Research on calculation of payment level for minors of Basic Medical Insurance of Urban Residents and its basic related theories
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Medical insurance of minors is one of the important research content of Basic Medical Insurance of Urban Residents (BMIUS). However,current research related to payment and financing level of minors' medical insurance is relatively few. This article compared the basic medical expenses of minors,compensation expenses of medical insurance funds,willingness to pay of medical insurance,and other related theoretical study,and then to sum up the relevant theory of BMIUS,and to provide reference for improving the level of BMIUS for minors.Keywords:
Medical insurance
Medical expenses
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Objective:To forecast the expenditure of minors' medical insurance from different age groups.Methods:Analyzing and calculating the expenditure of minors' medical insurance by using a linear model.Results:Age,sexual disease distribution,gender,family income and payment for medical expenditure were affective significantly.Conclusions:Building up the expenditure of minors' medical insurance model and its relevant preliminary calculations can provide references for carrying out relevant policies.
Medical insurance
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Based on interviews and questionnaires with students from 6 colleges in Hohhot,a conclusion is drawn that the policy involving collegians into basic medical insurance system for habitants has preliminarily realized system transfer with free medical service,but there still exist many problems.A quaternity medical insurance mode should be set up for college students based on their psychological characteristics,financial ability as well as willingness.This mode consists of four parts:precaution and health care as the foundation,basic medical insurance as the core,catastrophic medical insurance as emergency and commercial insurance as complement.
Medical insurance
Complement
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Abstract Of the 45,000,000 persons having hospitalization insurance, 20,000,000 have become covered by some form of insurance for the expenses of medical care. Most of this coverage has been provided since 1938, principally by the life insurance companies through group insurance. This paper discusses the statistical problems accompanying the development of medical expense insurance plans: the sources of data, the difficulties encountered in adapting the data to the purpose, and the nature and purpose of the statistics to be collected as experience unfolds. Insurance company experience with medical expense insurance is producing much valuable information regarding the demand for various medical services, the cost of such services and the administrative problems involved in providing for medical services on a prepayment basis.
Prepayment of loan
Medical underwriting
Medical insurance
Medical care
Turnover
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The minor social medical insurance is an important part of social security system, is related to social harmony and stability. In 2006 Zhuhai city in Guangdong Province in the implementation of all minor social medical insurance, this model provides a unique line of Guangdong Province as medical insurance, as well as other domestic areas of the minors' medical security is beneficial draw lessons from. The minor social medical insurance on the basis of preliminary development, through the research of minors in Zhuhai social medical insurance system for the implementation of six years existence question, and proposed a series of measures to improve, in order to better protect the healthy growth of minors target.
Minor (academic)
Medical insurance
Social insurance
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Basic medical insurance is a fundamental component of medical care system in China. The core of its risk control focuses on collecting and compensating medical insurance fees. The author analyzes some risky factors in order to give advice for its control.
Medical insurance
Medical care
Medical advice
Component (thermodynamics)
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У статті проаналізовано розвиток медичного страхування в Україні, а також досліджено переваги і недоліки використання корпоративного страхування для популяризації програм добровільного медичного страхування.
Визначено, що на сьогоднішній день українська система охорони здоров’я знаходиться на стадії реформування,
обов’язкове медичне страхування ще не запроваджено, а основними споживачами програм добровільного медичного страхування є корпоративні клієнти. Розглянуто основні стримуючі фактори розвитку медичного страхування
в Україні, зокрема, низький рівень доходів населення, відсутність якісних провайдерів медичних послуг у регіонах, недостатній ступінь довіри населення до страхової сфери та низька страхова культура населення.
(The article analyzes the development of medical insurance in Ukraine and studied the advantages and disadvantages of using corporate insurance programs to promote voluntary health insurance. Determined that today the Ukrainian health care system is under reform, mandatory health insurance has not been introduced, and the main consumers of voluntary medical insurance programs are corporate clients. In the article the basic constraints of medical insurance in Ukraine,
including low income, lack of quality health care providers in the region, insufficient degree of confidence in the insurance sector and low insurance culture population.)
Group insurance
Turnover
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Objectives To analysis the situation of the modes of the medical insurance payment of mental health institutions,and to provide the empirical basis for the formulation of relevant policies.Methods Investigating nine mental health institutions of three provinces in China by typical sampling method.Collecting relevant data of medical insurance of the hospitals and conducting in-depth interviews with the hospital managers,staves of department of medical insurance and doctors and nurses.Results The modes of payment of the major medical insurance included fee for service,global budget,the per-diem payment,capitation and etc.Different payment modes had its own advantages and disadvantages.Conclusions Medical insurance payment should be transformed from a single way to the compound mode,and the global budget standards based on the features of mental health institutions should be established scientifically and reasonably.
Mode (computer interface)
Payment system
Medical insurance
Fee-for-service
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OBJECTIVE To learn the situation of the basic medical insurance in community health service institutions of the key contact cities.METHODS Applying descriptive and statistical analysis methods to descript and analyze the deductible and individual payment proportion of the basic medical insurance in medical institutions and community health service institutions all over country.RESULTS Deductible of the basic medical insurance of employees was higher than it of the basic medical insurance of residents,the individual payment proportion of the basic medical insurance of employees was lower than it of the basic medical insurance of residents,deductible and the individual payment proportion of the basic medical insurance of employees in community health service institutions were lower than them in second-class and first-class medical institutions,there was no significant difference in the deductible and the individual payment proportion of the basic medical insurance among community health service institutions in China's eastern,central and western areas.CONCLUSIONS There was a big difference in the compensation level between the two kinds of the basic medical insurance in community health service institutions;Compensation may be appropriate to raise the level of medical insurance of residents.the compensation level of the basic medical insurance in community health service institutions was higher than it in second-class and first-class medical institutions,Should be based on the eastern,central and western regions of local economy to adjust the level of compensation.
Deductible
Community Health
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Abstract : The paper reports on health insurance in relation to excessive medical costs and discusses a number of constructive steps that could be taken to modify the effects of insurance. A new type of hospital insurance, which has been termed variable cost insurance, is proposed. By greatly increasing consumer concern with hospital costs, variable cost insurance should slow the rise in these costs. It would also affect inequities in the present insurance system. (Author)
Group insurance
Business interruption insurance
Medical underwriting
Insurability
Public health insurance
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本健康保險概論課程涵括健康保險之基本概念、健康保險之經濟效益、健康保險之國際比較、健康保險之實施要件、健康保險法規概論及我國實施之健康保險概況之介紹暨討論,以使學生瞭解健康保險之內涵。與實務。
The course regarding introduction of health insurance is designed to provide the basic concepts of the health insurance including the economic efficiency of the health insurance , the international comparison of the health insurance, the relative payment system and regulations, the implementation of the health insurance system and introduction of our national insurance program, to increase students’ knowledge on health insurance.
Medical underwriting
Group insurance
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