首页|职工医保门诊共济是否可以"挤出"商业医疗保险分析

职工医保门诊共济是否可以"挤出"商业医疗保险分析

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目的:探究我国职工医保门诊共济对商业医疗保险购买的影响,丰富门诊共济政策研究角度.方法:基于2011-2020年中国健康与养老追踪调查的数据、各城市开展门诊共济试点政策情况、数字普惠金融保险指数,通过双重差分法实证检验门诊共济对职工商业医疗保险购买的影响.结果:门诊共济会提高职工的商业医疗保险购买意愿,提高约4%的水平;异质性分析发现,门诊共济政策主要影响个人的商业医疗保险购买行为,影响程度与职工的年龄、健康状况以及属地门诊共济保障模式有关.结论:完善全国层面门诊共济保障机制,促进基本医疗保险与商业医疗保险的有效衔接.
Analysis of Whether Employee Health Insurance Outpatient Co-payments Can"Crowd out"Commercial Health Insurance
Objective:To explore the influence of outpatient co-ordination on the purchase of commercial medical insurance in China,enrich the research perspective of outpatient co-ordination.Methods:Based on the data of China Health and Retirement Longitudinal Study from 2011 to 2020,past outpatient co-ordination policies in pilot cities and the Digital Inclusive Finance insurance index,using staggered DID to empirically test the impact of outpatient co-ordination on employees'commercial medical insurance purchase.Results:Outpatient co-payment increases workers'willingness to purchase commercial health insurance,which increases by about 4%;heterogeneity analysis finds outpatient co-payment primarily affects individuals'commercial insurance purchasing behavior and that the extent of the effect is related to workers'age,health status,and the outpatient co-payment coverage model of the affiliation.Conclusion:Improving the outpatient co-payment guarantee mechanism at the national level and promoting the effective connection between basic medical insurance and commercial medical insurance.

medical insurance for employeesoutpatient co-ordinationcommercial medical insurance

蒋佩峰、宋占军

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北京工商大学经济学院 北京 100048

职工医保 门诊共济 商业医疗保险

2020年北京市社会科学基金规划项目

20SRC026

2024

中国卫生经济
中国卫生经济学会,卫生部卫生经济研究所

中国卫生经济

CSTPCDCHSSCD北大核心
影响因子:1.524
ISSN:1003-0743
年,卷(期):2024.43(10)