Lanzhou University Reports Findings in Public Health (Enhancing pooling levels strengthens the risk resilience of healthcare insurance: a case study of basic medical insurance fund operations data in Gansu, China): Health and Medicine – Public Health

Insurance Daily News

2024 MAY 06 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- New research on Health and Medicine - Public Health is the subject of a report. According to news reporting from Gansu, People’s Republic of China, by NewsRx journalists, research stated, “In China, enhancing the pooling levels of basic health insurance has consistently been regarded as a pivotal measure to promote the refinement of the healthcare insurance system. From 2020 to 2022, the widespread outbreak of COVID-19 posed new challenges to China’s basic health insurance.”

The news correspondents obtained a quote from the research from Lanzhou University, “The research utilizes Data Envelopment Analysis (DEA), Malmquist index assessment, and fixed-effects panel Tobit models to analyze panel data from 2020 to 2022, assessing the efficiency of basic health insurance in Gansu Province. From 2020 to 2022, the average overall efficiency of the municipal pooling of Basic Medical Insurance for Urban and Rural Residents was 0.941, demonstrating a stable trend with a modest increase. The efficiency frontier regions have expanded from 5 (35.71%) to 7 (50%). Operational efficiency exhibited a negative correlation with per capita hospitalization expenses and per capita fund balance but a positive correlation with per capita accumulated fund balance and reimbursement rates for hospitalized patients. In 2021, compared to 2020, the county-pooling Basic Medical Insurance for Urban Employees saw a decline of 0.126 in overall efficiency, reducing the efficiency frontier regions from 8 to 3. However, from 2021 to 2022, the municipal-coordinated Basic Medical Insurance for Urban Employees experienced a 0.069 increase in overall efficiency, with the efficiency frontier regions expanding from 3 to 5. Throughout 2020 to 2022, the operational efficiency of the Urban Employee Basic Medical Insurance showed a consistent negative correlation with per capita fund balance.”

According to the news reporters, the research concluded: “From 2020 to 2022, the overall operational performance of basic health insurance in Gansu Province was satisfactory, and enhancing the pooling level is beneficial in addressing the impact of unforeseen events on the health insurance system.”

For more information on this research see: Enhancing pooling levels strengthens the risk resilience of healthcare insurance: a case study of basic medical insurance fund operations data in Gansu, China. BMC Public Health, 2024;24(1):1129. BMC Public Health can be contacted at: Bmc, Campus, 4 Crinan St, London N1 9XW, England. (BioMed Central - http://www.biomedcentral.com/; BMC Public Health - http://www.biomedcentral.com/bmcpublichealth/)

Our news journalists report that additional information may be obtained by contacting Liu Heming, Institute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, 730000, Lanzhou, Gansu, People’s Republic of China. Additional authors for this research include Feng Hu, Cao Wenxuan, Wang Xuemei, Liang Qijun and Hu Xiaobin.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1186/s12889-024-18558-y. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.