Study on operating efficiency and influencing factors of medical insurance fund for Urban and Rural residents

Corresponding author: YU Meng-di, 1375102943@qq.com

DOI: 10.12201/bmr.202109.00035

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  Abstract: Objective: To evaluate the operating efficiency of basic medical insurance funds for urban and rural residents in each province based on the 2017-2019 provincial panel data. Methods: Firstly, output oriented BCC model and DEA-Malmquist index model were used to calculate the static and dynamic efficiency respectively, and then Tobit model was used to analyze the influencing factors, providing scientific reference for improving the operation efficiency of urban and rural residents medical insurance fund. Results: Most provinces in China are in the frontier of inefficiency, and the overall efficiency level is low. The regional ranking is in the order of east, middle and west, and the east belongs to the type of high investment and high efficiency, while the middle and west belong to the type of low investment and low efficiency. The total factor productivity index of the National Medical insurance fund for urban and rural residents showed an upward trend. The total factor productivity index of the eastern and central regions decreased slightly, but the situation of the western region improved. Per capita GDP has a significant positive effect on the operation efficiency of the basic medical insurance fund for urban and rural residents, while the dependency ratio of the elderly has a significant negative effect on the operation efficiency of the basic medical insurance fund. Conclusion: Each region should increase the intensity of input prudently according to the situation, and focus on adjusting the structure of input and output. Appropriately raise the payment standard to ensure the fund input, and optimize the population age structure through the implementation of policies to encourage childbirth and improve the supply of public services, so as to improve the operation efficiency of the medical insurance fund for urban and rural residents.

  Key words: Basic medical insurance funds for urban and rural residents; Operating efficiency; Influencing factors

  Submit time: 29 November 2021

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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