society and Implications for the Social Security System Dr. Rui Mao School of Management, Zhejiang University, China PRI-ADBI joint conference, Tokyo Rui Mao

More information

The effects of China s urban basic medical insurance schemes on the equity of health service utilisation: evidence from Shaanxi Province

The effects of China s urban basic medical insurance schemes on the equity of health service utilisation: evidence from Shaanxi Province Zhou et al. International Journal for Equity in Health 2014, 13:23 RESEARCH Open Access The effects of China s urban basic medical insurance schemes on the equity of health service utilisation: evidence

More information

Forecasting China's Medical Insurance Policy for Urban Employees Using a Microsimulation Model

Forecasting China's Medical Insurance Policy for Urban Employees Using a Microsimulation Model Copyright JASSS Linping Xiong and Xiuqiang Ma (2007) Forecasting China's Medical Insurance Policy for Urban Employees Using a Microsimulation Model Journal of Artificial Societies and Social Simulation

More information

Can National Health Insurance Programs Improve Health Outcomes? Re-Examining the Case of the New Cooperative Medical Scheme in Rural China

Can National Health Insurance Programs Improve Health Outcomes? Re-Examining the Case of the New Cooperative Medical Scheme in Rural China Can National Health Insurance Programs Improve Health Outcomes? Re-Examining the Case of the New Cooperative Medical Scheme in Rural China Xueling Chu Foreign Economic Cooperation Center, Ministry of Agriculture,

More information

Capacity Building on Health Systems Research in China Meng Qingyue China Center for Health Development Studies Peking University

Capacity Building on Health Systems Research in China Meng Qingyue China Center for Health Development Studies Peking University Capacity Building on Health Systems Research in China Meng Qingyue China Center for Health Development Studies Peking University The First Global Symposium on Health Systems Research Montreux, Nov 16-19,

More information

Population Aging Research Center. University of Pennsylvania. Mexican Migration to the US and Access to Health Care

Population Aging Research Center. University of Pennsylvania. Mexican Migration to the US and Access to Health Care Population Aging Research Center University of Pennsylvania Mexican Migration to the US and Access to Health Care Sara Ross, José Pagán, and Daniel Polsky PARC Working Paper Series WPS 05-12 "The authors

More information

The Expansion of Public Health Insurance and the Demand. for Private Health Insurance in Rural China

The Expansion of Public Health Insurance and the Demand. for Private Health Insurance in Rural China The Expansion of Public Health Insurance and the Demand for Private Health Insurance in Rural China Hong Liu Central University of Finance and Economics, Beijing, 100081, China Song Gao Central University

More information

Health insurance systems in China: A briefing note

Health insurance systems in China: A briefing note Health insurance systems in China: A briefing note Sarah L Barber and Lan Yao World Health Report (2010) Background Paper, 37 HEALTH SYSTEMS FINANCING The path to universal coverage World Health Organization,

More information

Long Term Care in China: Rural Challenges and Urban Reforms. Bei Lu

Long Term Care in China: Rural Challenges and Urban Reforms. Bei Lu Long Term Care in China: Rural Challenges and Urban Reforms Bei Lu Outline China s overall Long Term Care (LTC) Demand Current and projected Rural China LTC Urban reform: Qingdao s LTC medical insurance

More information

The Emergence of Private For-Profit Medical Facilities and their Roles in Medical Expenditures in China

The Emergence of Private For-Profit Medical Facilities and their Roles in Medical Expenditures in China The Emergence of Private For-Profit Medical Facilities and their Roles in Medical Expenditures in China Xiaohui Hou July 9 th IHEA The Evolution of of Public in China Maoist era largest national public

More information

Pension schemes are integral parts of China s social protection system

Pension schemes are integral parts of China s social protection system Dewen Wang World Bank March 26-27, 2014, Incheon, Republic of Korea Pension schemes are integral parts of China s social protection system SP programs Social Insurance Social Assistance Social Welfare

More information

Challenges of Population Aging in China: Evidence from the National Baseline Survey of the. China Health and Retirement Longitudinal Study (CHARLS)

Challenges of Population Aging in China: Evidence from the National Baseline Survey of the. China Health and Retirement Longitudinal Study (CHARLS) Challenges of Population Aging in China: Evidence from the National Baseline Survey of the China Health and Retirement Longitudinal Study (CHARLS) CHARLS Research Team* May 2013 This report is dedicated

More information

Health Economics Program

Health Economics Program Health Economics Program Issue Brief 2006-05 August 2006 Medicare Supplemental Coverage and Prescription Drug Use, 2004 Medicare is a federal health insurance program that provides coverage for the elderly

More information

Social Insurance Coverage in Urban China. John Giles Dewen Wang

Social Insurance Coverage in Urban China. John Giles Dewen Wang Social Insurance Coverage in Urban China John Giles Dewen Wang Overview Social insurance schemes in Urban China Trends in social insurance coverage Regional variation Micro evidence of social insurance

More information

Determinants of access to health care in nine provinces of China: The impact of socioeconomic variables and the role of urban health. insurance.

Determinants of access to health care in nine provinces of China: The impact of socioeconomic variables and the role of urban health. insurance. Determinants of access to health care in nine provinces of China: The impact of socioeconomic variables and the role of urban health insurance. Ysaline PADIEU July, 2010 Abstract This work focuses on the

More information

NBER WORKING PAPER SERIES IMPACT OF CHINA'S URBAN EMPLOYEE BASIC MEDICAL INSURANCE ON HEALTH CARE EXPENDITURE AND HEALTH OUTCOMES.

NBER WORKING PAPER SERIES IMPACT OF CHINA'S URBAN EMPLOYEE BASIC MEDICAL INSURANCE ON HEALTH CARE EXPENDITURE AND HEALTH OUTCOMES. NBER WORKING PAPER SERIES IMPACT OF CHINA'S URBAN EMPLOYEE BASIC MEDICAL INSURANCE ON HEALTH CARE EXPENDITURE AND HEALTH OUTCOMES Feng Huang Li Gan Working Paper 20873 http://www.nber.org/papers/w20873

More information

THE URBAN RESIDENT BASIC MEDICAL INSURANCE: A LANDMARK REFORM TOWARDS UNIVERSAL COVERAGE IN CHINA

THE URBAN RESIDENT BASIC MEDICAL INSURANCE: A LANDMARK REFORM TOWARDS UNIVERSAL COVERAGE IN CHINA HEALTH ECONOMICS Health Econ. 18: S83 S96 (2009) Published online in Wiley InterScience (www.interscience.wiley.com)..1500 THE URBAN RESIDENT BASIC MEDICAL INSURANCE: A LANDMARK REFORM TOWARDS UNIVERSAL

More information

Outcome-based health equity across different social health insurance schemes for the elderly in China

Outcome-based health equity across different social health insurance schemes for the elderly in China Liu et al. BMC Health Services Research (2016) 16:9 DOI 10.1186/s12913-016-1261-5 RESEARCH ARTICLE Open Access Outcome-based health equity across different social health insurance schemes for the elderly

More information

Integration of rural and urban healthcare insurance schemes in China: an empirical research

Integration of rural and urban healthcare insurance schemes in China: an empirical research Wang et al. BMC Health Services Research 2014, 14:142 RESEARCH ARTICLE Open Access Integration of rural and urban healthcare insurance schemes in China: an empirical research Xin Wang 1*, Ang Zheng 2,

More information

Income-related inequality in health insurance coverage: analysis of China Health and Nutrition Survey of 2006 and 2009

Income-related inequality in health insurance coverage: analysis of China Health and Nutrition Survey of 2006 and 2009 Liu et al. International Journal for Equity in Health 2012, 11:42 RESEARCH Open Access Income-related inequality in health insurance coverage: analysis of China Health and Nutrition Survey of 2006 and

More information

Social Health Insurance In Three Asian Countries: China, Thailand and Vietnam 1 July 2014 Roli Talampas Asian Center UP Diliman

Social Health Insurance In Three Asian Countries: China, Thailand and Vietnam 1 July 2014 Roli Talampas Asian Center UP Diliman Social Health Insurance In Three Asian Countries: China, Thailand and Vietnam 1 July 2014 Roli Talampas Asian Center UP Diliman Outline Objectives & Questions Framework Methods Findings Summary Objectives

More information

Near-Elderly Adults, Ages 55-64: Health Insurance Coverage, Cost, and Access

Near-Elderly Adults, Ages 55-64: Health Insurance Coverage, Cost, and Access Near-Elderly Adults, Ages 55-64: Health Insurance Coverage, Cost, and Access Estimates From the Medical Expenditure Panel Survey, Center for Financing, Access, and Cost Trends, Agency for Healthcare Research

More information

National Findings on Access to Health Care and Service Use for Non-elderly Adults Enrolled in Medicaid

National Findings on Access to Health Care and Service Use for Non-elderly Adults Enrolled in Medicaid National Findings on Access to Health Care and Service Use for Non-elderly Adults Enrolled in Medicaid By Sharon K. Long Karen Stockley Elaine Grimm Christine Coyer Urban Institute MACPAC Contractor Report

More information

Universal Coverage of Health Care in China: Challenges and Opportunities

Universal Coverage of Health Care in China: Challenges and Opportunities Universal Coverage of Health Care in China: Challenges and Opportunities Meng, Qingyue & Tang, Shenglan World Health Report (2010) Background Paper, 7 HEALTH SYSTEMS FINANCING The path to universal coverage

More information

China s Rapidly Aging Population

China s Rapidly Aging Population Today s Research on Aging P r o g r a m a n d P o l i c y I m p l i c at i o n s Issue 20, July 2010 China s Rapidly Aging Population Over the past two decades, China s population has been aging rapidly.

More information

Nursing Homes in China: Now and the Future

Nursing Homes in China: Now and the Future IAGG/WHO/SFGG Workshop - June 4th & 5th, 2010, Toulouse, France Identification of the main relevant domains for clinical research & quality of care in nursing homes Nursing Homes in China: Now and the

More information

The family physician system reform in small cities in I.R. Iran

The family physician system reform in small cities in I.R. Iran Evaluating Impact: Turning Promises into Evidence The family physician system reform in small cities in I.R. Iran Masoud Abolhallaj, Abbas Vosoogh, Arash Rashidian, Alireza Delavari Cairo, January 2008

More information

SHANGHAI PROFILE OF THE HEALTH SERVICES SYSTEM. (7 February 2004)

SHANGHAI PROFILE OF THE HEALTH SERVICES SYSTEM. (7 February 2004) SHANGHAI PROFILE OF THE HEALTH SERVICES SYSTEM (7 February 2004) EXECUTIVE SUMMARY Shanghai is a municipal city of China. The city is now divided into 18 districts and 1 county. There were 132 towns, 3

More information

Protection in China. Section 3. Evidence on Analysis of Coverage. John Giles and Dewen Wang

Protection in China. Section 3. Evidence on Analysis of Coverage. John Giles and Dewen Wang Social Insurance and Social Protection in China John Giles and Dewen Wang Section 3 Slides Summarizing Micro Empirical Evidence on Analysis of Coverage Pension Coverage in 2005 and 2010: Increases in Coverage

More information

Alaska Household Survey of Health Insurance Coverage

Alaska Household Survey of Health Insurance Coverage Alaska Household Survey of Health Insurance Coverage Alaska State Planning Grant, 2006-2007 2007 Presentation to Alaska Health Summit December 5, 2007 Alice Rarig, MA, MPH, PhD Health Planning and Systems

More information

Medicare Supplemental Coverage in Minnesota

Medicare Supplemental Coverage in Minnesota Medicare Supplemental Coverage in Minnesota December 2002 h ealth e conomics p rogram Health Policy and Systems Compliance Division Minnesota Department of Health Medicare Supplemental Coverage in Minnesota

More information

Sources of supplemental coverage among noninstitutionalized Medicare beneficiaries, 2011

Sources of supplemental coverage among noninstitutionalized Medicare beneficiaries, 2011 3 Chart 3-1. Sources of supplemental coverage among noninstitutionalized Medicare beneficiaries, 2011 No supplemental coverage 13.5% Medigap 17.3% Medicare managed care 29.8% Employersponsored insurance

More information

Access to Health Services

Access to Health Services Ah Access to Health Services Access to Health Services HP 2020 Goal Improve access to comprehensive, quality health care services. HP 2020 Objectives Increase the proportion of persons with a usual primary

More information

For Universal Health Coverage CHINA. Expanding Health Coverage to the Informal Sector SEPTEMBER Produced by R4D

For Universal Health Coverage CHINA. Expanding Health Coverage to the Informal Sector SEPTEMBER Produced by R4D For Universal Health Coverage CHINA Expanding Health Coverage to the Informal Sector SEPTEMBER 2015 Produced by R4D AUTHORSHIP Annette Ozaltin (R4D), Lara Wilson (Independent), Marilyn Heymann (R4D) ACKNOWLEDGEMENTS

More information

Pricing Private Health Insurance Products in China. Chen Tao

Pricing Private Health Insurance Products in China. Chen Tao Pricing Private Health Insurance Products in China Chen Tao Abstract In this paper an overview of how to price private health insurance products in China is given. In the beginning the Chinese private

More information

Research on Perfecting the Rural Social Endowment Insurance System in Yangtze River Delta

Research on Perfecting the Rural Social Endowment Insurance System in Yangtze River Delta Research on Perfecting the Rural Social Endowment Insurance System in Yangtze River Delta Shufen Zhou 1, Lin Han 1, Hong Wang 1 & Keying Bi 1 1 College of Social Sciences, Shanghai University of Engineering

More information

Demand for and Supply of Supplementary Health Insurance in Shanghai Wen Chen 1, Xiaohua Ying 1, Shanlian Hu 1, Guozhen Sun 2, Li Luo 1, Wenwei Tang 2

Demand for and Supply of Supplementary Health Insurance in Shanghai Wen Chen 1, Xiaohua Ying 1, Shanlian Hu 1, Guozhen Sun 2, Li Luo 1, Wenwei Tang 2 Demand for and Supply of Supplementary Health Insurance in Shanghai Wen Chen 1, Xiaohua Ying 1, Shanlian Hu 1, Guozhen Sun 2, Li Luo 1, Wenwei Tang 2 1 School of Public Health, Fudan University, Shanghai

More information

1. Introduction. 1.1 Background and problem statement

1. Introduction. 1.1 Background and problem statement 1. Introduction 1.1 Background and problem statement Health and economic development should be understood as a mutual process. There are four pathways through which health can contribute to economic prosperity

More information

Health sector reforms in China

Health sector reforms in China Health sector reforms in China Speaker: Ms. Madhurima Nundy 30 July 2013 Institute of Chinese Studies Delhi The presenter started with the broader notion of health sector reforms across the world. The

More information

The Demand Analysis of Life Insurance for Ethnic Regions in Gansu Province in China

The Demand Analysis of Life Insurance for Ethnic Regions in Gansu Province in China www.sciedu.ca/ijba International Journal of Business Administration Vol. 5, o. 4; 2014 The Demand Analysis of Life for Ethnic Regions in Gansu Province in China Jianshen Zhang 1 1 School of Economics,

More information

Does Participating in Health Insurance Benefit the Migrant Workers in China? An Empirical Investigation

Does Participating in Health Insurance Benefit the Migrant Workers in China? An Empirical Investigation Does Participating in Health Insurance Benefit the Migrant Workers in China? An Empirical Investigation Author name and affiliation: Xuezheng Qin School of Economics, Peking University, Beijing, China

More information

China s rising needs and opportunities. George Liu La Trobe University c.liu@latrobe.edu.au

China s rising needs and opportunities. George Liu La Trobe University c.liu@latrobe.edu.au China s rising needs and opportunities George Liu La Trobe University c.liu@latrobe.edu.au Healthcare market in China Consumer demands Service capacity Governmental control Healthcare demands Ageing population

More information

Comparison of Chinese inpatients with different types of medical insurance before and after the 2009 healthcare reform

Comparison of Chinese inpatients with different types of medical insurance before and after the 2009 healthcare reform Wang et al. BMC Health Services Research 2014, 14:443 RESEARCH ARTICLE Open Access Comparison of Chinese inpatients with different types of medical insurance before and after the 2009 healthcare reform

More information

Payer-Industry Partnerships in Emerging Markets: Best Practices for Successful Market Access of New Pharmaceuticals STUDY EXTRACT: CHINA P3696

Payer-Industry Partnerships in Emerging Markets: Best Practices for Successful Market Access of New Pharmaceuticals STUDY EXTRACT: CHINA P3696 Payer-Industry Partnerships in Emerging Markets: Best Practices for Successful Market Access of New Pharmaceuticals STUDY EXTRACT: CHINA P3696 Report written by: Elena Akborisova, Anu Bharath, Cecilia

More information

Can Annuity Purchase Intentions Be Influenced?

Can Annuity Purchase Intentions Be Influenced? Can Annuity Purchase Intentions Be Influenced? Jodi DiCenzo, CFA, CPA Behavioral Research Associates, LLC Suzanne Shu, Ph.D. UCLA Anderson School of Management Liat Hadar, Ph.D. The Arison School of Business,

More information

Cost and Determinants of Privately- Financed Home-Based Health Care in Ontario, Canada

Cost and Determinants of Privately- Financed Home-Based Health Care in Ontario, Canada Cost and Determinants of Privately- Financed Home-Based Health Care in Ontario, Canada Guerriere DN, Wong AYM, Croxford R, Leong VW, McKeever P, Coyte PC Department of Health Policy, Management and Evaluation,

More information

Constructing a Basefile for Simulating Kunming s Medical Insurance Scheme of Urban Employees

Constructing a Basefile for Simulating Kunming s Medical Insurance Scheme of Urban Employees INTERNATIONAL JOURNAL OF MICROSIMULATION (2011) 4(3) 3-16 Constructing a Basefile for Simulating Kunming s Medical Insurance Scheme of Urban Employees Xiong Linping Department of Health Services Management,

More information

Health care in China: The role of non-government providers

Health care in China: The role of non-government providers Health Policy 77 (2006) 212 220 Health care in China: The role of non-government providers Yuanli Liu a,, Peter Berman a, Winnie Yip a, Haocai Liang b, Qingyue Meng c, Jiangbin Qu c, Zhonghe Li d a Department

More information

Medicare Advantage National Senior Survey 600 Senior Registered Voters in the Medicare Advantage Program February 24-28, 2015

Medicare Advantage National Senior Survey 600 Senior Registered Voters in the Medicare Advantage Program February 24-28, 2015 Medicare Advantage National Senior Survey 600 Senior Registered Voters in the Medicare Advantage Program February 24-28, 2015 1. In what year were you born? 1. Before 1950 (CONTINUE TO QUESTION 2) 100

More information

Medicare for Women and Men

Medicare for Women and Men Allsup Medicare Advisor Report Medicare for Women and Men October 2013 Concerns in retirement 2-3 Primary source of income in retirement 4 Financial planner and Medicare discussion 5 Health insurance coverage

More information

Elder abuse: Risk factors of abuse in Iranian elderly community dwelling

Elder abuse: Risk factors of abuse in Iranian elderly community dwelling Elder abuse: Risk factors of abuse in Iranian elderly community dwelling M. Alizadeh Khoei F. Sharifi,H. Fakhrzade, & S.Zakia Hossain Ageing Research Center, Tehran University of Medical Sciences Faculty

More information

WORKING P A P E R. Health Outcomes and Socio-Economic Status Among the Elderly in China. Evidence from the CHARLS Pilot

WORKING P A P E R. Health Outcomes and Socio-Economic Status Among the Elderly in China. Evidence from the CHARLS Pilot WORKING P A P E R Health Outcomes and Socio-Economic Status Among the Elderly in China Evidence from the CHARLS Pilot JOHN STRAUSS, XIAOYAN LEI, ALBERT PARK, YAN SHEN, JAMES P. SMITH, ZHE YANG, YAOHUI

More information

China Health Care Reform: Who Gains and Who Loses?

China Health Care Reform: Who Gains and Who Loses? Speaker Third Plenary Session CHINA HEALTH CARE REFORM: WHO GAINS AND WHO LOSES? Bernhard Schwartländer, PhD World Health Organization Beijing, China China Health Care Reform: Who Gains and Who Loses?

More information

The New Cooperative Medical Scheme in Rural China: Does More Coverage Mean More Service and Better Health? Xiaoyan Lei

The New Cooperative Medical Scheme in Rural China: Does More Coverage Mean More Service and Better Health? Xiaoyan Lei The New Cooperative Medical Scheme in Rural China: Does More Coverage Mean More Service and Better Health? Xiaoyan Lei China Center for Economic Research Peking University, Beijing 100871, China xylei@ccer.edu.cn

More information

Health insurance and consumption: Evidence from China s New Cooperative Medical. Scheme. Chong-En Bai Binzhen Wu * Tsinghua University

Health insurance and consumption: Evidence from China s New Cooperative Medical. Scheme. Chong-En Bai Binzhen Wu * Tsinghua University Health insurance and consumption: Evidence from China s New Cooperative Medical Scheme Chong-En Bai Binzhen Wu * Tsinghua University Abstract We exploit a quasi-natural experiment arising from the introduction

More information

Smoothing and Household Choices

Smoothing and Household Choices Insuring against Health Shocks: Health Insurance, Consumption Smoothing and Household Choices Kai Liu Norwegian School of Economics March 2014 Abstract This paper presents new evidence on the role of public

More information

Americans Current Views on Smoking 2013: An AARP Bulletin Survey

Americans Current Views on Smoking 2013: An AARP Bulletin Survey Americans Current Views on Smoking 2013: An AARP Bulletin Survey November 2013 Americans Current Views on Smoking 2013: An AARP Bulletin Survey Report Prepared by Al Hollenbeck, Ph.D. Copyright 2013 AARP

More information

Health Care for 1.3 Billion: An Overview of China s Health System

Health Care for 1.3 Billion: An Overview of China s Health System Stanford University Walter H. Shorenstein Asia-Pacific Research Center Asia Health Policy Program Working paper series on health and demographic change in the Asia-Pacific Health Care for 1.3 Billion:

More information

First draft, please do not quote

First draft, please do not quote 1 Labor Force Participation Responses to New Rural Social Pension Insurance in China: A Regression Discontinuity Approach Zeyuan Chen, Jonas Helgertz, Tommy Bengtsson 2014/12/10 First draft, please do

More information

Out-of-Pocket Financial Burden Experienced by Children with Private Health Insurance, 2001-2009

Out-of-Pocket Financial Burden Experienced by Children with Private Health Insurance, 2001-2009 Out-of-Pocket Financial Burden Experienced by Children with Private Health Insurance, 2001-2009 Pinar Karaca-Mandic, Ph.D. Sung Choi Yoo University of Minnesota University of Minnesota Acknowledgements

More information

Community-based health insurance in poor rural China: the distribution of net benefits

Community-based health insurance in poor rural China: the distribution of net benefits ß The Author 2005. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. doi:10.1093/heapol/czi045 Advance Access publication

More information

Comparing the Effects of Two Valued-Based Purchasing Health Insurance Benefit Programs Hui Zhang, Ph.D. David Cowling, Ph.D. Matthew Facer, Ph.D.

Comparing the Effects of Two Valued-Based Purchasing Health Insurance Benefit Programs Hui Zhang, Ph.D. David Cowling, Ph.D. Matthew Facer, Ph.D. Comparing the Effects of Two Valued-Based Purchasing Health Insurance Benefit Programs Hui Zhang, Ph.D. David Cowling, Ph.D. Matthew Facer, Ph.D. Center for Innovation California Public Employees Retirement

More information

Medical Device Reimbursement In China

Medical Device Reimbursement In China Medical Device Reimbursement In China Reimbursement has long been an issue of major concern to U.S. pharmaceutical manufacturers trying to sell their products in China. Recent developments have made the

More information

Session 89 WS, Around the Globe: China--Closing the Financial Gap for Cardiovascular Disease. Moderator: Audrey A. Chervansky, FSA, MAAA

Session 89 WS, Around the Globe: China--Closing the Financial Gap for Cardiovascular Disease. Moderator: Audrey A. Chervansky, FSA, MAAA Session 89 WS, Around the Globe: China--Closing the Financial Gap for Cardiovascular Disease Moderator: Audrey A. Chervansky, FSA, MAAA Presenters: Daniel Garrett Ryan Xiaojie Wang, FSA, CERA Closing the

More information

Profiles and Data Analysis. 5.1 Introduction

Profiles and Data Analysis. 5.1 Introduction Profiles and Data Analysis PROFILES AND DATA ANALYSIS 5.1 Introduction The survey of consumers numbering 617, spread across the three geographical areas, of the state of Kerala, who have given information

More information

Policy Forum. Understanding the Effects of Medicare Prescription Drug Insurance. About the Authors. By Robert Kaestner and Kelsey McCoy

Policy Forum. Understanding the Effects of Medicare Prescription Drug Insurance. About the Authors. By Robert Kaestner and Kelsey McCoy Policy Forum Volume 23, Issue 1 October 2010 Understanding the Effects of Medicare Prescription Drug Insurance By Robert Kaestner and Kelsey McCoy The Medicare Modernization The size and potential significance

More information

THE IMPACTS OF CHINA S URBAN EMPLOYEE BASIC MEDICAL INSURANCE ON HEALTHCARE EXPENDITURES AND HEALTH OUTCOMES

THE IMPACTS OF CHINA S URBAN EMPLOYEE BASIC MEDICAL INSURANCE ON HEALTHCARE EXPENDITURES AND HEALTH OUTCOMES HEALTH ECONOMICS Health Econ. (2015) Published online in Wiley Online Library (wileyonlinelibrary.com)..3281 THE IMPACTS OF CHINA S URBAN EMPLOYEE BASIC MEDICAL INSURANCE ON HEALTHCARE EXPENDITURES AND

More information

Social Learning and Health Insurance Enrollment: Evidence from China s New Cooperative Medical Scheme

Social Learning and Health Insurance Enrollment: Evidence from China s New Cooperative Medical Scheme DISCUSSION PAPER SERIES IZA DP No. 7251 Social Learning and Health Insurance Enrollment: Evidence from China s New Cooperative Medical Scheme Hong Liu Qi Sun Zhong Zhao February 2013 Forschungsinstitut

More information

Environmental Scan of the Radiographer s Workplace: Technologist vs. Administrator Perspectives, 2001 February 2002

Environmental Scan of the Radiographer s Workplace: Technologist vs. Administrator Perspectives, 2001 February 2002 Environmental Scan of the Radiographer s Workplace: Technologist vs. Administrator Perspectives, 2001 February 2002 2002 American Society of Radiologic Technologists. All rights reserved. Reproduction

More information

G20 EMPLOYMENT WORKING GROUP COUNTRY SELF-REPORTING TEMPLATE ON IMPLEMENTATION OF G20 EMPLOYMENT PLANS

G20 EMPLOYMENT WORKING GROUP COUNTRY SELF-REPORTING TEMPLATE ON IMPLEMENTATION OF G20 EMPLOYMENT PLANS G20 EMPLOYMENT WORKING GROUP COUNTRY SELF-REPORTING TEMPLATE ON IMPLEMENTATION OF G20 EMPLOYMENT PLANS Contents 1. Key economic and labour market indicators 2. Key policy indicators 3. Checklist of commitments

More information

White Paper. Medicare Part D Improves the Economic Well-Being of Low Income Seniors

White Paper. Medicare Part D Improves the Economic Well-Being of Low Income Seniors White Paper Medicare Part D Improves the Economic Well-Being of Low Income Seniors Kathleen Foley, PhD Barbara H. Johnson, MA February 2012 Table of Contents Executive Summary....................... 1

More information

INSIGHT on the Issues

INSIGHT on the Issues INSIGHT on the Issues AARP Public Policy Institute Medicare Beneficiaries Out-of-Pocket for Health Care Claire Noel-Miller, PhD AARP Public Policy Institute Medicare beneficiaries spent a median of $3,138

More information

Data analysis of informal employment in China and India. Xizhe Peng, Yaowu Wu, Jeemol Unni

Data analysis of informal employment in China and India. Xizhe Peng, Yaowu Wu, Jeemol Unni Data analysis of informal employment in China and India Xizhe Peng, Yaowu Wu, Jeemol Unni MOTIVATION Employment is primary channel through which growth translates into better living standards, reduced

More information

Prevalence of and factors associated with non-communicable diseases in the elderly in Sri Lanka

Prevalence of and factors associated with non-communicable diseases in the elderly in Sri Lanka Prevalence of and factors associated with non-communicable diseases in the elderly in Sri Lanka Bilesha Perera, Nayana Fernando & Bimba Wickramarachchi, University of Ruhuna, Galle, Sri Lanka Ramani Perera

More information

VOLUME 33, ARTICLE 37, PAGES 1047 1066 PUBLISHED 13 NOVEMBER 2015 http://www.demographic-research.org/volumes/vol33/37/ DOI: 10.4054/DemRes.2015.33.

VOLUME 33, ARTICLE 37, PAGES 1047 1066 PUBLISHED 13 NOVEMBER 2015 http://www.demographic-research.org/volumes/vol33/37/ DOI: 10.4054/DemRes.2015.33. DEMOGRAPHIC RESEARCH VOLUME 33, ARTICLE 37, PAGES 1047 1066 PUBLISHED 13 NOVEMBER 2015 http://www.demographic-research.org/volumes/vol33/37/ DOI: 10.4054/DemRes.2015.33.37 Research Article Old age insurance

More information

A Burden or Merely a Load: New Empirical Estimates of Health Insurance Loading Fees by Group Size

A Burden or Merely a Load: New Empirical Estimates of Health Insurance Loading Fees by Group Size A Burden or Merely a Load: New Empirical Estimates of Health Insurance Loading Fees by Group Size Pinar Karaca-Mandic, University of Minnesota Jean M. Abraham, University of Minnesota Charles E. Phelps,

More information

Introduction of Long-term Care Insurance in South Korea

Introduction of Long-term Care Insurance in South Korea Introduction of Long-term Care Insurance in South Korea Soonman KWON, Soo-Jung KIM and Youn JUNG (School of Public Health, Seoul National University, South KOREA) Background In July 2008, Korea introduced

More information

Medicare Prescription Drug Benefit Progress Report:

Medicare Prescription Drug Benefit Progress Report: Chartpack Medicare Prescription Drug Benefit Progress Report: Findings from the Kaiser/Commonwealth/Tufts-New England Medical Center 2006 National Survey of Seniors and Prescription Drugs August 2007 Methodology

More information

California Board of Registered Nursing

California Board of Registered Nursing California Board of Registered Nursing 2006 Survey of Registered Nurses Conducted for the California Board of Registered Nursing by the University of California, San Francisco School of Nursing and Center

More information

Family Income and the Impact of a Children s Health Insurance Program on Reported Need for Health Services and Unmet Health Need

Family Income and the Impact of a Children s Health Insurance Program on Reported Need for Health Services and Unmet Health Need Family Income and the Impact of a Children s Health Insurance Program on Reported Need for Health Services and Unmet Health Need Emily Feinberg, ScD* ; Kathy Swartz, PhD ; Alan Zaslavsky, PhD ; Jane Gardner,

More information

The relationship between mental wellbeing and financial management among older people

The relationship between mental wellbeing and financial management among older people The relationship between mental wellbeing and financial management among older people An analysis using the third wave of Understanding Society January 2014 www.pfrc.bris.ac.uk www.ilcuk.org.uk A working

More information

Medicare Beneficiaries Out-of-Pocket Spending for Health Care

Medicare Beneficiaries Out-of-Pocket Spending for Health Care Insight on the Issues OCTOBER 2015 Beneficiaries Out-of-Pocket Spending for Health Care Claire Noel-Miller, MPA, PhD AARP Public Policy Institute Half of all beneficiaries in the fee-for-service program

More information