超最高支付限额疾病实证分析——基于株洲市本级职工医保2008-2010年信息统计

Over the Maximum Payment Empirical Analysis of Disease——Zhuzhou City Level Employee Health Insurance Based on Statistical Information 2008-2010

通过对2008-2010年株洲市本级城镇职工基本医疗保险参保人员医疗费用信息进行统计和分析,揭示医疗费用超过统筹基金最高支付限额的参保人员在性别、年龄、疾病构成等方面的特点,了解连续3年的动态变化,为调整相关政策提供参考及建议。

The thesis provides the reference and suggestion for adjusting related policies based on the statistics and analysis of medical cost information for urban workers basic medical insurance insured in Zhuzhou city from 2008 to 2010, which reveals the medical expenses exceed the insured＇s sex, age, disease constitute and other distribution characteristics that the maximum overall fund can be paid and the dynamic changes of consecutive three years.