The new cooperative medical scheme in China
AbstractThe New Cooperative Medical Scheme (NCMS) is a heavily subsidized voluntary health insurance program established in 2003 to reduce the risk of catastrophic health spending for rural residents in China. In this review, we present the current collection of knowledge available regarding the performance of NCMS on the aspects of revenue collection, risk pooling, reimbursement rules and provider payment. The available evidence suggests that NCMS has substantially improved health care access and utilization among the participants; however, it appears to have no statistically significant effect on average household out-of-pocket health spending and catastrophic expenditure risk. As NCMS is rolled out to other counties, it must be careful to generalize the findings reported in the published papers and reports, because the early pilot counties were not randomly selected and there are a lot of local adaptations. In addition, we expect that NCMS could be an important opportunity to establish some trust-based institutions in the best interest of the participants to monitor provider quality and control cost inflation. Rigorous evaluations, based on richer and latest micro-level data, could considerably strengthen the evidence base for the performance and impact of NCMS.
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Bibliographic InfoArticle provided by Elsevier in its journal Health Policy.
Volume (Year): 91 (2009)
Issue (Month): 1 (June)
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Web page: http://www.elsevier.com/locate/healthpol
New Cooperative Medical Scheme Risk pooling Reimbursement Provider payment China;
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- Chu, Xueling & Chen, Qihui & Fang, Xiangming, 2013. "Can National Health Insurance Programs Improve Health Outcomes?—Re-Examining the Case of the New Cooperative Medical Scheme in Rural China," 2013 Annual Meeting, August 4-6, 2013, Washington, D.C. 150488, Agricultural and Applied Economics Association.
- Liu, Hong & Sun, Qi & Zhao, Zhong, 2014.
"Social learning and health insurance enrollment: Evidence from China's New Cooperative Medical Scheme,"
Journal of Economic Behavior & Organization,
Elsevier, vol. 97(C), pages 84-102.
- Liu, Hong & Sun, Qi & Zhao, Zhong, 2013. "Social Learning and Health Insurance Enrollment: Evidence from China's New Cooperative Medical Scheme," IZA Discussion Papers 7251, Institute for the Study of Labor (IZA).
- Ying Wang & Jay J. Shen & Sun Mei & Charles B. Moseley & Jun Lu & Fang Lin & Xiaohong Li & Fengshui Chang & Mo Hao, 2012. "Why healthcare became so expensive in China? The transformation of healthcare financing during Chinese economic development," International Journal of Public Policy, Inderscience Enterprises Ltd, vol. 8(1/2/3), pages 4-20.
- Liu, Hong & Gao, Song & Rizzo, John A., 2011. "The expansion of public health insurance and the demand for private health insurance in rural China," China Economic Review, Elsevier, vol. 22(1), pages 28-41, March.
- Adam Wagstaff & Winnie Yip & Magnus Lindelow & William C. Hsiao, 2009. "China's health system and its reform: a review of recent studies," Health Economics, John Wiley & Sons, Ltd., vol. 18(S2), pages S7-S23, July.
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