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财经研究  2015 

我国统筹医疗保险体系的财政承受能力研究

Keywords: 代际核算,代际平衡,医疗保险,城乡统筹

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Abstract:

政府对医疗保险基金财政补贴的承受能力,是制约我国医疗保险体系统筹的重要因素之一。文章在对医疗保险基金收支进行预测的基础上,运用代际核算方法分析了我国统筹医疗保险对财政体系负担的影响。模拟结果表明,如果整合城乡居民医疗保险体系,无论是短期还是长期都不会给政府财政造成太大压力。如果"城职保"、"城居保"和"新农合"完全统筹,"城居保"和"新农合"参保人员的缴费将大幅增加,会减轻政府的财政负担。如果"城居保"和"新农合"参保人员的待遇达到"城职保"水平,则"城居保"和"新农合"参保人员的缴费需要提高到676.8元,政府的负担才不会发生变化。因此,文章认为先统筹"城居保"和"新农合"是比较现实的选择,因为随着"城居保"和"新农合"参保人员缴费能力的上升,如果将"城居保"和"新农合"参保人员的缴费提高8倍左右,并把"城居保"和"新农合"参保人员的待遇提高到"城职保"水平也不会增加政府的财政负担。

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