基于超效率DEA的安徽省商业保险机构经办基本医疗保险的效率研究

Analyzing Efficiency of Basic Medical Insurance Operated by Commercial Insurance Based on Ultra-efficient DEA Model in Anhui

目的:评价安徽省商业保险机构经办基本医疗保险的效率,为医保管理体制改革提供参考。方法:采用超效率DEA模型,对2016年安徽省开展商业保险经办基本医疗保险业务试点地区的效率进行评价。结果:综合技术效率有效的试点地区占被评价试点地区的40%,30%的试点地区处于规模递增阶段,40%的地区处于规模递减阶段。结论:应注重提高商业保险机构经办基本医疗保险的管理水平,提高经办人员服务能力。

Objective： To evaluate the efficiency of basic medical insurance operated by commercial insurance in Anhui and pro- vide evidence for medical insurance management system reform. Methods： Using the ultra-efficient DEA model to evaluate the effi- ciency of basic medical insurance operated by commercial insurance in 2016. Results： The pilot areas with comprehensive effective efficiency accounted 40% of the evaluated pilot areas, increasing returns to scale occurs in 30% pilot areas and decreasing returns to scale occurs in 40% pilot areas. Conclusion： It needed to improve the management level of commercial insurance companies and ser- vices capabilities of operators.