Research On The Relationship Between Basic Medical Insurance And Commercial Health Insurance In China

With the continuous reform and development of basic medical insurance and commercial health insurance in recent years,the relationship between them has been a controversial topic in academic circles.Since 2007,China has incorporated urban nonemployed residents into the basic medical security system and established a medical security system covering urban and rural group residents.In 2013,the former Insurance Regulatory Commission issued a Circular on the Reform of General Personal Insurance Rate Policy,which liberalized the upper limit of 2.5% of the predetermined interest rate of ordinary personal insurance and gave the decision-making power to the market.Since then,the health insurance market has experienced the upsurge of insurance financing products brought about by the reform of life insurance premiums in 2013-2015.From 2016,the CIRC began to strengthen the use of commercial insurance funds,and strived to promote the transformation of business value from insurance industry to security products,and returned to the essence of "insurance protection".So far,the effect has been obvious.In this context,and on the basis of the relevant research of many scholars at home and abroad,this paper further studies the relationship between basic medical insurance and commercial health insurance.In order to exclude the impact of a large number of financial products in the health insurance market after 2013,this paper chooses a relatively pure period of development of China’s health insurance market from 2007 to 2012,and makes an empirical study of the relationship between the two by using the spatial Durbin model analysis method on the panel data of 30 provinces and municipalities in the country.The results show that: only from the national perspective,at the 1% significant level,basic medical insurance has a significant role in promoting the development of commercial health insurance.However,the spatial correlation of basic medical insurance makes the original promotion of basic medical insurance to commercial health insurance significantly replaced,and at the level of 1% significance,it shows the hindrance to commercial health insurance.At the same time,the spatial autocorrelation coefficient(ρ > 0)indicates that there is a significant positive spatial spillover effect in the competition development of commercial health insurance between adjacent regions,that is,the trend of mutual promotion and common development between commercial health insurance in different regions.Therefore,while seizing the opportunity to promote the development of China’s commercial health insurance,the relevant departments should pay attention to the balance of the development of commercial health insurance among regions,so as to prevent the further aggravation of the imbalance of development among regions.