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商业健康保险的收入再分配效应研究——基于中国家庭金融调查数据

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利用2019年中国家庭金融调查(CHFS)数据,研究不同收入水平群体购买不同类型商业健康保险的保险受益情况,评估商业健康保险的收入再分配效应.结果显示,商业健康保险存在逆向收入再分配现象;不断提高的筹资标准、高昂的医疗费用,是收入差距急剧扩大的重要因素;保险偿付能弥补保险缴费以及医疗支出后扩大的收入差距,但存在正向收入再分配作用不足、受益不公平现象.对此,应创新商业健康保险产品和服务,建立"商业健康保险+健康管理"模式,加大政府支持力度,促进我国商业健康保险的发展.
Study on Income Redistribution Effect of Commercial Health Insurance——Based on Empirical Evidence from China Household Finance Survey
Using the data of the 2019 China Household Finance Survey(CHFS),the paper studies the insurance benefits of different income groups who purchase different types of commercial health insurance,and evaluate the income redistribution effect of commercial health insurance.The results show that there is reverse income redistribution in commercial health insurance.Rising financing standards and high medical costs are important factors for the sharp increase in income gap.Insurance reimbursement can make up for the widening income gap after insurance payment and medical expenditure,but the positive income redistribution effect is insufficient and there is an unfair benefit phenomenon.In this regard,it is necessary to innovate commercial health insurance products and services,establish"commercial health insurance+health management"model,and increase government support to promote the development of commercial health insurance in China.

commercial health insuranceincome redistributionMT indexGini coefficient path curve

陈明裕、唐金成

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广西大学经济学院,广西南宁 530005

商业健康保险 收入再分配 MT指数 基尼系数路径曲线

2025

卫生经济研究
华东卫生经济研究协作会

卫生经济研究

北大核心
影响因子:1.01
ISSN:1004-7778
年,卷(期):2025.42(1)