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China’s New Cooperative Medical Scheme’s Impact on the Medical Expenses of Elderly Rural Migrants

Author

Listed:
  • Jiajing Li

    (Center for Health Economics Experiment and Public Policy, School of Public Health Shandong University, No. 44 Wenhuaxi Road, Lixia District, Jinan 250012, China)

  • Yanran Huang

    (Center for Health Economics Experiment and Public Policy, School of Public Health Shandong University, No. 44 Wenhuaxi Road, Lixia District, Jinan 250012, China)

  • Stephen Nicholas

    (School of Economics and School of Management, Tianjin Normal University, No. 339 Binshui West Avenue, Tianjin 300387, China
    Guangdong Institute for International Strategies, Guangdong University of Foreign Studies, 2 Baiyun North Avenue, Guangzhou 510420, Guangdong, China
    Top Education Institute, 1 Central Avenue, Australian Technology Park, Eveleigh, Sydney, NSW 2015, Australia
    Newcastle Business School, University of Newcastle, University Drive, Newcastle, NSW 2308, Australia)

  • Jian Wang

    (Dong Fureng Institute of Economic and Social Development, Wuhan University, No. 54 Lishi Lane, Dongcheng District, Beijing 100010, China)

Abstract

Background: With rapid urbanization in China, the scale of elderly migrants from rural areas to urban cities has increased rapidly from 5.03 million in 2000 to 13.4 million people in 2015. Methods: Based on the unbalanced panel data obtained from the Chinese Longitudinal Healthy Longevity Survey, this study investigates the impact of changes to the New Cooperative Medical Scheme (NCMS) on the medical expenditure of Chinese elderly rural migrants by using seemingly unrelated regression models. Results: NCMS coverage for elderly rural migrants rose from 11.83% in 2005 to 87.33% in 2014. The effective reimbursement rate increased significantly from 4.53% in 2005 to 36.44% in 2014, and out-of-pocket/income fell by 50% between 2005 and 2014. The NCMS significantly increased the effective reimbursement rate by 12.4% and out-of-pocket medical expenditure/income by 7.5% during this decade but played an insignificant role in reducing out-of-pocket payments. Conclusions: Policy makers need to promote a two-pronged strategy, which involves controlling the excessive growth of urban medical expenses and continuing to reform NCMS reimbursements for medical treatment, so non-urban resident elderly rural migrants can fully enjoy the welfare benefits of migration and urbanization.

Suggested Citation

  • Jiajing Li & Yanran Huang & Stephen Nicholas & Jian Wang, 2019. "China’s New Cooperative Medical Scheme’s Impact on the Medical Expenses of Elderly Rural Migrants," IJERPH, MDPI, vol. 16(24), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:24:p:4953-:d:294879
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    1. Ettner, Susan L., 1996. "New evidence on the relationship between income and health," Journal of Health Economics, Elsevier, vol. 15(1), pages 67-85, February.
    2. Singh, Namrita S. & Bass, Judith & Sumbadze, Nana & Rebok, George & Perrin, Paul & Paichadze, Nino & Robinson, W. Courtland, 2018. "Identifying mental health problems and Idioms of distress among older adult internally displaced persons in Georgia," Social Science & Medicine, Elsevier, vol. 211(C), pages 39-47.
    3. James P. Smith, 1999. "Healthy Bodies and Thick Wallets: The Dual Relation between Health and Economic Status," Journal of Economic Perspectives, American Economic Association, vol. 13(2), pages 145-166, Spring.
    4. Qing Wang, 2017. "Health of the Elderly Migration Population in China: Benefit from Individual and Local Socioeconomic Status?," IJERPH, MDPI, vol. 14(4), pages 1-12, April.
    5. Dan Liu & Daniel Tsegai & David Litaker & Joachim Braun, 2015. "Under regional characteristics of rural China: a clearer view on the performance of the New Rural Cooperative Medical Scheme," International Journal of Health Economics and Management, Springer, vol. 15(4), pages 407-431, December.
    6. Hu, Jia & Mossialos, Elias, 2016. "Pharmaceutical pricing and reimbursement in China: When the whole is less than the sum of its parts," Health Policy, Elsevier, vol. 120(5), pages 519-534.
    7. Lingguo Cheng & Hong Liu & Ye Zhang & Ke Shen & Yi Zeng, 2015. "The Impact of Health Insurance on Health Outcomes and Spending of the Elderly: Evidence from China's New Cooperative Medical Scheme," Health Economics, John Wiley & Sons, Ltd., vol. 24(6), pages 672-691, June.
    8. Fei Xie & Xiaoqing Jiang & Fang Yuan & Xiaoyun Chen & Zhaokang Yuan & Yuanan Lu, 2018. "Impact of the New Cooperative Medical Scheme on the Rural Residents’ Hospitalization Medical Expenses: A Five-Year Survey Study for the Jiangxi Province in China," IJERPH, MDPI, vol. 15(7), pages 1-11, June.
    9. Zhiyuan Hou & Ellen Van de Poel & Eddy Van Doorslaer & Baorong Yu & Qingyue Meng, 2014. "Effects Of Ncms On Access To Care And Financial Protection In China," Health Economics, John Wiley & Sons, Ltd., vol. 23(8), pages 917-934, August.
    10. Xiaoyun Liang & Hong Guo & Chenggang Jin & Xiaoxia Peng & Xiulan Zhang, 2012. "The Effect of New Cooperative Medical Scheme on Health Outcomes and Alleviating Catastrophic Health Expenditure in China: A Systematic Review," PLOS ONE, Public Library of Science, vol. 7(8), pages 1-11, August.
    11. John Giles & Dewen Wang & Albert Park, 2013. "Expanding Social Insurance Coverage in Urban China," Research in Labor Economics, in: Labor Market Issues in China, pages 123-179, Emerald Group Publishing Limited.
    12. Yang Cheng, Siyao Gao, Shuai Li, Yuchao Zhang and Mark Rosenberg, 2019. "Understanding the spatial disparities and vulnerability of population aging in China," Asia and the Pacific Policy Studies 201905, Crawford School of Public Policy, The Australian National University.
    13. Yang Cheng & Siyao Gao & Shuai Li & Yuchao Zhang & Mark Rosenberg, 2019. "Understanding the spatial disparities and vulnerability of population aging in China," Asia and the Pacific Policy Studies, Wiley Blackwell, vol. 6(1), pages 73-89, January.
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