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Health Insurance In China
Health insurance in China in 2019 was the fastest-growing category in the insurance industry in China. Health premiums rose by 23% in the first 10 months of 2018. It is expected that health premiums will reach an all-time high of billion (US$ billion) for the year. Ping An Insurance, the China Life Insurance Company, New China Life Insurance and China Pacific Insurance Company are the biggest players with 42% total market share in 2017. Out-of-pocket expenses are around a third of the total Chinese health spending. History New Rural Co-operative Medical Scheme (2002–present) As the old Rural Co-operative Medical Scheme (RCMS) ended, the need for affordable healthcare became urgent in rural China. The New Rural Co-operative Medical Care Scheme (NRCMS) was established to overhaul the healthcare system, particularly intended to make it more affordable for the rural poor.Dib, Hassan H., Pan, Xilong, and Zhang, Han. (2008). Evaluation of the new rural cooperative medical system in ...
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Insurance Industry In China
The Chinese insurance industry has experienced rapid expansion over the past decade. In addition to steadily increasing demand, two major supply-side trends have encouraged the development of the industry: (1) under the World Trade Organization (WTO) framework, the Chinese government lowered entry barriers to foreign insurers, allowing them to establish joint-venture insurance firms in China; and (2) domestic insurers strengthened themselves through initial public offerings and other market developments. (For example, China Life Insurance at one point became the second largest insurance company in the world in terms of market capitalization although the value has kept declining since the stock market peak of 2008.) As of 2007, China had 100 insurance companies, 59 of which are domestic-funded and the rest 41 are foreign-funded. And five Chinese insurance companies including the People's Insurance Company of China, China Life Insurance, Ping An Insurance Company of China, China ...
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World Health Organization
The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of health". Headquartered in Geneva, Switzerland, it has six regional offices and 150 field offices worldwide. The WHO was established on 7 April 1948. The first meeting of the World Health Assembly (WHA), the agency's governing body, took place on 24 July of that year. The WHO incorporated the assets, personnel, and duties of the League of Nations' Health Organization and the , including the International Classification of Diseases (ICD). Its work began in earnest in 1951 after a significant infusion of financial and technical resources. The WHO's mandate seeks and includes: working worldwide to promote health, keeping the world safe, and serve the vulnerable. It advocates that a billion more people should have: universal health care coverag ...
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China State Council
The State Council, constitutionally synonymous with the Central People's Government since 1954 (particularly in relation to local governments), is the chief administrative authority of the People's Republic of China. It is chaired by the premier and includes each cabinet-level executive department's executive chief. Currently, the council has 35 members: the premier, one executive vice premier, three other vice premiers, five state councilors (of whom three are also ministers and one is also the secretary-general), and 26 in charge of the Council's constituent departments. The State Council directly oversees provincial-level People's Governments, and in practice maintains membership with the top levels of the CCP. Aside from very few non-CCP ministers, members of the State Council are also members of the CCP's Central Committee. Organization The State Council meets every six months. Between meetings it is guided by a (Executive Meeting) that meets weekly. The standing c ...
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Healthcare In China
Healthcare in China has undergone basic changes over the twentieth century and twenty-first centuries, using both public and private medical institutions and insurance programs. As of 2020, about 95% of the population has at least basic health insurance coverage. Basic medical insurance includes two systems: employee medical insurance and resident medical insurance. The former covers the urban employed population, and the latter covers the urban non-employed population and the rural population. 25% of the people covered by the basic medical insurance participated in the employee medical insurance, a total of 344 million people; 75% participated in the residents' medical insurance, a total of 1.017 billion people. Medical assistance has subsidized 78 million poor people to participate in basic medical insurance, and the coverage of poor people has stabilized at over 99.9%. Despite this, public health insurance generally only covers about half of medical costs, with the proportion l ...
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Chinese Economic Reform
The Chinese economic reform or reform and opening-up (), known in the West as the opening of China, is the program of economic reforms termed " Socialism with Chinese characteristics" and "socialist market economy" in the People's Republic of China (PRC). Led by Deng Xiaoping, often credited as the "General Architect", the reforms were launched by reformists within the Chinese Communist Party (CCP) on December 18, 1978, during the "Boluan Fanzheng" period. The reforms went into stagnation after the military crackdown on 1989 Tiananmen Square protests, but were revived after Deng Xiaoping's Southern Tour in 1992. In 2010, China overtook Japan as the world's second-largest economy by nominal GDP and in 2017 overtook the United States by becoming the world's largest economy by GDP (PPP). Prior to the reforms, the Chinese economy was dominated by state ownership and central planning. From 1950 to 1973, Chinese real GDP per capita grew at a rate of 2.9% per year on average, albei ...
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Fee-for-service
Fee-for-service (FFS) is a payment model where services are unbundled and paid for separately. In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care. However evidence of the effectiveness of FFS in improving health care quality is mixed, without conclusive proof that these programs either succeed or fail. Similarly, when patients are shielded from paying (cost-sharing) by health insurance coverage, they are incentivized to welcome any medical service that might do some good. Fee-for-services raises costs, and discourages the efficiencies of integrated care. A variety of reform efforts have been attempted, recommended, or initiated to reduce its influence (such as moving towards bundled payments and capitation). In capitation, physicians are not incentivized to perform procedures, including necessary ones, because they are not paid anything extra for performing them. FFS is t ...
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Outpatient Care
Ambulatory care or outpatient care is medical care provided on an outpatient basis, including diagnosis, observation, consultation, treatment, intervention, and rehabilitation services. This care can include advanced medical technology and procedures even when provided outside of hospitals. Ambulatory care sensitive conditions (ACSC) are health conditions where appropriate ambulatory care prevents or reduces the need for hospital admission (or ''inpatient'' care), such as diabetes or chronic obstructive pulmonary disease.Canadian Institute for Health InformationAmbulatory Care Sensitive Conditions.Accessed 14 April 2014. Many medical investigations and treatments for acute and chronic illnesses and preventive health care can be performed on an ambulatory basis, including minor surgical and medical procedures, most types of dental services, dermatology services, and many types of diagnostic procedures (e.g. blood tests, X-rays, endoscopy and biopsy procedures of superficial organs) ...
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Inpatient Care
Inpatient care is the care of patients whose condition requires admission to a hospital. Progress in modern medicine and the advent of comprehensive out-patient clinics ensure that patients are only admitted to a hospital when they are extremely ill or have severe physical trauma. Progress Patients enter inpatient care mainly from previous ambulatory care such as referral from a family doctor, or through emergency medicine departments. The patient formally becomes an "inpatient" at the writing of an admission note. Likewise, it is formally ended by writing a discharge note. Planning for patient discharge Health care professionals involved in rehabilitation are often involved in discharge planning for patients. When considering patient discharge, there are a number of factors to take into consideration: the patient's current state, their place of residence and the type of support available. When considering the patient's current state, although the patient may be eligible for dis ...
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Catastrophic Injury
Catastrophe or catastrophic comes from the Greek κατά (''kata'') = down; στροφή (''strophē'') = turning ( el, καταστροφή). It may refer to: A general or specific event * Disaster, a devastating event * The Asia Minor Catastrophe, a Greek name for the 1923 Greek defeat at the Greco-Turkish War (1919–1922) and the population exchange between Greece and Turkey after the defeat * The Holocaust, also known by the Hebrew name ''HaShoah'' which translates to "The Catastrophe" * The Chernobyl Catastrophe, a name of the 1986 Chernobyl disaster * Blue sky catastrophe, a type of bifurcation of a periodic orbit, where the orbit ''vanishes into the blue sky'' * Catastrophic failure, complete failure of a system from which recovery is impossible (e.g. a bridge collapses) * Climatic catastrophe, forced transition of climate system to a new climate state at a rate which is more rapid than the rate of change of the external forcing * Cosmic catastrophe, thought experiment a ...
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Barefoot Doctor
Barefoot doctors () were healthcare providers who underwent basic medical training and worked in rural villages in China. They included farmers, folk healers, rural healthcare providers, and recent middle or secondary school graduates who received minimal basic medical and paramedical education. Their purpose was to bring healthcare to rural areas where urban-trained doctors would not settle. They promoted basic hygiene, preventive healthcare, and family planning and treated common illnesses. The name comes from southern farmers, who would often work barefoot in the rice paddies, and simultaneously worked as medical practitioners. In the 1930s, the Rural Reconstruction Movement had pioneered village health workers trained in basic health as part of a coordinated system, and there had been provincial experiments after 1949, but after Mao Zedong's healthcare speech in 1965 the concept was developed and institutionalized. China's health policy began to emphasize the importance of b ...
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Ping An Insurance
Ping An Insurance known also as Ping An of China (), full name Ping An Insurance (Group) Company of China, Ltd. is a Chinese holding conglomerate whose subsidiaries provide insurance, banking, asset management, financial, healthcare services. The company was founded in 1988 and is headquartered in Shenzhen. "Ping An" literally means "safe and well". In 2022, Ping An ranked 17th on the Forbes Global 2000 list and 25th on the Fortune Global 500 list. Ping An ranked 21st among the World’s top 500 Most Valuable Brands and fourth among global financial enterprises in the Global 500 2022 Report by Brand Finance. The company is considered to be the world's largest insurer, with US$121.7 billion net premiums written in 2020. Its market capitalization was US$136 billion in March 2021, making it the largest insurer in the Asia-Pacific region. Ping An Insurance is one of the top 50 companies in the Shanghai Stock Exchange. It is also a constituent stock of Hang Seng Index, an index of t ...
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Risk Pooling
A “Risk pool” is a form of risk management that is mostly practiced by insurance companies, which come together to form a pool to provide protection to insurance companies against catastrophic risks such as floods or earthquakes. The term is also used to describe the pooling of similar risks within the concept of insurance. It is basically like multiple insurance companies coming together to form one. While risk pooling is necessary for insurance to work, not all risks can be effectively pooled in a voluntary insurance bracket unless there is a subsidy available to encourage participation. Risk pooling is an important concept in supply chain management. Risk pooling suggests that demand variability is reduced if one aggregates demand across locations because as demand is aggregated across different locations, it becomes more likely that high demand from one customer will be offset by low demand from another. The reduction in variability allows a decrease in safety stock and the ...
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