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Measuring the Welfare Value of Urban–Rural Integration of the Basic Medical Insurance System

基本医疗保险制度城乡整合的福利价值测算
经济学(季刊) · 2026 · 叶巾祁、茅逸凡

中文摘要

The integration of China's New Rural Cooperative Medical Scheme and Basic Medical Insurance for Urban Residents constitutes a major reform of the country's social medical insurance system. This paper develops an analytical framework for assessing the welfare effects of integrating medical insurance for urban and rural residents and employs the full-information and optimization approaches to structurally estimate and empirically quantify the policy value of this integration. The results show that rural residents' minimum willingness to pay for the integration of urban and rural medical insurance ranges from 689 to 825 yuan and exhibits heterogeneity across groups. This paper provides a basis for evaluating the welfare value of urban–rural medical insurance integration and for making more refined and precisely targeted adjustments to basic medical insurance financing schemes.

Abstract

我国新型农村合作医疗体系和城镇居民基本医疗保险的整合是我国社会医疗保险制度的重大改革。本文构建我国城乡居民医保整合福利分析框架,使用完全信息法和最优化法,结构估计和实证测算了城乡居民医保整合的政策价值。研究发现,农村居民对城乡医保制度整合的支付意愿最低值所处范围在689—825元之间,并在不同群体中呈现出异质性。本文为城乡医保整合的福利价值评估,以及基本医保筹资方案的精细化精准化调整提供了依据。
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