【摘要】 本文利用2001—2019年省际面板数据,基于门限效应检验的结果划分了基本医保系统老龄化的不同区域,考察了系统老龄化和制度覆盖率对统筹基金收支平衡能力的影响,结果表明:我国基本医保的系统老龄化程度整体呈现持续上升趋势;不同地区在退休在职比、覆盖率和统筹基金结余率上的差异显著,东北地区的系统老龄化问题最为严重;系统老龄化对统筹基金收支平衡的影响存在明显的"门限特征",在高系统老龄化区间扩大制度的覆盖面无法有效改善统筹基金的运行状况。基于此,需要科学对待基本医保系统老龄化和统筹基金收支状况的地区差异,重点关注东北地区,积极推进基本医保统筹层次的提升。更多还原

【Abstract】 Using the provincial panel data from 2001 to 2019, this paper divides different regions of the aging of the basic medical insurance system based on the results of the threshold effect test, and investigates the impact of system aging and system coverage on the balance of payments of the overall planning fund. The results show that the aging degree of China’s basic medical insurance system continues to rise as a whole.There are significant differences in retirement and employment ratio, coverage rate and overall fund balance rate in different regions. The problem of systematic aging in Northeast China is the most serious. There are obvious "threshold characteristics" in the impact of system aging on the balance of payments of overall planning fund. Expanding the coverage of the system in the high system-aging range can not effectively improve the operation of overall planning fund. Therefore, it is necessary to scientifically treat the aging of the basic medical insurance system and the regional differences in the overall fund balance status, focus on the Northeast region, and actively promote the overall planning of the basic medical insurance.更多还原