Does the Expansion of Social Health Insurance in China Promote the Development of Private Health Insurance?
PENG Haoran, ZHENG Qianyun, GUO Yuhong
Lingnan College, SUN Yat-sen University; College of Finance, Guangdong University of Finance & Economics; College of Economics & Management, South China Agricultural University
Abstract:
The relationship between social health insurance (SHI) and private health insurance (PHI) has been a controversial issue in academia since there are remarkable differences in health financing system in different countries. Using the balanced panel data of 30 provinces from 2004 to 2014 in China,we employ a two-way fixed effect model to investigate such question. Our results show that the relationship between SHI and PHI varies greatly with the development degree of SHI. In regions with high development degree of SHI, there exists a significant inversed-U shape relationship between SHI and PHI. SHI promotes the development of PHI in regions with medium development degree of SHI. While, there has no significant relationship between SHI and PHI in regions which have low development degree of SHI. Based on the above conclusions, we argue that reasonable controlling the size of SHI has great significance for China to play a supplementary role of PHI.
彭浩然, 郑倩昀, 呙玉红. 中国社会医疗保险扩张会促进商业健康保险发展吗?[J]. 金融研究, 2017, 443(5): 97-110.
PENG Haoran, ZHENG Qianyun, GUO Yuhong. Does the Expansion of Social Health Insurance in China Promote the Development of Private Health Insurance?. Journal of Financial Research, 2017, 443(5): 97-110.
Beck T. and I. Webb, 2003, “Economic, Demographic, and Institutional Determinants of Life Insurance Consumption across Countries,” The World Bank Economic Review, 17: 51~88.
Beck T. and I. Webb, 2003, “Economic, Demographic, and Institutional Determinants of Life Insurance Consumption across Countries,” The World Bank Economic Review, 17: 51~88.
[7]
Beenstock M., G. Dickson and S. Khajuria, 1986, “The Determination of Life Premiums: An International Cross-section Analysis 1970–1981,” Insurance: Mathematics and Economics, 5: 261~270.
Beenstock M., G. Dickson and S. Khajuria, 1986, “The Determination of Life Premiums: An International Cross-section Analysis 1970–1981,” Insurance: Mathematics and Economics, 5: 261~270.
[8]
Blumberg L. J., L. Dubay and S. A. Norton, 2000, “Did the Medicaid Expansions for Children Displace Private Insurance? An Analysis Using the SIPP,” Journal of Health Economics, 19(1): 33~60.
Blumberg L. J., L. Dubay and S. A. Norton, 2000, “Did the Medicaid Expansions for Children Displace Private Insurance? An Analysis Using the SIPP,” Journal of Health Economics, 19(1): 33~60.
[9]
Browne M. J. and K. Kim, 1993, “An International Analysis of Life Insurance Demand,” Journal of Risk and Insurance, 60: 616~634.
Browne M. J. and K. Kim, 1993, “An International Analysis of Life Insurance Demand,” Journal of Risk and Insurance, 60: 616~634.
[10]
Cutler D. M. and J. Gruber, 1996, “Does Public Insurance Crowd Out Private Insurance?” The Quarterly Journal of Economics, 111(2): 391~430.
Cutler D. M. and J. Gruber, 1996, “Does Public Insurance Crowd Out Private Insurance?” The Quarterly Journal of Economics, 111(2): 391~430.
[11]
Dubay, L. and G. Kenney, 1997, “Did Medicaid Expansions for Pregnant Women Crowd-out Private Insurance?” Health Affairs, 16(1): 185~193.
Dubay, L. and G. Kenney, 1997, “Did Medicaid Expansions for Pregnant Women Crowd-out Private Insurance?” Health Affairs, 16(1): 185~193.
[12]
Encinosa W., 2003, “The Economics of Crowd Out under Mixed Public/Private Health Insurance,” Portuguese Economic Journal, 2(2): 71~86.
Encinosa W., 2003, “The Economics of Crowd Out under Mixed Public/Private Health Insurance,” Portuguese Economic Journal, 2(2): 71~86.
[13]
Gruber J. and K. Simon, 2008, “Crowd-out 10 Years Later: Have Recent Public Insurance Expansions Crowded Out Private Health Insurance?” Journal of Health Economics, 27(2): 201~217.
Gruber J. and K. Simon, 2008, “Crowd-out 10 Years Later: Have Recent Public Insurance Expansions Crowded Out Private Health Insurance?” Journal of Health Economics, 27(2): 201~217.
[14]
Ham J. C. and L. Shore-Sheppard, 2005, “The Effect of Medicaid Expansions for Low-income Children on Medicaid Participation and Private Insurance Coverage: Evidence from the SIPP,” Journal of Public Economics, 89(1): 57~83.
Ham J. C. and L. Shore-Sheppard, 2005, “The Effect of Medicaid Expansions for Low-income Children on Medicaid Participation and Private Insurance Coverage: Evidence from the SIPP,” Journal of Public Economics, 89(1): 57~83.
[15]
Huang X., 2015,“Four Worlds of Welfare: Understanding Subnational Variation in Chinese Social Health Insurance,” The China Quarterly, (222): 449~474.
Huang X., 2015,“Four Worlds of Welfare: Understanding Subnational Variation in Chinese Social Health Insurance,” The China Quarterly, (222): 449~474.
[16]
Kronick R. and T. Gilmer, 2002, “Insuring Low-income Adults: Does Public Coverage Crowd Out Private?” Health Affairs, 21(1): 225~239.
Kronick R. and T. Gilmer, 2002, “Insuring Low-income Adults: Does Public Coverage Crowd Out Private?” Health Affairs, 21(1): 225~239.
[17]
Lewis F.D., 1989, “Dependents and the Demand for Life Insurance,” American Economic Review, 79: 452~466.
Lewis F.D., 1989, “Dependents and the Demand for Life Insurance,” American Economic Review, 79: 452~466.
[18]
Liu H., S. Gao and J. A. Rizzo, 2011, “The Expansion of Public Health Insurance and the Demand for Private Health Insurance in Rural China,” China Economic Review, 22(1): 28~41.
Liu H., S. Gao and J. A. Rizzo, 2011, “The Expansion of Public Health Insurance and the Demand for Private Health Insurance in Rural China,” China Economic Review, 22(1): 28~41.
[19]
Shore-Sheppard L., T. C. Buchmueller and G. A. Jensen, 2000, “Medicaid and Crowding Out of Private Insurance: A Re-examination Using Firm Level Data,” Journal of Health Economics, 19(1): 61~91.
Shore-Sheppard L., T. C. Buchmueller and G. A. Jensen, 2000, “Medicaid and Crowding Out of Private Insurance: A Re-examination Using Firm Level Data,” Journal of Health Economics, 19(1): 61~91.
[20]
Stock J. H. and M. Yogo, 2005,“Testing for Weak Instruments in Linear IV Regression,” in Identification and inference for econometric models: Essays in honor of Thomas Rothenberg, Eds. by Andrews D. W. K. and J. H. Stock, Cambrige University Press, 80~108.
Stock J. H. and M. Yogo, 2005,“Testing for Weak Instruments in Linear IV Regression,” in Identification and inference for econometric models: Essays in honor of Thomas Rothenberg, Eds. by Andrews D. W. K. and J. H. Stock, Cambrige University Press, 80~108.
[21]
Truett D. B. and L. J. Truett, 1990, “The Demand for Life Insurance in Mexico and the United States: A Comparative Study,” Journal of Risk and Insurance, 57: 321~328.
Truett D. B. and L. J. Truett, 1990, “The Demand for Life Insurance in Mexico and the United States: A Comparative Study,” Journal of Risk and Insurance, 57: 321~328.