Journal article | Zeitschriftenartikel
Premium Collection and the Problem of Voluntary Enrolment in China's New Rural Cooperative Medical System
In late 2002, the Chinese government launched an initiative to extend the coverage of health insurance in rural China with the New Rural Cooperative Medical System (NRCMS). It covered all of rural China by 2008 and is being continuously adapted and developed. This study explores two conflicting goals in the policy design: universal coverage and voluntary enrolment. Local governments often faced the problem that only insufficient numbers of villagers were enrolling voluntarily. They developed different strategies to cope with it: Complementary outpatient reimbursement via medical savings accounts (MSAs) effectively transferred villagers’ premiums back to them, thus making the NRCMS more attractive. Adapting the premium-collection process to the local context or utilising collusive practices allowed them to pay premiums on behalf of the villagers from the insurance funds. These strategies undermine the effectiveness of the NRCMS as a risk-pooling mechanism, facilitate latent coverage gaps and turn it into a tax-funded service. (author's abstract)
- ISSN
-
1868-4874
- Umfang
-
Seite(n): 11-41
- Sprache
-
Englisch
- Anmerkungen
-
Status: Veröffentlichungsversion; begutachtet (peer reviewed)
- Erschienen in
-
Journal of Current Chinese Affairs, 45(1)
- Thema
-
Sozialwissenschaften, Soziologie
Soziologie, Anthropologie
Agrarsoziologie
Gesundheitspolitik
China
ländlicher Raum
Dorf
soziale Entwicklung
Gesundheitsfürsorge
Gesundheitspolitik
öffentliches Gesundheitswesen
Krankenversicherung
Politikumsetzung
Kostendeckung
Kosten
Akzeptanz
Versicherungsbeitrag
Ostasien
- Ereignis
-
Geistige Schöpfung
- (wer)
-
Müller, Armin
- Ereignis
-
Veröffentlichung
- (wo)
-
Deutschland
- (wann)
-
2016
- URN
-
urn:nbn:de:gbv:18-4-9457
- Letzte Aktualisierung
-
21.06.2024, 16:26 MESZ
Datenpartner
GESIS - Leibniz-Institut für Sozialwissenschaften. Bibliothek Köln. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.
Objekttyp
- Zeitschriftenartikel
Beteiligte
- Müller, Armin
Entstanden
- 2016
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