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 goal...
Ausführliche Beschreibung
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| Autor*in: |
Müller, Armin [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2016 |
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| Schlagwörter: |
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| Umfang: |
Online Ressource ; graph. Darst., Tab., Lit. S. 34-41 |
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| Reproduktion: |
Online-Ausg. |
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| Übergeordnetes Werk: |
In: Journal of current Chinese affairs - Thousand Oaks, CA : Sage Publishing, 2009, 45(2016), 1, Seite 11-41 |
| Übergeordnetes Werk: |
volume:45 ; year:2016 ; number:1 ; pages:11-41 |
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| 520 | |a 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. (JCCA/GIGA) | ||
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(DE-627)1546531483 (DE-576)476531489 (DE-599)BSZ476531489 (DE-615)00949216 DE-627 ger DE-627 rakwb eng RI03.03 fivr SG03.02 fivs Müller, Armin verfasserin aut Premium collection and the problem of voluntary enrolment in China's new rural cooperative medical system Armin Müller 2016 Online Ressource graph. Darst., Tab., Lit. S. 34-41 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. (JCCA/GIGA) Online-Ausg. (DE-588)4034026-0 (DE-627)106254863 (DE-576)209004657 Ländlicher Raum gnd (DE-588)4020775-4 (DE-627)106316834 (DE-576)208934758 Gesundheitswesen gnd (DE-588)4032836-3 (DE-627)106260065 (DE-576)208998853 Krankenversicherung gnd (DE-588)4019990-3 (DE-627)104704853 (DE-576)208931457 Gemeindeverwaltung gnd (DE-588)4038270-9 (DE-627)106233041 (DE-576)209029307 Medizinische Versorgung gnd (DE-588)4055879-4 (DE-627)10615656X (DE-576)209115742 Sozialpolitik gnd (DE-588)4009937-4 (DE-627)104289031 (DE-576)208885382 China gnd In Journal of current Chinese affairs Thousand Oaks, CA : Sage Publishing, 2009 45(2016), 1, Seite 11-41 Online-Ressource (DE-627)597624275 (DE-600)2490241-X (DE-576)305899651 1868-4874 nnns volume:45 year:2016 number:1 pages:11-41 http://journals.sub.uni-hamburg.de/giga/jcca/article/view/945/952 Aggregator Volltext GBV_USEFLAG_U GBV_ILN_2040 ISIL_DE-212 SYSFLAG_1 GBV_KXP GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2020 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4392 GBV_ILN_4700 GBV_ILN_2548 GBV_ILN_2470 ISIL_DE-615 GBV_ILN_2548 ISIL_DE-H221 (DE-627)1756134200 RI03.03 Volksrepublik China Asien (ohne westliches Asien) Ostasien Volksrepublik China fivr (DE-627)1756136017 SG03.02 Gesundheit Gesellschaft Sozialpolitik/Soziales Gesundheit fivs (DE-627)1756162107 (DE-615)6602201 Volksrepublik China fivt (DE-627)1756200815 (DE-615)6600486 Ländlicher Raum fivt (DE-627)1756230994 (DE-615)6608720 Gesundheitswesen fivt (DE-627)1756151563 (DE-615)6605328 Krankenversicherung fivt (DE-627)175615659X (DE-615)6605686 Kommunale Regierung/Verwaltung fivt (DE-627)1756214131 (DE-615)6610051 Medizinische Versorgung fivt (DE-627)1756201196 (DE-615)6600473 Sozialpolitik fivt AR 45 2016 1 11-41 2040 01 DE-212 2937657397 00 --%%-- Z - D 2513 --%%-- --%%-- l01 17-05-16 2040 02 DE-212 2939248494 00 --%%-- Z - D 2513 --%%-- --%%-- l01 17-05-16 2470 01 DE-615 2937665039 00 --%%-- --%%-- p --%%-- l01 17-05-16 2470 03 DE-615 2939231834 00 --%%-- --%%-- p --%%-- l01 17-05-16 2548 01 DE-H221 2937665047 00 --%%-- --%%-- --%%-- --%%-- l02 17-05-16 2548 02 DE-H221 2939231842 00 --%%-- --%%-- --%%-- --%%-- l03 17-05-16 2040 01 DE-212 http://journals.sub.uni-hamburg.de/giga/jcca/article/view/945/952 2040 02 DE-212 http://journals.sub.uni-hamburg.de/giga/jcca/article/view/945/952 2470 01 DE-615 http://journals.sub.uni-hamburg.de/giga/jcca/article/view/945/952 2470 03 DE-615 http://journals.sub.uni-hamburg.de/giga/jcca/article/view/945/952 2470 01 DE-615 00 s Volksrepublik China; Ländlicher Raum; Gesundheitswesen; Krankenversicherung; Kommunale Regierung/Verwaltung; Medizinische Versorgung; Sozialpolitik 2470 01 DE-615 01 s People's Republic of China; Rural areas; Health services; Health insurance; Local government; Medical care; Social policy 2470 03 DE-615 00 s Volksrepublik China; Ländlicher Raum; Gesundheitswesen; Krankenversicherung; Kommunale Regierung/Verwaltung; Medizinische Versorgung; Sozialpolitik 2470 03 DE-615 01 s People's Republic of China; Rural areas; Health services; Health insurance; Local government; Medical care; Social policy 2470 01 DE-615 00 SG03.02 Gesundheit 2470 01 DE-615 01 RI03.03 Volksrepublik China 2470 01 DE-615 02 SG03.02 Health 2470 03 DE-615 00 SG03.02 Gesundheit 2470 03 DE-615 01 RI03.03 Volksrepublik China 2470 03 DE-615 02 SG03.02 Health |
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(DE-627)1546531483 (DE-576)476531489 (DE-599)BSZ476531489 (DE-615)00949216 DE-627 ger DE-627 rakwb eng RI03.03 fivr SG03.02 fivs Müller, Armin verfasserin aut Premium collection and the problem of voluntary enrolment in China's new rural cooperative medical system Armin Müller 2016 Online Ressource graph. Darst., Tab., Lit. S. 34-41 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. (JCCA/GIGA) Online-Ausg. (DE-588)4034026-0 (DE-627)106254863 (DE-576)209004657 Ländlicher Raum gnd (DE-588)4020775-4 (DE-627)106316834 (DE-576)208934758 Gesundheitswesen gnd (DE-588)4032836-3 (DE-627)106260065 (DE-576)208998853 Krankenversicherung gnd (DE-588)4019990-3 (DE-627)104704853 (DE-576)208931457 Gemeindeverwaltung gnd (DE-588)4038270-9 (DE-627)106233041 (DE-576)209029307 Medizinische Versorgung gnd (DE-588)4055879-4 (DE-627)10615656X (DE-576)209115742 Sozialpolitik gnd (DE-588)4009937-4 (DE-627)104289031 (DE-576)208885382 China gnd In Journal of current Chinese affairs Thousand Oaks, CA : Sage Publishing, 2009 45(2016), 1, Seite 11-41 Online-Ressource (DE-627)597624275 (DE-600)2490241-X (DE-576)305899651 1868-4874 nnns volume:45 year:2016 number:1 pages:11-41 http://journals.sub.uni-hamburg.de/giga/jcca/article/view/945/952 Aggregator Volltext GBV_USEFLAG_U GBV_ILN_2040 ISIL_DE-212 SYSFLAG_1 GBV_KXP GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2020 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4392 GBV_ILN_4700 GBV_ILN_2548 GBV_ILN_2470 ISIL_DE-615 GBV_ILN_2548 ISIL_DE-H221 (DE-627)1756134200 RI03.03 Volksrepublik China Asien (ohne westliches Asien) Ostasien Volksrepublik China fivr (DE-627)1756136017 SG03.02 Gesundheit Gesellschaft Sozialpolitik/Soziales Gesundheit fivs (DE-627)1756162107 (DE-615)6602201 Volksrepublik China fivt (DE-627)1756200815 (DE-615)6600486 Ländlicher Raum fivt (DE-627)1756230994 (DE-615)6608720 Gesundheitswesen fivt (DE-627)1756151563 (DE-615)6605328 Krankenversicherung fivt (DE-627)175615659X (DE-615)6605686 Kommunale Regierung/Verwaltung fivt (DE-627)1756214131 (DE-615)6610051 Medizinische Versorgung fivt (DE-627)1756201196 (DE-615)6600473 Sozialpolitik fivt AR 45 2016 1 11-41 2040 01 DE-212 2937657397 00 --%%-- Z - D 2513 --%%-- --%%-- l01 17-05-16 2040 02 DE-212 2939248494 00 --%%-- Z - D 2513 --%%-- --%%-- l01 17-05-16 2470 01 DE-615 2937665039 00 --%%-- --%%-- p --%%-- l01 17-05-16 2470 03 DE-615 2939231834 00 --%%-- --%%-- p --%%-- l01 17-05-16 2548 01 DE-H221 2937665047 00 --%%-- --%%-- --%%-- --%%-- l02 17-05-16 2548 02 DE-H221 2939231842 00 --%%-- --%%-- --%%-- --%%-- l03 17-05-16 2040 01 DE-212 http://journals.sub.uni-hamburg.de/giga/jcca/article/view/945/952 2040 02 DE-212 http://journals.sub.uni-hamburg.de/giga/jcca/article/view/945/952 2470 01 DE-615 http://journals.sub.uni-hamburg.de/giga/jcca/article/view/945/952 2470 03 DE-615 http://journals.sub.uni-hamburg.de/giga/jcca/article/view/945/952 2470 01 DE-615 00 s Volksrepublik China; Ländlicher Raum; Gesundheitswesen; Krankenversicherung; Kommunale Regierung/Verwaltung; Medizinische Versorgung; Sozialpolitik 2470 01 DE-615 01 s People's Republic of China; Rural areas; Health services; Health insurance; Local government; Medical care; Social policy 2470 03 DE-615 00 s Volksrepublik China; Ländlicher Raum; Gesundheitswesen; Krankenversicherung; Kommunale Regierung/Verwaltung; Medizinische Versorgung; Sozialpolitik 2470 03 DE-615 01 s People's Republic of China; Rural areas; Health services; Health insurance; Local government; Medical care; Social policy 2470 01 DE-615 00 SG03.02 Gesundheit 2470 01 DE-615 01 RI03.03 Volksrepublik China 2470 01 DE-615 02 SG03.02 Health 2470 03 DE-615 00 SG03.02 Gesundheit 2470 03 DE-615 01 RI03.03 Volksrepublik China 2470 03 DE-615 02 SG03.02 Health |
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(DE-627)1546531483 (DE-576)476531489 (DE-599)BSZ476531489 (DE-615)00949216 DE-627 ger DE-627 rakwb eng RI03.03 fivr SG03.02 fivs Müller, Armin verfasserin aut Premium collection and the problem of voluntary enrolment in China's new rural cooperative medical system Armin Müller 2016 Online Ressource graph. Darst., Tab., Lit. S. 34-41 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. (JCCA/GIGA) Online-Ausg. (DE-588)4034026-0 (DE-627)106254863 (DE-576)209004657 Ländlicher Raum gnd (DE-588)4020775-4 (DE-627)106316834 (DE-576)208934758 Gesundheitswesen gnd (DE-588)4032836-3 (DE-627)106260065 (DE-576)208998853 Krankenversicherung gnd (DE-588)4019990-3 (DE-627)104704853 (DE-576)208931457 Gemeindeverwaltung gnd (DE-588)4038270-9 (DE-627)106233041 (DE-576)209029307 Medizinische Versorgung gnd (DE-588)4055879-4 (DE-627)10615656X (DE-576)209115742 Sozialpolitik gnd (DE-588)4009937-4 (DE-627)104289031 (DE-576)208885382 China gnd In Journal of current Chinese affairs Thousand Oaks, CA : Sage Publishing, 2009 45(2016), 1, Seite 11-41 Online-Ressource (DE-627)597624275 (DE-600)2490241-X (DE-576)305899651 1868-4874 nnns volume:45 year:2016 number:1 pages:11-41 http://journals.sub.uni-hamburg.de/giga/jcca/article/view/945/952 Aggregator Volltext GBV_USEFLAG_U GBV_ILN_2040 ISIL_DE-212 SYSFLAG_1 GBV_KXP GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2020 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4392 GBV_ILN_4700 GBV_ILN_2548 GBV_ILN_2470 ISIL_DE-615 GBV_ILN_2548 ISIL_DE-H221 (DE-627)1756134200 RI03.03 Volksrepublik China Asien (ohne westliches Asien) Ostasien Volksrepublik China fivr (DE-627)1756136017 SG03.02 Gesundheit Gesellschaft Sozialpolitik/Soziales Gesundheit fivs (DE-627)1756162107 (DE-615)6602201 Volksrepublik China fivt (DE-627)1756200815 (DE-615)6600486 Ländlicher Raum fivt (DE-627)1756230994 (DE-615)6608720 Gesundheitswesen fivt (DE-627)1756151563 (DE-615)6605328 Krankenversicherung fivt (DE-627)175615659X (DE-615)6605686 Kommunale Regierung/Verwaltung fivt (DE-627)1756214131 (DE-615)6610051 Medizinische Versorgung fivt (DE-627)1756201196 (DE-615)6600473 Sozialpolitik fivt AR 45 2016 1 11-41 2040 01 DE-212 2937657397 00 --%%-- Z - D 2513 --%%-- --%%-- l01 17-05-16 2040 02 DE-212 2939248494 00 --%%-- Z - D 2513 --%%-- --%%-- l01 17-05-16 2470 01 DE-615 2937665039 00 --%%-- --%%-- p --%%-- l01 17-05-16 2470 03 DE-615 2939231834 00 --%%-- --%%-- p --%%-- l01 17-05-16 2548 01 DE-H221 2937665047 00 --%%-- --%%-- --%%-- --%%-- l02 17-05-16 2548 02 DE-H221 2939231842 00 --%%-- --%%-- --%%-- --%%-- l03 17-05-16 2040 01 DE-212 http://journals.sub.uni-hamburg.de/giga/jcca/article/view/945/952 2040 02 DE-212 http://journals.sub.uni-hamburg.de/giga/jcca/article/view/945/952 2470 01 DE-615 http://journals.sub.uni-hamburg.de/giga/jcca/article/view/945/952 2470 03 DE-615 http://journals.sub.uni-hamburg.de/giga/jcca/article/view/945/952 2470 01 DE-615 00 s Volksrepublik China; Ländlicher Raum; Gesundheitswesen; Krankenversicherung; Kommunale Regierung/Verwaltung; Medizinische Versorgung; Sozialpolitik 2470 01 DE-615 01 s People's Republic of China; Rural areas; Health services; Health insurance; Local government; Medical care; Social policy 2470 03 DE-615 00 s Volksrepublik China; Ländlicher Raum; Gesundheitswesen; Krankenversicherung; Kommunale Regierung/Verwaltung; Medizinische Versorgung; Sozialpolitik 2470 03 DE-615 01 s People's Republic of China; Rural areas; Health services; Health insurance; Local government; Medical care; Social policy 2470 01 DE-615 00 SG03.02 Gesundheit 2470 01 DE-615 01 RI03.03 Volksrepublik China 2470 01 DE-615 02 SG03.02 Health 2470 03 DE-615 00 SG03.02 Gesundheit 2470 03 DE-615 01 RI03.03 Volksrepublik China 2470 03 DE-615 02 SG03.02 Health |
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(DE-627)1546531483 (DE-576)476531489 (DE-599)BSZ476531489 (DE-615)00949216 DE-627 ger DE-627 rakwb eng RI03.03 fivr SG03.02 fivs Müller, Armin verfasserin aut Premium collection and the problem of voluntary enrolment in China's new rural cooperative medical system Armin Müller 2016 Online Ressource graph. Darst., Tab., Lit. S. 34-41 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. (JCCA/GIGA) Online-Ausg. 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RI03.03 fivr SG03.02 fivs 2470 01 DE-615 00 s Volksrepublik China; Ländlicher Raum; Gesundheitswesen; Krankenversicherung; Kommunale Regierung/Verwaltung; Medizinische Versorgung; Sozialpolitik 2470 01 DE-615 01 s People's Republic of China; Rural areas; Health services; Health insurance; Local government; Medical care; Social policy 2470 03 DE-615 00 s Volksrepublik China; Ländlicher Raum; Gesundheitswesen; Krankenversicherung; Kommunale Regierung/Verwaltung; Medizinische Versorgung; Sozialpolitik 2470 03 DE-615 01 s People's Republic of China; Rural areas; Health services; Health insurance; Local government; Medical care; Social policy Premium collection and the problem of voluntary enrolment in China's new rural cooperative medical system Armin Müller (DE-588)4034026-0 (DE-627)106254863 (DE-576)209004657 Ländlicher Raum gnd (DE-588)4020775-4 (DE-627)106316834 (DE-576)208934758 Gesundheitswesen gnd (DE-588)4032836-3 (DE-627)106260065 (DE-576)208998853 Krankenversicherung gnd (DE-588)4019990-3 (DE-627)104704853 (DE-576)208931457 Gemeindeverwaltung gnd (DE-588)4038270-9 (DE-627)106233041 (DE-576)209029307 Medizinische Versorgung gnd (DE-588)4055879-4 (DE-627)10615656X (DE-576)209115742 Sozialpolitik gnd |
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premium collection and the problem of voluntary enrolment in china's new rural cooperative medical system |
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Premium collection and the problem of voluntary enrolment in China's new rural cooperative medical system |
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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. (JCCA/GIGA) |
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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. (JCCA/GIGA) |
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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. (JCCA/GIGA) |
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| container_issue |
1 |
| title_short |
Premium collection and the problem of voluntary enrolment in China's new rural cooperative medical system |
| url |
http://journals.sub.uni-hamburg.de/giga/jcca/article/view/945/952 |
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true |
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597624275 |
| GND_str_mv |
Ländliches Gebiet Ländliche Region Land <Ländlicher Raum> Agrarraum Ländlicher Raum Medizinalwesen Gesundheitsdienst Gesundheitswirtschaft Gesundheitssystem Medizinalsystem Gesundheitswesen Krankenversicherungsrecht Krankenversicherung Kommunalverwaltung Lokalverwaltung Kommunale Verwaltung Gemeinde / Verwaltung Gemeindeverwaltung Gesundheitsversorgung Gesundheitliche Versorgung Patientenversorgung Medizinische Versorgung Wohlfahrtspolitik Gesellschaftspolitik Sozialpolitik Chung-hua-jen-min-kung-ho-kuo PRC (People's Republic of China) Chinese People’s Republic Zhonghua-minguo (1911-1949) KNR (Kytajsʹkaja Narodnaja Respublika) Zhongguo-Diguo Kaiserreich China China (Republic : 1912-1949) Kytajsʹkaja Narodnaja Respublika Volksrepublik China China (Diguo) Zhongguo (renmin gongheguo) China (Renmin-Gongheguo) Chung-kuo (Renmin-Gongheguo) République populaire de Chine Republic of China (1912-1949) Shinkoku People's Republic of China Rotchina Zhonghua-Renmin-Gongheguo Zhongguo (Diguo) Chung-kuo kuo min cheng fu Kaiserreich Zhongguo China (Volksrepublik) Zhong guo Zhongguo Chung-hua-min-kuo (1911-1949) Zhongguo (Renmin-Gongheguo) Zhonghua renmin gongheguo China (People's Republic) Zhonghua (Renmin-Gongheguo) 中华人民共和国 Chinese People's Republic Chung-hua min kuo (1912-1949) VR China Chine Chung-kuo Zhongguo (Volksrepublik) China |
| GND_txt_mv |
Ländliches Gebiet Ländliche Region Land <Ländlicher Raum> Agrarraum Ländlicher Raum Medizinalwesen Gesundheitsdienst Gesundheitswirtschaft Gesundheitssystem Medizinalsystem Gesundheitswesen Krankenversicherungsrecht Krankenversicherung Kommunalverwaltung Lokalverwaltung Kommunale Verwaltung Gemeinde / Verwaltung Gemeindeverwaltung Gesundheitsversorgung Gesundheitliche Versorgung Patientenversorgung Medizinische Versorgung Wohlfahrtspolitik Gesellschaftspolitik Sozialpolitik Chung-hua-jen-min-kung-ho-kuo PRC (People's Republic of China) Chinese People’s Republic Zhonghua-minguo (1911-1949) KNR (Kytajsʹkaja Narodnaja Respublika) Zhongguo-Diguo Kaiserreich China China (Republic : 1912-1949) Kytajsʹkaja Narodnaja Respublika Volksrepublik China China (Diguo) Zhongguo (renmin gongheguo) China (Renmin-Gongheguo) Chung-kuo (Renmin-Gongheguo) République populaire de Chine Republic of China (1912-1949) Shinkoku People's Republic of China Rotchina Zhonghua-Renmin-Gongheguo Zhongguo (Diguo) Chung-kuo kuo min cheng fu Kaiserreich Zhongguo China (Volksrepublik) Zhong guo Zhongguo Chung-hua-min-kuo (1911-1949) Zhongguo (Renmin-Gongheguo) Zhonghua renmin gongheguo China (People's Republic) Zhonghua (Renmin-Gongheguo) 中华人民共和国 Chinese People's Republic Chung-hua min kuo (1912-1949) VR China Chine Chung-kuo Zhongguo (Volksrepublik) China |
| GND_txtF_mv |
Ländliches Gebiet Ländliche Region Land <Ländlicher Raum> Agrarraum Ländlicher Raum Medizinalwesen Gesundheitsdienst Gesundheitswirtschaft Gesundheitssystem Medizinalsystem Gesundheitswesen Krankenversicherungsrecht Krankenversicherung Kommunalverwaltung Lokalverwaltung Kommunale Verwaltung Gemeinde / Verwaltung Gemeindeverwaltung Gesundheitsversorgung Gesundheitliche Versorgung Patientenversorgung Medizinische Versorgung Wohlfahrtspolitik Gesellschaftspolitik Sozialpolitik Chung-hua-jen-min-kung-ho-kuo PRC (People's Republic of China) Chinese People’s Republic Zhonghua-minguo (1911-1949) KNR (Kytajsʹkaja Narodnaja Respublika) Zhongguo-Diguo Kaiserreich China China (Republic : 1912-1949) Kytajsʹkaja Narodnaja Respublika Volksrepublik China China (Diguo) Zhongguo (renmin gongheguo) China (Renmin-Gongheguo) Chung-kuo (Renmin-Gongheguo) République populaire de Chine Republic of China (1912-1949) Shinkoku People's Republic of China Rotchina Zhonghua-Renmin-Gongheguo Zhongguo (Diguo) Chung-kuo kuo min cheng fu Kaiserreich Zhongguo China (Volksrepublik) Zhong guo Zhongguo Chung-hua-min-kuo (1911-1949) Zhongguo (Renmin-Gongheguo) Zhonghua renmin gongheguo China (People's Republic) Zhonghua (Renmin-Gongheguo) 中华人民共和国 Chinese People's Republic Chung-hua min kuo (1912-1949) VR China Chine Chung-kuo Zhongguo (Volksrepublik) China |
| mediatype_str_mv |
c |
| isOA_txt |
false |
| hochschulschrift_bool |
false |
| callnumber-a |
Z - D 2513 |
| up_date |
2024-07-04T23:56:44.927Z |
| _version_ |
1803694799511879680 |
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