Skip to main content

Medical Insurance Reform in Urban China

  • Chapter
  • First Online:
Public Medical Insurance Reforms in China

Abstract

This chapter discusses the transformation of medical insurance in urban China. During the planned economy period, the public medical system consisted of a labor insurance medical system and a publicly funded medical system, which covered all employees in state-owned enterprises and government offices. The public medical system has changed with state-owned enterprise reform since the 1990s. Currently, public medical insurance mainly includes the Urban Employee Basic Medical Insurance that covers urban employees and the Urban Residents Basic Medical Insurance that covers unemployed urban residents. This chapter introduces the contents, such as funds and benefits, of these medical insurance types.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Chen, L., Zhang, L., & Xu, X. (2020). Review of evolution of the public long-term care insurance (LTCI) system in different countries: Influence and challenge. BMC Health Services Research, 20(1057), 33218328.

    Google Scholar 

  • Dai, W., & Yu, Y. (2021). The fragmentation and integration of the pilot policies of China’ long-term care insurance system. Journal of Jiangxi University of Finance and Economics, 2(134), 55–65. (in Chinese).

    Google Scholar 

  • Dong, Z., Li, Y., & Zhang, Y. (2019). Policy analysis and path improvement of long-term care insurance pilot program in Chengde City, Hebei Province. Labor Security World, 9, 43–44 and 50. (in Chinese).

    Google Scholar 

  • Feng, P. (2021). From 1921 to 2021: A glimpse of China’s medical insurance and commercial health insurance for a century. Shanghai Insurance, 7, 16–122. (in Chinese).

    Google Scholar 

  • Guo, X., & Zhang, R. (2021). Memorabilia of 100 Years of Medical Insurance. China Health Insurance, 7, 16–21. (in Chinese).

    Google Scholar 

  • Han, F. (2014). The historical evolution of medical insurance system in China. China Medical Insurance, 6, 20–24. (in Chinese).

    Google Scholar 

  • Li, Y., & Ming, T. (2020). The financing mechanism of long-term care insurance: Practice, dilemma and countermeasures based on the analysis of 15 pilot cities’ policies. Financial Theory and Practice, 2, 97–103. (in Chinese).

    Google Scholar 

  • Lu, S., & Wu, J. (2015). Long-term care insurance in Qingdao: System effectiveness, implementation dilemma and policy optimization. China Health Economic, 35(8), 30–32. (in Chinese).

    Google Scholar 

  • Ministry of Labor and Social Security Literature Research Office of the Central Committee of the Communist Party of China. (2002). A selection of important documents on labor and social security in the new era. China Labor and Social Security Press. (in Chinese).

    Google Scholar 

  • Sheng, Z., Her, B., & Zhu, L. (2020). The pilot study of long-term care insurance system in Suzhou. Chinese Medical Insurance, 2, 37–40. (in Chinese).

    Google Scholar 

  • Song, X. (2006). Reform: Enterprise, labor and social security. Social Science Literature Press. (in Chinese).

    Google Scholar 

  • Song, X. (2009). Retrospect and prospect of China’s medical insurance system in the 60 years since the founding of the People’s Republic of China. Chinese Journal of Health Policy, 2(19), 6–14. (in Chinese).

    Google Scholar 

  • Sun, J., & Xie, J. (2016). The divergence and policy recommendations of China’s long-term care insurance financing and security policies: Based on the comparison of pilot schemes in 15 pilot cities. Economic Affairs, 4, 54–63. (in Chinese).

    Google Scholar 

  • Wang, D. (2018). Policy framework, strategy, and institutional arrangement. In E. Glinskaya & Z. Feng (Eds.), Options for aged care in China: Building an efficient and sustainable aged care system. Washington DC: World Bank.

    Google Scholar 

  • Yang, W., He, A., Fang, L., & Mossialos, E. (2016). Financing institutional long-term care for the elderly in China: A policy evaluation of new models. Health Policy and Planning, 31, 1391–1401.

    Article  Google Scholar 

  • Zhao, X. (2015). Qingdao: The latest operation status and evaluation of the long-term care insurance system price. China Social Security, 35(8), 30–32. (in Chinese).

    Google Scholar 

  • Zou, C., Tian, Y., Xu, B., Sun, C., Yuan, B., Zhao, H., & Song, J. (2018). Historical evolution of the development of Chinese medical insurance system (1949–1978): Discussion on the history healthcare policy. Medicine and Philosophy, 39(6), 81–86. (in Chinese).

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Appendix

Appendix

See Table 3.3.

Table 3.3 Government policies and events on public medical insurance systems in urban areas from 1949 to 2021

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ma, X. (2022). Medical Insurance Reform in Urban China. In: Public Medical Insurance Reforms in China. Springer, Singapore. https://doi.org/10.1007/978-981-16-7790-8_3

Download citation

  • DOI: https://doi.org/10.1007/978-981-16-7790-8_3

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-7789-2

  • Online ISBN: 978-981-16-7790-8

  • eBook Packages: Economics and FinanceEconomics and Finance (R0)

Publish with us

Policies and ethics