我国城乡基本医疗保险医药费用报销率测算

Calculating Reimbursement Rate of Medical Expenses on Urban and Rural Basic Medical Insurance in China

医药费用报销率是指医疗保险基金支付金额占总支付金额的比重,是衡量医疗保障水平的重要指标。根据最近5年的统计资料进行测算,得出了一些有关报销率的量化结论。职工基本医疗保险医药费用平均报销率总体稳定,报销率均值为61.82%,处在中位运行。城镇居民基本医疗保险医药费用平均报销率逐年上升,报销率均值为32.91%,处在低位运行。新型农村合作医疗医药费用平均报销率逐年上升,报销率均值为36.87%,处在低位运行。

Reimbursement rate of medical expenses, a key indicator measuring the level of healthcare, means a proportion paid from medical insurance fund to total payment amount. Some quantizing results that concerning reimbursement rate, are obtained by measuring and calculating according to the data from recent 5 years. Average reimbursement rate of medical expenses on Worker＇s Basic Medical Insurance, whose mean value is 61.8 percent and operating on middle level, keeps stable level generally. Average reimbursement rate of medical expenses on Urban Resident Basic Medical Insurance, whose mean value is 32.91 percent and operating on low level, rises year by year. Average reimbursement rate of medical expenses on New Rural Cooperative Medical Service, whose mean value is 36.87 percent and operating on low level, rises year by year.